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Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Objective To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who … Medicaid services their recipients require, which includes pharmacy services. Many recipients have other third-party … audit period, HMS’ third-party liability recoveries on MCO pharmacy payments totaled about $118 million. Key Findings We …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsHeat and Hot Water Complaints (Follow-Up)
… inspection. When an inspection confirms that the building owner is not providing the required HHW, HPD issues a notice of violation to the building owner and can pursue progressive civil penalties through New …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/heat-and-hot-water-complaints-followStreet and Sidewalk Cleanliness (Follow-Up)
… included in our initial audit report, Street and Sidewalk Cleanliness (Report 2019-N-1 ). About the Program … the methodology used by Operations to rate street and sidewalk cleanliness. The audit, which covered the period … in methodology used by Operations to rate street and sidewalk cleanliness. Key Findings DSNY did not make progress …
https://www.osc.ny.gov/state-agencies/audits/2022/10/25/street-and-sidewalk-cleanliness-followOversight of Pupil Transportation Services
… Objectives To determine whether the State Education Department … requirements for school bus personnel and instructors to help ensure safe transportation for all pupils; and … provided by public school districts (School Districts) to approximately 2.3 million children each day across the …
https://www.osc.ny.gov/state-agencies/audits/2020/10/14/oversight-pupil-transportation-servicesAccountability and Surplussing of Vehicles (Follow-Up)
… trip information, such as date and time of use, names of drivers, and the purpose of the trip. We issued our initial …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/accountability-and-surplussing-vehicles-followImplementation of the Security Guard Act
… arrest notifications to ensure security guards remain in compliance with the Act’s requirements. Between April 1, … complies with the Act’s requirements, having processes in place to ensure only individuals meeting the Act’s … Twenty-four renewal forms were received and processed in excess of six months from their expiration date, contrary …
https://www.osc.ny.gov/state-agencies/audits/2021/07/06/implementation-security-guard-actHuman Resource Practices (Follow-Up)
… of the four recommendations included in our initial audit report, Human Resource Practices (Report 2018-S-57 ). About the Program A part of the State … of the four recommendations included in our initial audit report Human Resource Practices Report 2018S57 …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/human-resource-practices-followOversight of Mitchell-Lama Application Fees
… 46,500 total apartments. Each development is governed by a Board of Directors, which may hire a managing agent to handle … is rejected by the development or HPD. Generally, as vacancies occur, apartments should be offered and awarded to … when enough applicants are available to fill foreseeable vacancies. Waiting lists are periodically re-opened and new …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/oversight-mitchell-lama-application-feesUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… portion of the Empire Plan. Evaluation and Management (E/M) billing codes are divided into broad categories, such as … is known as upcoding. Our initial audit report, issued on December 31, 2018, examined whether United sufficiently …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesVacancies at the Clinton Towers Mitchell-Lama Housing Development (Follow-Up)
… of the recommendations in our initial audit report, Vacancies at the Clinton Towers Mitchell-Lama Housing … list based on the size of the apartment requested. When vacancies occur, applicants should generally be offered and … initial audit found that HPD was not adequately monitoring vacancies at Clinton Towers, and apartments were often not …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/vacancies-clinton-towers-mitchell-lama-housing-development-followOversight of Residential Domestic Violence Programs (Follow-Up)
… ). About the Program With the rates of homelessness on the rise, the plight of the homeless in New York State has been … Central Office oversees six Regional Offices – Albany, Buffalo, New York City, Rochester, Spring Valley, and …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/oversight-residential-domestic-violence-programs-followSelected Aspects of Subway Station Safety (Follow-Up)
… in our initial audit report, Selected Aspects of Subway Station Safety (Report 2016-S-11 ), issued June 15, 2017. … one of Transit’s essential duties. Transit’s Division of Station Environment and Operations (Division) mission is to … 6,024 employees who maintain the safety and cleanliness of station areas such as stairs, platforms, mezzanines, and …
https://www.osc.ny.gov/state-agencies/audits/2020/02/20/selected-aspects-subway-station-safety-followOversight of the STEM Incentive Program (Follow-Up)
… report Oversight of the STEM Incentive Program ( 2017-S-75 ) . About the Program Our initial audit report, which … eligibility requirements and made $81,198 in Program award payments on behalf of 20 recipients who did not meet … while in college. We also determined that HESC’s policy to pro-rate loans for any recipients who did not …
https://www.osc.ny.gov/state-agencies/audits/2020/03/11/oversight-stem-incentive-program-followProblem Gambling Treatment Program (Follow-Up)
… included in our initial audit report Problem Gambling Treatment Program ( 2018-S-39 ) . About the Program … is responsible for administering the State’s problem gambling treatment program which includes: defining problem gambling services; developing and ensuring access to …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/problem-gambling-treatment-program-followEquine Health and Safety (Follow-Up)
… Objective To determine the extent of implementation of the two … enforcing New York State rules and regulations designed to promote the health and safety of equines at New York State … We found that the Commission had implemented measures to improve its practices to promote equine health and safety. …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/equine-health-and-safety-followOversight of Chronic Absenteeism (Follow-Up)
… and unwelcoming school climates, increase students’ risk for disengagement, low achievement, and dropping out, among …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/oversight-chronic-absenteeism-followNational Directory of New Hires Data Security
… has met federal requirements for securing National Directory of New Hires data. The audit covers the period June … of managing these programs, the Office obtains National Directory of New Hires (Directory) data provided by the Office of Child Support … has met federal requirements for securing National Directory of New Hires data …
https://www.osc.ny.gov/state-agencies/audits/2020/05/20/national-directory-new-hires-data-securityProcessing of Sexual Offense Evidence Collection Kits
… System CLS processed Sexual Offense Evidence Collection Kits kits in compliance w …
https://www.osc.ny.gov/state-agencies/audits/2020/05/27/processing-sexual-offense-evidence-collection-kitsNational Directory of New Hires Data Security
… has met federal requirements for securing National Directory of New Hires data. Our audit covered the period … As part of managing these programs, OTDA obtains National Directory of New Hires (Directory) data provided by the Office of Child Support … has met federal requirements for securing National Directory of New Hires data …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/national-directory-new-hires-data-securityHazard Mitigation and Coordination (Follow-Up)
… Objective To determine the extent of implementation of the six … 29, 2012, was one of the most damaging hurricanes ever to make landfall in the United States. Over the course of 48 … of thousands without power and with limited access to food, drinking water, health care, and other critical …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/hazard-mitigation-and-coordination-follow