Search
Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members
… Objective To determine whether Beacon Health Options paid mental health and substance abuse … about 1.1 million members. Civil Service contracts with Beacon Health Options (Beacon) to administer the MHSA program for the Empire Plan. … To determine whether Beacon Health Options paid mental health and substance abuse …
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/payments-beacon-health-options-mental-health-and-substance-abuse-services-ineligibleInternal Controls Over Selected Financial Operations (Follow-Up)
… Objective To determine the extent of implementation of the nine recommendations included in our initial audit … To determine the extent of implementation of the nine recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2022/06/22/internal-controls-over-selected-financial-operations-followOversight of Pupil Transportation Services (Follow-Up)
… Objective To assess the extent of implementation of the four … Program Approximately 2.3 million children are transported to school daily across the State, with one third riding … Law requires the State Education Department (Department) to (a) determine and define the qualifications of drivers, …
https://www.osc.ny.gov/state-agencies/audits/2022/06/22/oversight-pupil-transportation-services-followOversight of Construction Management Contracts (Follow-Up)
… and maintaining the State park, recreation, and historic site system to conserve, protect, and enhance the natural, …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/oversight-construction-management-contracts-followOversight of Telemental Health Services (Follow-Up)
… to provide and support mental health services and psychiatric care from a remote location. In 2015, OMH … a formal set of TMH standards allowing only physicians or psychiatric nurse practitioners to use TMH for assessment and … OMH-licensed care providers beyond physicians or psychiatric nurse practitioners to provide TMH services. In …
https://www.osc.ny.gov/state-agencies/audits/2022/12/06/oversight-telemental-health-services-followOversight of School Safety Planning Requirements (Follow-Up)
… Objective To determine the extent of implementation of the five … ). About the Program In New York, schools are required to develop and regularly review safety plans as part of the … Violence in Education (SAVE) Act. The SAVE Act aims to improve the learning environment in New York’s schools by …
https://www.osc.ny.gov/state-agencies/audits/2021/01/13/oversight-school-safety-planning-requirements-followMedicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… services. The Centers for Medicare & Medicaid Services (CMS) allows state Medicaid programs several options for … those amounts established by the state and approved by CMS. In 2016, the New York State Legislature approved a plan … also still paid 100 percent). The plan was approved by CMS and enacted as New York State Social Services Law § …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsOversight of Direct Placement of Children (Follow-Up)
… ). About the Program OCFS oversees the State’s child welfare system, and its Central Office is responsible for supervising and coordinating child welfare services, including child protective services, foster … is tracked in CONNECTIONS, the system of record for child welfare in New York State. As of March 1, 2021, CONNECTIONS …
https://www.osc.ny.gov/state-agencies/audits/2021/08/30/oversight-direct-placement-children-followProcessing of Sexual Offense Evidence Collection Kits (Follow-Up)
… report, Processing of Sexual Offense Evidence Collection Kits ( 2019-S-44 ). Background Medical professionals use Sexual Offense Evidence Collection Kits (kits) provided to hospitals and other health care providers … report Processing of Sexual Offense Evidence Collection Kits 2019S44 …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/processing-sexual-offense-evidence-collection-kits-followExamination of Unemployment Insurance Benefit Payments (January 1, 2018 – December 31, 2018)
… and regulations and Department policies and procedures. In addition, we performed data analytics to identify and … payroll information and various information maintained in the Department’s mainframe applications. Key Findings We … overpayments totaling $788,487, which included $55,423 in fraudulent claims, and underpayments totaling $48,728. …
https://www.osc.ny.gov/state-agencies/audits/2019/09/16/examination-unemployment-insurance-benefit-payments-january-1-2018-december-31-2018Efficiency of Warehouse Space
… for this information. Key Finding OGS has made progress in reducing leased warehouse space, having evaluated 29 leased warehouses, resulting in: the consolidation of 14, liquidation of 9, square footage reduction for 3, and no changes in the remaining 3. Three other warehouse evaluations were in …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/efficiency-warehouse-spaceOversight of Nurse Hiring and Retention (Follow-Up)
… in our initial audit report, Oversight of Nurse Hiring and Retention (Report 2017-N-2 ). About the Program The New York City Health and Hospitals Corporation (Health and Hospitals) is a public benefit corporation created by the … in our initial audit report Oversight of Nurse Hiring and Retention Report 2017 …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/oversight-nurse-hiring-and-retention-followManaged Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… made in our initial audit report, Managed Care Premium Payments for Recipients With Comprehensive … 2016-S-60 ). About the Program Mainstream managed care (the managed care program most Medicaid recipients enroll in) provides … recommendations made in our initial audit report Managed Care Premium Payments for Recipients With Compr …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followOversight of Hazardous Materials and Waste (Follow-Up)
… audit report, Oversight of Hazardous Materials and Waste ( 2017-S-51 ). About the Program Our initial report, … campus communities against hazardous materials and waste. Our audit found that SUNY officials have established controls over and complied with hazardous waste regulations that provide reasonable assurance that …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/oversight-hazardous-materials-and-waste-followBehavior Analysts of New York, LLC – Compliance With the Reimbursable Cost Manual
… of age. BANY is reimbursed for these services through rates set by SED, which are based on financial information, … reported on BANY’s CFR and to BANY’s tuition reimbursement rates. Remind BANY officials of the pertinent SED guidelines …
https://www.osc.ny.gov/state-agencies/audits/2020/01/31/behavior-analysts-new-york-llc-compliance-reimbursable-cost-manualHebrew Academy for Special Children, Inc. – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by the Hebrew Academy for Special Children, Inc. (Hebrew Academy) on its Consolidated Fiscal Reports (CFRs) were … The audit focused primarily on expenses claimed on Hebrew Academy’s CFR for the fiscal year ended June 30, 2017 and …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualDo Not Call Enforcement Efforts (Follow-Up)
… consumers to register their personal mobile and landline phone numbers on a central national registry to reduce … violations of the Law, and also receives complaints by phone and email. The Division investigates complaints to … statistics showed that, while Registry complaints by State residents had more than doubled since 2014, the …
https://www.osc.ny.gov/state-agencies/audits/2020/02/19/do-not-call-enforcement-efforts-followEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… Objective To assess the extent of implementation of the two … Empire processes claims for hospital services according to contracts it negotiates with member hospitals. Empire’s … outpatient hospital services. Hospitals may be entitled to additional payments for special medical items (implants, …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… To determine whether EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program. The audit covered the period from … To determine whether EmblemHealth Plan Inc overpaid dental claims for members covered by two subscriber plans …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsMaximizing Incentives for Individuals With Disabilities (Follow-Up)
… nearly 1.2 million working-age adults (ages 18–64) with a disability in New York State. The statewide employment rate … in NYESS. NYESS is also an employment network under the Social Security Administration’s (SSA) TTW program. TTW is a …
https://www.osc.ny.gov/state-agencies/audits/2024/02/20/maximizing-incentives-individuals-disabilities-follow