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Unity House of Troy – Compliance With the Reimbursable Cost Manual
… the Reimbursable Cost Manual (RCM). Our audit covered the calendar year ended December 31, 2012. Background Unity is an … special education provider located in Troy, New York. Unity provides a variety of services to the community … With the Reimbursable Cost Manual (2013-S-48) Whitestone School for Child Development: Compliance With the …
https://www.osc.ny.gov/state-agencies/audits/2015/11/05/unity-house-troy-compliance-reimbursable-cost-manualPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Payments for Fraudulent and … 10, 2015, William Davis pleaded guilty to Grand Larceny in the Second Degree in Nassau County District Court. He was sentenced on February … the extent of implementation of 3 recommendations included in our initial audit report Payments for Fraudulent and …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followThe Arc of Orange County – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by The Arc of Orange County (Arc Orange) on its Consolidated Fiscal Reports (CFRs) were … the Reimbursable Cost Manual (RCM). We audited costs that Arc Orange reported on its CFR for the year ended December … To determine whether the costs reported by The Arc of Orange County Arc Orange on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2016/03/17/arc-orange-county-compliance-reimbursable-cost-manualMilestone School for Child Development – Compliance With the Reimbursable Cost Manual
… 30, 2013, Milestone reported approximately $3.8 million in reimbursable costs for its SED Programs. Our audit scope … fiscal years ended June 30, 2013, we identified $801,859 in reported costs that did not comply with Manual … be disallowed. These ineligible costs included $285,455 in personal services costs and $516,404 in other than …
https://www.osc.ny.gov/state-agencies/audits/2015/07/17/milestone-school-child-development-compliance-reimbursable-cost-manualOverpayments of Claims for Selected Professional Services (Follow-Up)
… of the four recommendations included in our initial audit report, Overpayments of Claims for Selected Professional Services (Report 2010-S-73). Background Our initial audit report, which was issued on April 20, 2012, examined whether … of the four recommendations included in our initial audit report Overpayments of Claims for Selected Professional Ser …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followLong Island Association for AIDS Care, Inc.
… objective of our examination was to determine whether the Long Island Association for AIDS Care, Inc. (LIAAC) charged … (CSP) since 1986, LIAAC provides services and support for Long Island residents infected and affected by HIV/AIDS or at … 2018. LIAAC rents its principal place of business from the Long Island Network of Community Services (LINCS), a related …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/long-island-association-aids-care-incSelected Aspects of Discretionary Spending
… Fund’s discretionary spending complied with its guidelines and was reasonable, adequately supported and properly approved. Our audit period was April 1, 2010 to … to act as an agent for SUNY to design, construct, acquire and improve State University facilities and to utilize a wide …
https://www.osc.ny.gov/state-agencies/audits/2014/09/19/selected-aspects-discretionary-spendingService Diversions for Maintenance and Capital Projects
… notifying the public in advance. Key Findings The annual Outage Plan for service diversions was reduced by 1,483 days … example, nine of the 15 elements we sampled required 691 outage days, but there was no support for how this was … to review and approve significant changes in the Outage Plan. Track the actual costs of service diversion …
https://www.osc.ny.gov/state-agencies/audits/2014/03/18/service-diversions-maintenance-and-capital-projectsMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… Department of Health's eMedNY system processes Medicaid claims for ancillary services in accordance with Medicaid … home health care are typical ancillary services. Medicaid claims for ancillary services are processed by eMedNY, the Department's automated claims processing and management information system. Claims …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientMedicaid Program – Medicaid Claims Processing Activity April 1, 2015 Through September 30, 2015
… for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their … in improper payments for duplicate billings and claims for clinic, transportation, durable medical equipment, and eye …
https://www.osc.ny.gov/state-agencies/audits/2016/08/09/medicaid-program-medicaid-claims-processing-activity-april-1-2015-through-september-30-2015Elmcrest Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Elmcrest … its early education center. Elmcrest is authorized by SED to provide preschool education services to children with disabilities between the ages of three and … To determine whether the costs reported by Elmcrest Childrens …
https://www.osc.ny.gov/state-agencies/audits/2017/05/24/elmcrest-childrens-center-inc-compliance-reimbursable-cost-manualMonitoring and Administration of Public Protection Grant Programs (Follow-Up)
… violent crime – such as aggravated assault, forcible rape, murder, and robbery – in the State, excluding New York City. …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/monitoring-and-administration-public-protection-grant-programs-followMedicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… overpayments for pharmacy services on behalf of managed care recipients who had third-party health insurance were … Medicaid recipients receive their services through managed care, where the Department pays managed care organizations (MCOs) a monthly premium for each enrolled …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… Capitation Payments to managed care organizations. The audit covered the period from August 1, 2015 through July 31, 2020. About the Program The Department of Health (Department) administers New York’s Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careVacancies at the Clinton Towers Mitchell-Lama Housing Development (Follow-Up)
… occur, applicants should generally be offered and awarded apartments in the order their names appear on the lists – … of Housing Preservation and Development’s (HPD) approval. Apartments in Mitchell-Lama developments tend to be very … affordability; consequently, the waiting lists for these apartments can be quite lengthy. As of August 2, 2019, …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/vacancies-clinton-towers-mitchell-lama-housing-development-followInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… extent of implementation of the five recommendations made in our initial audit report, Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Report … receive monthly premium payments for individuals enrolled in their plans. The Department of Health (Department) has the …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andCompliance With Executive Order 95 (Open Data)
… To determine whether the Office of General Services (OGS) is complying with Executive Order 95 (EO 95), including … 2020, there were over 4,600 data items on Open Data. OGS provides critical services to State agencies, including … goods, services, and technology. As of January 28, 2020, OGS had published six data items on Open Data. Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2020/04/08/compliance-executive-order-95-open-dataOversight of Provider Consolidated Fiscal Reports – Independent Living, Inc.
… costs reported by providers such as Independent Living, Inc. (ILI) on their Consolidated Fiscal Reports (CFRs) are allowable, properly calculated, and adequately documented in accordance with C onsolidated Fiscal Reporting and Claiming Manual (CFR Manual) requirements. The audit …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/oversight-provider-consolidated-fiscal-reports-independent-living-incCompliance With Executive Order 95 (Open Data)
To determine whether the Office of Parks Recreation and Historic Preservation Parks is complying with Executive Order 95 EO 95 including providing in a timely manner publishable State data to the Office of Information Technology Services ITS under EO 95 and whether data posted under EO 95
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/compliance-executive-order-95-open-dataMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… Objective To determine whether Medicaid inappropriately paid for drugs from manufacturers that did not enter into a national drug rebate agreement (NDRA). The audit … program. The Medicaid Drug Rebate Program (MDRP) helps to offset the costs of most covered outpatient drugs …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreement