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Medicaid Program – Claims Processing Activity October 1, 2024 Through March 31, 2025
… 6-month period ended March 31, 2025, eMedNY processed over 328 million Medicaid claims, resulting in payments to …
https://www.osc.ny.gov/state-agencies/audits/2026/03/19/medicaid-program-claims-processing-activity-october-1-2024-through-march-31-2025Medicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended September … payments, as follows: $3.7 million in overpayments for claims that were billed with incorrect information …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017The New Interdisciplinary School – Compliance With the Reimbursable Cost Manual
… provides preschool special education services to children with disabilities who are between three and five years of … be eligible for reimbursement, reported costs must comply with the RCM requirements. For the two fiscal years ended … Ensure that costs reported on annual CFRs fully comply with SED’s requirements, and communicate with SED to obtain …
https://www.osc.ny.gov/state-agencies/audits/2017/12/08/new-interdisciplinary-school-compliance-reimbursable-cost-manualMedicaid Program – Appropriateness of Medicaid Eligibility Determined by the New York State of Health System
… Purpose To determine if the Department of Health’s New York State of Health system has adequate … and Affordable Care Act in 2010, the State developed the New York State of Health (NYSOH) as a new online marketplace … To determine if the Department of Healths New York State of Health system has adequate controls to …
https://www.osc.ny.gov/state-agencies/audits/2015/10/28/medicaid-program-appropriateness-medicaid-eligibility-determined-new-york-state-healthSelected Employee Travel Expenses
… and under the control of agency management, include car rentals, meals, lodging, transportation, fuel, and …
https://www.osc.ny.gov/state-agencies/audits/2014/05/07/selected-employee-travel-expensesSelected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… Conservation (Department) has effective systems in place to fully and accurately accumulate State costs … bill for and collect these costs from responsible parties in a timely manner, and identify and pursue parties … (Program), also known as the State Superfund Program, in New York. The purpose of the Program is to identify, …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recoveryInspire (Orange County Cerebral Palsy Association) – Compliance With the Reimbursable Cost Manual
… array of outpatient, educational, and support services for individuals of all ages and abilities. Inspire is also an … the ages of three and five years. Inspire is reimbursed for these services through rates set by SED. These … Inspire reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with RCM …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/inspire-orange-county-cerebral-palsy-association-compliance-reimbursable-cost-manualControls Over Cash Advance Accounts
… to more closely reflect actual use. Discontinue the practice of allowing payroll advances from the Petty Cash … Related Audits/Reports of Interest Office of Children and Family Services: Controls Over Cash Advance Accounts …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/controls-over-cash-advance-accountsSecurity and Effectiveness of Division of Criminal Justice Services’ Core Systems
… To determine whether the Division of Criminal Justice Services’ (Division) selected core systems are secure, operating effectively, and available to … The New York State Office of Information Technology Services (ITS) was established in November 2012 as part of a …
https://www.osc.ny.gov/state-agencies/audits/2015/02/24/security-and-effectiveness-division-criminal-justice-services-core-systemsSky Light Center Inc. – Supported Housing Program
… supported housing providers, such as Sky Light, to locate apartments and negotiate leases on behalf of clients, help the clients move into their apartments, and provide necessary related services. Sky Light … his personal property, and rental payments for unoccupied apartments. Sky Light officials cannot account for over …
https://www.osc.ny.gov/state-agencies/audits/2014/05/05/sky-light-center-inc-supported-housing-programKids & the Training Institute, Inc. – Compliance With the Reimbursable Cost Manual
… (CFR) were properly calculated, adequately documented, and allowable under the Reimbursable Cost Manual (Manual) … an annual CFR filed with SED. The State reimburses the DoE for a portion of its payments to KTI. For the two fiscal years ended June 30, 2009, KTI claimed and …
https://www.osc.ny.gov/state-agencies/audits/2013/02/07/kids-training-institute-inc-compliance-reimbursable-cost-manualMedicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended September … savings, as follows: $13.6 million in potential savings for Medicaid recipients diagnosed with end stage renal …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016North Country Kids, Inc. – Compliance With the Reimbursable Cost Manual
… The audit covered expenses reported on North Country’s CFR for the fiscal year ended June 30, 2014, and certain expenses reported on North Country’s CFR for the fiscal year ended June 30, 2013. Background North Country is an SED-approved, for-profit special education provider located in Clinton …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/north-country-kids-inc-compliance-reimbursable-cost-manualElmcrest Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… whether the costs reported by Elmcrest Children’s Center, Inc. (Elmcrest) on its Consolidated Fiscal Report … integrated preschool classroom within its early education center. Elmcrest is authorized by SED to provide preschool … Compliance With the Reimbursable Cost Manual (2015-S-45) Center for Disability Services: Compliance With the …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/elmcrest-childrens-center-inc-compliance-reimbursable-cost-manualPayroll Forms
… for instructions for completing fillable and Excel version forms. AC 873 – Extra Service Payroll Voucher ( Fillable PDF … Deposit Form Personal Privacy Protection Law Release Forms and Instructions Personal Privacy Protection Law … Law Release Form – AC 3216 Position Data Request Forms Extra Service Position Data Request Form – AC 3217 ( …
https://www.osc.ny.gov/state-agencies/payroll/formsMedicaid Program – Claims Processing Activity October 1, 2020 Through March 31, 2021
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the 6-month period ended March 31, … Medicaid payments, as follows: $3.3 million was paid for fee-for-service inpatient claims that should have been …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-claims-processing-activity-october-1-2020-through-march-31-2021Internal Controls Over Selected Financial Operations (Follow-Up)
… and wholesale licenses, special event and brand label permits, and miscellaneous permits such as those for …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/internal-controls-over-selected-financial-operations-followVacancies at the Clinton Towers Mitchell-Lama Housing Development (Follow-Up)
… Objective To determine the extent of implementation of the recommendations in our initial audit report, Vacancies at the Clinton Towers Mitchell-Lama Housing Development … To determine the extent of implementation of the recommendations in our initial audit report Vacancies at …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/vacancies-clinton-towers-mitchell-lama-housing-development-followMedicaid Program – Claims Processing Activity April 1, 2022 Through September 30, 2022
… policies; and $555,731 was paid for maternity and newborn birth claims that contained inaccurate information, such as the diagnosis code or newborn’s birth weight. As a result of the audit, about $4.3 million of … York State Office of the Attorney General’s Medicaid Fraud Control Unit; the remaining six providers were under the …
https://www.osc.ny.gov/state-agencies/audits/2023/05/11/medicaid-program-claims-processing-activity-april-1-2022-through-september-30-2022City of Glen Cove – Budget Review (B7-16-12)
… Background The City of Glen Cove, located in Nassau County, issued debt totaling $12.8 million to liquidate … the upcoming year. The City has budgeted $1.9 million for building permit revenues, an increase of $520,536 over the 2016 …
https://www.osc.ny.gov/local-government/audits/city/2016/10/14/city-glen-cove-budget-review-b7-16-12