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Oversight of Provider Consolidated Fiscal Reports – Independent Living, Inc.
To determine whether OMH ensures that the costs reported by providers such as Independent Living Inc on their Consolidated Fiscal Reports are allowable properly calculated and adequately documented in accordance with Consolidated Fiscal Reporting and Claiming Manual requirements The audit
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/oversight-provider-consolidated-fiscal-reports-independent-living-incRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Medicaid Program: Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Report 2020-S-39 ). About the Program Many of the … pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, MCOs are required …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthManaged Care Organizations – Payments to Ineligible Providers (Follow-Up)
… extent of implementation of the eight recommendations made in our initial audit report, Managed Care Organizations: … to the Medicaid or Medicare programs or who have engaged in other unacceptable insurance practices can be excluded … of Health (Department) and MCOs had adequate processes in place to prevent payments to ineligible providers, and …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/managed-care-organizations-payments-ineligible-providers-followMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… made overpayments to providers who reported claims with a PR 45 cost-sharing amount. The audit covered the period from … unpaid portion of the claim balance. Group codes include PR (patient responsibility) and CO (contractual obligation). … claims processing and payment system. Claims with a CARC PR 45 are currently configured to pay in eMedNY, while claims …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsSchuyler County – Court and Trust Funds (2021-C&T-1)
… appropriate controls to safeguard and account for court and trust funds for the period January 1, 2018 through September 30, 2021. Background Pursuant to a court order, certain assets may be provided to the court and then delivered to the County Treasurer (Treasurer) …
https://www.osc.ny.gov/local-government/audits/court-and-trust/2021/12/10/schuyler-county-court-and-trust-funds-2021-ct-1City of Amsterdam – Budget Review (B23-5-4)
… benefits between the operating funds using unsupported allocation methods. Three of the City’s seven collective … 2023-24 and modify the budget as necessary. Develop an allocation plan based on detailed analysis that ensures costs …
https://www.osc.ny.gov/local-government/audits/city/2023/05/05/city-amsterdam-budget-review-b23-5-4State Comptroller DiNapoli Releases State Audits
… today that the following audits have been issued: Office of Temporary and Disability Assistance: National … Directory of New Hires Data Security (2016-S-27) The office has taken actions to comply with the federal … for securing directory data. Auditors found that the office is fully compliant with 23 of the 32 requirements and …
https://www.osc.ny.gov/press/releases/2016/08/state-comptroller-dinapoli-releases-state-auditsState Comptroller DiNapoli Releases State Audits
… $4 million were reported in a different quarter and 39 payments (33 percent) totaling $1.06 million were reported in … vendor as MWBE utilization. Workers' Compensation Board (WCB): Assessment of Costs to Administer the Workers’ … Year Ended March 31, 2014 (2015-S-12) Auditors found the WCB has adequate procedures in place to ensure that it …
https://www.osc.ny.gov/press/releases/2016/11/state-comptroller-dinapoli-releases-state-auditsState Comptroller Releases School District Audits
… County) At the time of initial visits to nine district buildings, auditors were unable to locate 146 of 475 IT … because district officials are relying on the city council to approve a waiver to the city charter for the use …
https://www.osc.ny.gov/press/releases/2020/06/state-comptroller-releases-school-district-auditsOakfield Fire Department – Apparent Misuse of Funds (2014M-187)
… Purpose of Audit The purpose of our audit was to evaluate the Department’s internal controls over financial … Board of Directors, provides fire protection services to Village residents. Expenses for the 2013 fiscal year … approximately $56,500. Key Findings The Board failed to establish adequate internal controls or provide oversight …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2015/02/03/oakfield-fire-department-apparent-misuse-funds-2014m-187Collection of Lease and Permit Revenues (Follow-Up)
… extent of implementation of the four recommendations made in our initial report, Assessment and Collection of Lease and … the time of our audit, the Department was owed $6 million in lease and permit revenues, including $2.4 million between … extent of implementation of the four recommendations made in our initial report Assessment and Collection of Lease and …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/collection-lease-and-permit-revenues-followForensic Audit of Select Payroll and Overtime Practices and Related Transactions (Follow-Up)
… in our initial report, Forensic Audit of Select Payroll and Overtime Practices and Related Transactions (2010-S-60). Background Our initial … that these practices cost Metro-North $991,208 in overtime and $216,128 n regular pay, and enriched certain staff and …
https://www.osc.ny.gov/state-agencies/audits/2016/03/18/forensic-audit-select-payroll-and-overtime-practices-and-related-transactions-followTown of Yorkshire – Financial Management (2021M-109)
… revenues. As a result, unrestricted fund balance in the four major operating funds increased by $811,100 (67 percent) in the past four years to more than $2 million as of December … fund balance and reserve policies. Except as indicated in Appendix A, Town officials generally agreed with our …
https://www.osc.ny.gov/local-government/audits/town/2021/11/19/town-yorkshire-financial-management-2021m-109St. Lawrence County Industrial Development Agency – Project Approval and Monitoring (2021M-151)
… information for 10 approved projects to monitor actual vs. proposed investment. Key Recommendations Develop …
https://www.osc.ny.gov/local-government/audits/county/2021/12/22/st-lawrence-county-industrial-development-agency-project-approval-and-monitoringSt. Lawrence County Industrial Development Agency and Local Development Corporation – Disbursements (2021M-174)
… disbursements were properly authorized, supported and for valid purposes. Key Findings Although the tested disbursements were for valid purposes, LDC officials did not always ensure they … detailing the services to be provided and the basis for the payment. Paid payroll processing fees totaling $2,473 …
https://www.osc.ny.gov/local-government/audits/county/2022/01/21/st-lawrence-county-industrial-development-agency-and-local-development-corporationFonda-Fultonville Central School District – Reserves Management (2021M-157)
… Define the financial objectives including the purpose, funding goals, conditions for reserve fund use and … reserve fund policy and develop a written plan for future funding and use of reserve funds and ensure amounts are … as to the appropriate remedy for addressing improper funding of and transfer of funds from reserves. District …
https://www.osc.ny.gov/local-government/audits/school-district/2022/02/04/fonda-fultonville-central-school-district-reserves-management-2021m-157Town of Sanford – Claims Audit Process (2021M-189)
… have saved $5,010 in fuel costs if they had used the State contract pricing option. Key Recommendations Audit and …
https://www.osc.ny.gov/local-government/audits/town/2022/03/04/town-sanford-claims-audit-process-2021m-189Town of Owasco – Financial Management and Procurement (2021M-70)
… capital plans. Determine whether professional services and playground equipment were procured in a manner to ensure the … ensure the proper procurement of professional services and playground equipment. The Board did not: Adopt an adequate … agreements for the services provided. Properly procure playground equipment totaling $397,000. Key Recommendations …
https://www.osc.ny.gov/local-government/audits/town/2021/08/13/town-owasco-financial-management-and-procurement-2021m-70Plainville Fire District – Board Oversight (2021M-91)
… resolution that allowed the District Treasurer (Treasurer) to pay all recurring expenditures without the Board’s prior … or realistic budgets. Budgets underestimated transfers to reserves and overestimated appropriations. Adopt a fund … each year, as required. Audit and approve all claims prior to payment when required. We tested claims totaling $289,700 …
https://www.osc.ny.gov/local-government/audits/fire-district/2021/10/01/plainville-fire-district-board-oversight-2021m-91Village of Islandia – Information Technology (2021M-100)
… (Village) officials ensured information technology (IT) assets were adequately protected from unauthorized … and loss. Key Findings Village officials did not ensure IT assets were adequately protected from unauthorized access, … notification, password and mobile and removable device IT policies or implement a comprehensive IT contingency plan. …
https://www.osc.ny.gov/local-government/audits/village/2021/11/12/village-islandia-information-technology-2021m-100