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Government-Wide Financial Data – 2022 Financial Condition Report
… Program revenues include: Charges to customers or others for services related to the program; Grants and contributions that can only be used to pay for the operations of a particular function or segment; and … and other items not included as program revenues. For prior years’ comparative government-wide data, please see …
https://www.osc.ny.gov/reports/finance/2022-fcr/government-wide-financial-dataNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up)
… our initial audit report, Payments by Empire BlueCross for Hospital Services for Ineligible Members (Report 2019-S-32 ). … Empire BlueCross (Empire) to administer the Empire Plan’s hospital benefits. Civil Service maintains the New York … August 18, 2020, sought to determine whether Empire paid hospital claims for members who were not eligible for …
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesChildren's Development Group, PLLC – Compliance With the Reimbursable Cost Manual
… allowable, properly calculated, and adequately documented in accordance with applicable State Education Department … reporting year ended June 30, 2016, CDG reported $427,599 in reimbursable costs for its Preschool Integrated Special … services to 18 children from nine school districts located in Washington and Essex counties Key Findings For the …
https://www.osc.ny.gov/state-agencies/audits/2019/12/11/childrens-development-group-pllc-compliance-reimbursable-cost-manualEmpire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… To determine whether Empire BlueCross properly paid hospital claims for intraocular procedures. The audit covered … million members. Empire BlueCross (Empire) administers the hospital portion of the Empire Plan. Empire processes claims for hospital services according to contracts it negotiates with …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsMinds in Motion, Inc. – Compliance With the Reimbursable Cost Manual
… (RCM). We audited the costs that MIM reported on its CFR for the fiscal year ended June 30, 2015. About the Program MIM is an SED-approved, for-profit special education provider located in Newburgh. … are between three and four years of age. MIM is reimbursed for these services through rates set by SED. The …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/minds-motion-inc-compliance-reimbursable-cost-manualUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… The Empire Plan is the primary health benefits plan for NYSHIP. Civil Service contracted with UnitedHealthcare … level billed, the greater United’s reimbursement. Billing for a higher level of care than the service actually provided … monitored out-of-network providers who routinely billed for higher-level E/M services, and if out-of-network …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesCompliance With Executive Order 88 – Energy Efficiency in State Buildings
… to facility staff, as required, by the December 31, 2017 deadline. DOCCS officials stated they did not meet the submetering deadline because they are installing more meters than … energy reduction until well after the April 1, 2020 deadline. Key Recommendation Continue implementing capital …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/compliance-executive-order-88-energy-efficiency-state-buildingsBehavior Analysts of New York, LLC – Compliance With the Reimbursable Cost Manual
… The audit covered costs reported on BANY’s CFR for the reporting year ended June 30, 2015. About the Program BANY is an SED-approved, for-profit provider of preschool special education services … between three and five years of age. BANY is reimbursed for these services through rates set by SED, which are based …
https://www.osc.ny.gov/state-agencies/audits/2020/01/31/behavior-analysts-new-york-llc-compliance-reimbursable-cost-manualOversight of Critical Foster Care Program Requirements (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Oversight of Critical Foster … the foster care program, including placing children in foster care settings, certifying and approving certain … initial audit examined whether OCFS has effective controls in place to ensure that foster homes meet required criteria …
https://www.osc.ny.gov/state-agencies/audits/2020/02/03/oversight-critical-foster-care-program-requirements-followMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… whether the Medicaid program made improper payments for drugs dispensed after their drug termination date. The … and is overseen at the federal level by the Centers for Medicare & Medicaid Services (CMS). The Medicaid program … Drugs may be removed from the market (i.e., terminated) for safety or commercial reasons. To ensure terminated drugs …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsMedicaid Program – Improper Payments for Brand Name Drugs
… form, and strength. Generally, this means a brand name drug will be substituted with a generic drug that is equivalent to the brand name drug. Prescribers of drugs can indicate that a brand name …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-improper-payments-brand-name-drugsCantalician Center for Learning – Compliance With the Reimbursable Cost Manual
… not-for-profit special education provider located in Depew, serving students from Erie, Genesee, and Niagara … 30, 2017, Cantalician reported approximately $2.23 million in reimbursable costs on its CFRs for two rate-based special … fiscal year ended June 30, 2017, we identified $358,254 in ineligible costs reported by Cantalician on its CFRs for …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/cantalician-center-learning-compliance-reimbursable-cost-manualState Education Department Examination of Payments to Tough Man, Inc.
… Purpose Our Office examined payments the State Education Department (SED) made under contracts C813016, C81403A, T815055, and T816040 to Tough Man Inc. (Tough Man). The objectives of our examination were to determine … Our Office examined payments the State Education Department SED made under contracts C813016 …
https://www.osc.ny.gov/state-agencies/audits/2019/03/01/state-education-department-examination-payments-tough-man-incSpringbrook NY, Inc. – Compliance With the Reimbursable Cost Manual
… is an SED-approved special education provider located in Otsego County. Springbrook provides, among other programs, … 30, 2015, Springbrook reported approximately $1 million in reimbursable costs on its CFR for the Preschool Integrated … the fiscal year ended June 30, 2015, we identified $56,183 in ineligible costs that Springbrook reported on its CFR for …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/springbrook-ny-inc-compliance-reimbursable-cost-manualProtection of Child Performers (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Protection of Child Performers ( … of Labor (Department) is charged with protecting workers in New York State. Within the Department, the Child … Key Finding Department officials have not made progress in addressing the issues identified in our initial report. …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/protection-child-performers-followSt. Anne Institute – Compliance With the Reimbursable Cost Manual
… The audit covered expenses reported on St. Anne’s CFR for the fiscal year ended June 30, 2016. About the Program St. Anne is an SED-approved, not-for-profit private school located in Albany that provides … with developmental disabilities. St. Anne is reimbursed for these services through rates set by SED. The …
https://www.osc.ny.gov/state-agencies/audits/2019/12/10/st-anne-institute-compliance-reimbursable-cost-manualState Agencies Bulletin No. 1511
… reporting for 2016, agencies must submit AC-230s to OSC in accordance with the processing schedule outline in this bulletin. Agencies should always forward payroll … Uncashed Payroll Check Outreach, any paychecks issued in 2015 that are not cashed, reversed or reissued will be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1511-schedule-submitting-2016-year-end-returned-checksState Agencies Bulletin No. 2303
… Purpose: The purpose of this bulletin is to inform agencies of their inability to … one hour beginning on April 21, 2022. Please note, this disruption will occur after the completion of the confirm of the specials payroll cycle every week. Therefore, an early confirm of the payroll schedule may …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2303-payserv-request-direct-deposit-panel-and-new-york-state-payroll-onlineCUNY Bulletin No. CU-549
… Supervisor of Mechanics. Affected Employees CUNY employees in the title of Supervisor of Mechanics Background The rate … rate chart and additional information are contained in a memorandum dated 09/01/2015 from Carmelo Batista, Jr. … $59.13 Effective Date(s) Increases can be submitted in Pay Period 12C (Institution), paychecks dated 09/15/2016. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-549-cuny-rate-increase-supervisor-mechanicsSUNY Bulletin No. SU-154
… Laws of 2008 implements the agreement between the State of New York and United University Professions (UUP). It provides for January 1, 2009, increases in Location Pay to $3,026 and in Mid-Hudson Location Pay to … Location Pay to $3,026 effective 12/25/08 for employees in New York City, and Nassau, Rockland, Suffolk and Westchester …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-154-january-1-2009-increase-location-pay-and-mid-hudson