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Appropriateness of Medicaid Eligibility Determined by the New York State of Health System (Follow-Up)
… Purpose To determine the implementation status of the 14 … which provides a wide range of health care services to individuals who are economically disadvantaged and/or have … Health (NYSOH) as a new online marketplace for individuals to obtain health insurance coverage, including Medicaid. …
https://www.osc.ny.gov/state-agencies/audits/2017/12/07/appropriateness-medicaid-eligibility-determined-new-york-state-health-system-followUniversal Pre-Kindergarten Program – Monitoring of Health and Safety Requirements (Follow-Up)
… Universal Pre-Kindergarten Program: Monitoring of Health and Safety Requirements (Report 2016-S-10 ). Background The … expressive/aesthetic, physical, cognitive, linguistic, and cultural development. The UPK program is administered by the State Education Department (Department), and oversight is conducted primarily through the Office of …
https://www.osc.ny.gov/state-agencies/audits/2018/03/05/universal-pre-kindergarten-program-monitoring-health-and-safety-requirements-followReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
… audit report, Reducing Medicaid Costs for Recipients With End Stage Renal Disease (Report 2015-S-14 ). Background We … to control the Medicaid costs of recipients diagnosed with end stage renal disease (ESRD) who were eligible for, but not … of Health: Reducing Medicaid Costs for Recipients With End Stage Renal Disease ( 2015-S-14 ) …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followNew York City Airport Lease
… Purpose To determine whether the Port Authority of New York and New Jersey was in compliance with certain key terms of the lease and ancillary agreements with New York City for the municipal airports. The audit covers … To determine whether the Port Authority of New York and New Jersey was in compliance with certain key …
https://www.osc.ny.gov/state-agencies/audits/2017/04/19/new-york-city-airport-leaseCollection of Petroleum Business Tax and Motor Fuel Excise Tax (Follow-Up)
… Program Petroleum Business Tax (PBT) is paid by registered distributors of applicable types of fuel at a … and sales of certain types of residential heating fuel. New York also has a Motor Fuel Excise Tax (MFT) on gasoline and …
https://www.osc.ny.gov/state-agencies/audits/2022/06/08/collection-petroleum-business-tax-and-motor-fuel-excise-tax-followCompliance With Executive Order 88 – Energy Efficiency of State Buildings (Follow-Up)
To assess the extent of implementation of the three recommendations included in our initial audit report Compliance with Executive Order 88 Energy Efficiency of State Buildings 2018S62
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/compliance-executive-order-88-energy-efficiency-state-buildings-followImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… (Report 2017-S-74 ). About the Program The Department of Health (Department) pays Medicaid providers using the … the managed care method, the Department pays managed care plans a monthly premium for each Medicaid recipient enrolled in managed care, and the managed care plans pay providers for services rendered to their members. …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followPatient Safety Center Activities and Handling of Revenues
… Objectives To determine whether the Department of Health (Department) is … by a physician with a history of negligence unknown to the patient. Pursuant to the Act’s amendments to the Public Health Law (PHL), a PSC … To determine whether the Department of Health is meeting the …
https://www.osc.ny.gov/state-agencies/audits/2021/03/10/patient-safety-center-activities-and-handling-revenuesOversight of Industrial Hemp (Follow-Up)
… we concluded that the Department needed to improve its monitoring of Program compliance by taking steps to improve the quality of Program data and performing comprehensive …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/oversight-industrial-hemp-followMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… (FFS) payments for certain services covered by managed long-term care (MLTC) plans. The audit covered the … should not pay claims on a FFS basis for services covered by MLTC plans. Individuals are enrolled in MLTC through … feeforservice FFS payments for certain services covered by managed longterm care plans …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… Objective To determine whether the Medicaid program made improper … (i.e., terminated) for safety or commercial reasons. To ensure terminated drugs will not be dispensed or paid for, CMS requires state Medicaid programs to reject these claims on the basis of the drug’s termination …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… criteria are automatically enrolled). To be eligible, all individuals must be assessed as needing community-based …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followReporting of Community-Based Services Under the Transformation Reinvestment Plan (Follow-Up)
… via the reinvestment funds include supported housing, mobile integration teams, various crisis services, and clinic …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/reporting-community-based-services-under-transformation-reinvestment-plan-followPrivacy and Security of Student Data (Follow-Up)
… included in our initial audit report, Privacy and Security of Student Data (Report 2021-S-29 ). About the … legislation and regulations that govern data privacy and security. The audit covered the period from March 2020 … not fully comply with its policies related to information security and data privacy, including completing the data …
https://www.osc.ny.gov/state-agencies/audits/2024/09/26/privacy-and-security-student-data-followNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… Our initial audit report, issued on September 29, 2021, sought to determine whether United paid …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesCompliance With Special Education Regulations for the Provision of Services (Follow-Up)
… 192,000 of these students in the 2021-22 school year. The DOE is responsible for evaluating students to … students in special education services and programs within 60 school days of receipt of parental consent to evaluate. … initially referred for special education during school year 2016-17. Our audit found that DOE was not adequately …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-regulations-provision-services-followImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… Objective To assess the extent of implementation of the five … of our initial audit report, issued November 29, 2021, was to determine if Medicaid made improper Medicare premium … Medicare Buy-in Program credits from January 1, 2015 to November 30, 2020. We determined the Department had not …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… included in our initial audit report, Use of Federal Funding for Election Technology and Security (Report … 2021, was to determine whether the BOE utilized available funding from the HAVA Security Grant to enhance the security … 2021. Overall, the audit found the BOE utilized available funding from its HAVA Security Grant to enhance the State’s …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followOversight of Certified Homeless Shelter Food Services
… homeless shelters in New York City, and whether the meals served meet State regulations and New York City Food … 2018. Background Shelter operators are required to provide meals that are balanced, nutritious, and adequate in amount … Such meals should be conveniently accessible to residents on a daily basis. To this end, some shelters cook their own …
https://www.osc.ny.gov/state-agencies/audits/2018/10/29/oversight-certified-homeless-shelter-food-servicesCriminal History Background Checks of Unlicensed Health Care Employees (Follow-Up)
… for required criminal history background checks when hiring unlicensed persons in direct care positions. The audit …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/criminal-history-background-checks-unlicensed-health-care-employees-follow