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United Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… three recommendations made in our initial audit report, United HealthCare Insurance Company of New York: Empire Plan … Department of Civil Service (Department) contracted with United HealthCare (United) to administer the Plan’s … of Interest New York State Health Insurance Program: United HealthCare: Payments for Fraudulent and Improper …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followThe ARC of Ulster-Greene – Compliance With the Reimbursable Cost Manual
… year ended December 31, 2014. Background Ulster-Greene, a not-for-profit organization located in Kingston, New York, is an SED-approved provider of … disabilities between the ages of three and five years. In 2014, Ulster-Greene provided preschool special education …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/arc-ulster-greene-compliance-reimbursable-cost-manualUse of State Appropriations
… Purpose To determine whether the New York Wine and Grape Foundation (Foundation) has spent … a public authority, located in Canandaigua, which supports New York State’s wine and grape industry through research, … receives State funding through a contract with the New York State Department of Agriculture and Markets …
https://www.osc.ny.gov/state-agencies/audits/2016/06/16/use-state-appropriationsInternal Control System Components
… Purpose To determine whether the Department of Motor Vehicles’ … Audit and Internal Control Act requiring each State agency to institute a comprehensive system of internal control over … Bulletin B-350 requires the head of each covered agency to certify compliance with the Act by April 30 of each year …
https://www.osc.ny.gov/state-agencies/audits/2016/03/17/internal-control-system-componentsUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… whether UnitedHealthcare improperly paid for medical services designated with modifier code 59 that were not distinct and independent from other services provided on the same day. The audit covered the … to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Audit of the Tuition Assistance Program at Stony Brook University
… Purpose To determine whether Stony Brook University complied with the Education Law and … Tuition Assistance Program (TAP) awards. Background Stony Brook University (Stony Brook) is a university within the State University of … To determine whether Stony Brook University complied with the Education Law and …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/audit-tuition-assistance-program-stony-brook-universityTuition Assistance Program – LaGuardia Community College
… certifying students for State-funded Tuition Assistance Program (TAP) awards. Background LaGuardia Community … fields, including nursing, business, liberal arts, and computer science. LaGuardia’s student enrollment at the time … York City residents is about $4,500. TAP is an entitlement program designed to provide funds for paying tuition costs to …
https://www.osc.ny.gov/state-agencies/audits/2014/12/04/tuition-assistance-program-laguardia-community-collegeCapital Planning and Maintenance
… and budgets are reasonable and supported. Our audit scope covers the period April 1, 2012 through December 23, 2015. … the New York and Ogdensburg Railway; and the Commerce and Heavy Industrial Parks. The assets operate in tandem to … Expansion plans are underway for the Airport, and a low-cost carrier is expected to begin providing additional …
https://www.osc.ny.gov/state-agencies/audits/2016/04/08/capital-planning-and-maintenanceHousing Preferences for Veterans (Follow-Up)
… included in our initial audit report, Housing Preferences for Veterans (Report 2011-N-3 ). Background Our initial … State Legislature had extended the right of preference for housing to many more veterans, few actually benefited due … included in our initial audit report Housing Preferences for Veterans Report 2011N3 …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followAudit of the Tuition Assistance Program at Pratt Institute
… of Education's Rules and Regulations (Regulations) when certifying students for State-funded Tuition Assistance … of Educations Rules and Regulations Regulations when certifyi …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-pratt-instituteRainbow Rhymes Learning Center (Follow-Up)
… State Education Department: Rainbow Rhymes Learning Center (Report 2009-S-84). Background Our initial audit … (Department) grant payments to Rainbow Rhymes Learning Center (Rainbow) were appropriate and adequately supported. … State Education Department: Rainbow Rhymes Learning Center Report (2009-S-84) …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/rainbow-rhymes-learning-center-followAccuracy of Reported Discharge Data (Follow-Up)
… when we examined DoE’s discharge classifications for its 2004-08 general education cohort (i.e., the students …
https://www.osc.ny.gov/state-agencies/audits/2014/09/09/accuracy-reported-discharge-data-followTravel Plaza Revenues and Capital Improvements (Follow-Up)
… Purpose To determine the extent of implementation of the eight … which was issued on January 15, 2010, our objective was to determine whether the New York State Thruway Authority … contracts. We found that the NYSTA's efforts were adequate to ensure fuel and food concessionaires pay full rent on time …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/travel-plaza-revenues-and-capital-improvements-followInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Purpose To determine the extent of implementation of the three … was issued on Report April 26, 2013, our objective was to determine whether the New York State Thruway Authority … To determine the extent of implementation of the three …
https://www.osc.ny.gov/state-agencies/audits/2014/06/25/inspecting-highway-bridges-and-repairing-defects-followContracts for Personal and Miscellaneous Services (Follow-Up)
… in our initial audit report, Contracts for Personal and Miscellaneous Services ( 2009-S-54 ). Background Our … 19, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not have … justify the need for new or renewed contracts for personal and miscellaneous services. In addition, the Port Authority …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followMedicaid Claims Processing Activity October 1, 2008 Through March 31, 2009 (Follow-Up)
… were accurately processed, and resulted in correct provider payments. We identified five reportable conditions. The first reportable condition entailed the identification and … Other Related Audits/Reports of Interest Department of Health: Medicaid Claims Processing Activity October 1, 2008 …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/medicaid-claims-processing-activity-october-1-2008-through-march-31-2009-followNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… Institute (Institute), established in 1895, is one of two clinical research facilities administered by the Office of Mental Health (OMH). The Institute conducts clinical trials and research studies relating to the …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followRebates and Discounts on Physician-Administered Drugs (Follow-Up)
… in our initial audit report, Rebates and Discounts on Physician-Administered Drugs (2010-S-72). Background … qualified providers. Providers are required to pass on the savings to Medicaid when they submit claims for 340B drugs. Our initial audit report, which was issued on July 24, 2012, determined the Department of Health had …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/rebates-and-discounts-physician-administered-drugs-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… included in our initial audit report, Overpayments for Medicare Part C Coinsurance Charges (2011-S-33). Background … Plan. Many Medicaid recipients are also enrolled in Medicare Part C. Under Medicare Part C, managed care plans (also known as Medicare … included in our initial audit report Overpayments for Medicare Part C Coinsurance Charges …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followOversight of Grants (Follow-Up)
… Purpose To assess the extent of implementation as of March 7, 2014 of … given 30 days after the issuance of the follow-up review to provide information on any actions that are planned to address the unresolved issues discussed in this report. … To assess the extent of implementation as of March 7 2014 of …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/oversight-grants-follow