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Incorrect Payments by CVS Caremark for Medicare Rx Drug Claims That Were Improperly Paid Under the Commercial Plan (Follow-up)
… Objective To assess the extent of implementation of the three … million members. Civil Service contracts with CVS Caremark to administer the prescription drug program for the Empire … of our initial audit, issued on September 13, 2023, was to determine whether CVS Caremark paid claims under the …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/incorrect-payments-cvs-caremark-medicare-rx-drug-claims-were-improperly-paid-underMaximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program (Follow-Up)
… health care providers for services rendered. The MCOs are required to submit post-adjudicated claims (called … the manufacturer’s drugs. On a quarterly basis, states are required to send rebate invoices to each manufacturer for any … under the federal MDRP. The audit covered the period from April 2018 through March 2022 and certain claims back to …
https://www.osc.ny.gov/state-agencies/audits/2024/12/20/maximizing-drug-rebates-under-federal-medicaid-drug-rebate-program-followManaged Care Payments to Unenrolled Providers (Follow-Up)
… The objective of our initial audit, issued on June 4, 2024, was to determine whether Medicaid MCOs violated …
https://www.osc.ny.gov/state-agencies/audits/2026/03/31/managed-care-payments-unenrolled-providers-followState Agencies Bulletin No. 2048.1
… This bulletin supersedes Payroll Bulletin No. 2048 . Purpose The purpose of this bulletin is to provide agencies with information … the outreach and escheatment of uncashed payroll checks for calendar year 2021. Affected Employees Employees with one … The purpose of this bulletin is to provide agencies with information …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/20481-outreach-and-escheatment-2021-uncashed-payroll-checksState Agencies Bulletin No. 2137
… pools and/or chartfield strings in PayServ may require updates for lapsing. Affected Employees: All agencies with … Lag 06/08/2023 X-Lag 06/08/2023 X-Lag 06/01/2023 These updates must be completed in PayServ before June 22nd for the … pools andor chartfield strings in PayServ may require updates for lapsing …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2137-updating-payserv-chartfield-strings-june-lapsing-eventsState Agencies Bulletin No. 2152.1
… remain uncashed as of April 2024 will be stopped and the funds will be escheated to the New York State Office of Unclaimed Funds (OUF). Effective Dates: Effective for payroll … escheated to OUF in April 2024. Employees can visit the Unclaimed Funds - Search for Lost Money website to search …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/21521-outreach-and-escheatment-2022-uncashed-nys-payroll-checksState Agencies Bulletin No. 2238
… pools and/or chartfield strings in PayServ may require updates for lapsing. Affected Employees: All agencies with … Lag 06/06/2024 X-Lag 06/06/2024 X-Lag 05/30/2024 These updates must be completed in PayServ before June 20th for the … pools andor chartfield strings in PayServ may require updates for lapsing …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2238-updating-payserv-chartfield-strings-june-lapsing-eventsElementary and Secondary Education – 2022 Financial Condition Report
… In SFY 2021-22, $2 billion of federal COVID-19 recovery funding was disbursed to New York school districts, an amount equal to 7.1 percent of State funding levels for the same period. New York State Ranks … Local Resources Represent the Largest Source of Funding In SY 2020-21, support for public elementary and …
https://www.osc.ny.gov/reports/finance/2022-fcr/elementary-and-secondary-educationUtilization of the Arch Street Yard and Shop Facility
… was constructed before it was needed for East Side Access (ESA) completion; whether the MTA has any plans for the use of the Facility before the expected 2022 opening of ESA; and whether the Facility is maintained and secured and … to May 23, 2017. Background As part of the MTA’s mammoth ESA project, it constructed the new Facility in Long Island …
https://www.osc.ny.gov/state-agencies/audits/2017/12/08/utilization-arch-street-yard-and-shop-facilityCentral Office – Controls Over Bank Accounts
… Purpose To determine whether officials of the City University of New York’s (CUNY) Central Office adequately ensured that all bank accounts were authorized and only used for appropriate purposes and transactions. The … To determine whether officials of the City University of New Yorks Central Office adequately …
https://www.osc.ny.gov/state-agencies/audits/2017/11/29/central-office-controls-over-bank-accountsMedicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… 1991, New York’s Medicaid program began requesting rebates from drug manufacturers. On a quarterly basis, the Department … program, the Department created a new type of health plan, Health and Recovery Plans (HARP). These health plans … that the Department erroneously excluded HARP drugs from rebate invoices due to inadequate monitoring of the drug …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansImproper Medicaid Payments to Eye Care Providers
… Purpose To determine (1) whether certain eye care providers who appeared to be affiliated complied … and (2) if Medicaid paid for improper claims billed by the eye care providers. This audit covered the period January 1, … State requirements. As a result of these weaknesses, six eye care professionals who did not fully comply with the …
https://www.osc.ny.gov/state-agencies/audits/2017/10/06/improper-medicaid-payments-eye-care-providersMill Neck Manor School for the Deaf – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by the Mill Neck Manor School for the Deaf (Mill Neck School) on its … To determine whether the costs reported by the Mill Neck Manor School for the Deaf Mill Neck School on its …
https://www.osc.ny.gov/state-agencies/audits/2013/03/14/mill-neck-manor-school-deaf-compliance-reimbursable-cost-manualOversight and Collection of Snowmobile Registration Fees
… clubs pay a reduced registration fee of $45, while non-club members pay $100. The Department retains $10 of each … registrants provide a valid voucher and certify they are club members to qualify for the reduced fee. A Memorandum of …
https://www.osc.ny.gov/state-agencies/audits/2013/07/11/oversight-and-collection-snowmobile-registration-feesLaSalle School – Compliance With the Reimbursable Cost Manual
… SED should review the disallowances resulting from our audit and make the appropriate adjustments to costs … and that professional employees have the certifications required for the positions they hold. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2014/05/19/lasalle-school-compliance-reimbursable-cost-manualSelected Employee Travel Expenses
… employees complied with rules and regulations and is free from fraud, waste, and abuse. Background New York State's … travel guidelines and procedures and to safeguard assets from fraud, waste, and abuse. Establish written guidelines … employees complied with rules and regulations and is free from fraud waste and abuse …
https://www.osc.ny.gov/state-agencies/audits/2014/05/07/selected-employee-travel-expensesSelected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… to fully and accurately accumulate State costs related to site investigation and remediation, bill for and collect … responsible for the Inactive Hazardous Waste Disposal Site Program (Program), also known as the State Superfund … of possible responsible parties, and remediation of the site. Responsible parties are legally responsible for site …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recoveryInfrastructure Inspection and Maintenance
… risk the structures most in need of repair were not given priority. Despite the low rating of many of its critical … greatly inhibited the Corporation’s ability to address its priority maintenance needs, especially after the damage …
https://www.osc.ny.gov/state-agencies/audits/2015/05/26/infrastructure-inspection-and-maintenanceSelected Financial Management Practices
… Purpose To determine if the Hudson River Park Trust has established adequate controls over the … 1, 2010 through March 26, 2014. Background The Hudson River Park Trust (Trust) is a public benefit corporation authorized under the Hudson River Park Act (Act) in 1998. The Act also created Hudson …
https://www.osc.ny.gov/state-agencies/audits/2014/12/26/selected-financial-management-practicesSecurity and Effectiveness of the Department of Labor’s Unemployment Insurance System
… Insurance System data has not yet been classified as required by current Security Policy, even though 80 of the 83 …
https://www.osc.ny.gov/state-agencies/audits/2015/02/24/security-and-effectiveness-department-labors-unemployment-insurance-system