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Improper Episodic Payments to Home Health Providers (Follow-Up)
… in our initial audit report, Improper Episodic Payments to Home Health Providers (Report 2016-S-4 ). Background The … new Episodic Payment System (EPS) to reimburse Certified Home Health Agencies (CHHA) for health care services provided to Medicaid recipients in the home. EPS is based on 60-day episodes of care. CHHAs can be …
https://www.osc.ny.gov/state-agencies/audits/2018/05/04/improper-episodic-payments-home-health-providers-followMedicaid Program – Medicaid Drug Rebate Program Under Managed Care
… portion of Medicaid prescription drug costs by requesting rebates from drug manufacturers. The Affordable Care Act, enacted in 2010, extended prescription drug rebates to cover medications dispensed to enrollees of … submitted on the encounter claims, calculates the rebates for each, and submits rebate invoices to the drug …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-careMTA Headquarters and MTA Capital Construction – Travel and Entertainment Expenses
… Purpose To determine whether the expenses incurred by Metropolitan … through October 2, 2013. Also, certain matters pertaining to the Chairman’s Fund encompass the period from January 2011 … entitled “Travel and Business Expense,” which pertains to MTAHQ as well as the MTA’s constituent agencies. During …
https://www.osc.ny.gov/state-agencies/audits/2015/02/02/mta-headquarters-and-mta-capital-construction-travel-and-entertainment-expensesTrash Can Free Stations Pilot Program
… began the pilot at two stations, 8th Street on the “R” line and Flushing-Main Street on the number “7” line (Phase … and whether it should have been expanded. Transit did not post outreach notices, explaining and promoting the Pilot … with the MTA Board regarding impact on riders. Prominently post notices at all stations selected for the Pilot Program …
https://www.osc.ny.gov/state-agencies/audits/2015/09/22/trash-can-free-stations-pilot-programMedicaid Program – Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans
… Care and Health and Recovery Plan premiums on behalf of dual-eligible individuals. The audit covered the period … 2021 through March 2022. About the Program The Department of Health (Department) administers the State’s Medicaid … are referred to as “dual-eligibles.” Additionally, many of the State’s Medicaid recipients receive their services …
https://www.osc.ny.gov/state-agencies/audits/2022/10/31/medicaid-program-excessive-premium-payments-dual-eligible-recipients-enrolled-mainstreamImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… Objective To determine the extent of implementation of the six … system, pays providers directly for services rendered to Medicaid recipients. Under the managed care method, the … the managed care plans pay providers for services rendered to their members. The State’s Medicaid program offers …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followAdministration of Mitchell-Lama Waiting Lists (Follow-Up)
… of 269 State-supervised developments, with over 105,000 apartments, were built under the Program. In exchange for … out, they are no longer subject to DHCR supervision, and apartments do not need to be kept affordable for … Program developments with approximately 64,000 apartments. Apartments are rented or sold to applicants on …
https://www.osc.ny.gov/state-agencies/audits/2021/01/19/administration-mitchell-lama-waiting-lists-followSelected Wage Investigation Procedures
… of Labor Standards (Division) seeks to vigorously enforce New York Labor Laws (Laws) and promote education about these …
https://www.osc.ny.gov/state-agencies/audits/2021/03/03/selected-wage-investigation-proceduresHousing Trust Fund Corporation – Oversight of the Residential Emergency Services to Offer Home Repairs to the Elderly Program
… to when RESTORE funds were made available to LPAs, thereby delaying the start of projects and assistance to seniors. Key …
https://www.osc.ny.gov/state-agencies/audits/2021/07/15/housing-trust-fund-corporation-oversight-residential-emergency-services-offer-home-repairsSelect Financial Management Practices at the Office of Transportation and Parking Operations
… practices at Stony Brook University’s (Stony Brook) Office of Transportation and Parking Operations (TPO) are … the Program Stony Brook, located on Long Island, is one of the four university centers operated by the State University of New York. As of fall 2019, about 26,800 students were …
https://www.osc.ny.gov/state-agencies/audits/2020/09/03/select-financial-management-practices-office-transportation-and-parking-operationsOversight of Managed Long-Term Care Member Eligibility (Follow-Up)
… Program The Department of Health (Department) administers New York’s Medicaid program. Many of the State's Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/oversight-managed-long-term-care-member-eligibility-followMedicaid Program – Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance
… whether Medicaid overpayments for inpatient services on behalf of managed care recipients who had third-party health insurance were … Gainwell’s recovery efforts by comparing claims MCOs paid on behalf of recipients with TPHI inpatient coverage with the … whether Medicaid overpayments for inpatient services on behalf of managed care recipients who had thirdparty …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/medicaid-program-recovering-managed-care-payments-inpatient-services-behalf-recipientsSUNY Maritime College Review of PCard Transactions and TCard Expenses
… cards, along with travel expenses made by SUNY Maritime College (Maritime) employees. The objectives of our … cards along with travel expenses made by SUNY Maritime College Maritime emplo …
https://www.osc.ny.gov/state-agencies/audits/2019/06/07/suny-maritime-college-review-pcard-transactions-and-tcard-expensesOversight of Campus Foundations (Follow-Up)
… 2016-S-93 ). About the Program The State University of New York’s (SUNY) State-operated campuses are authorized to … Both UCO and OUA are part of SUNY’s System Administration (SSA). OUA is responsible for conducting periodic audits of …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/oversight-campus-foundations-followDevelopmental Disabilities Institute, Inc. – Compliance With the Reimbursable Cost Manual
… the two years ended December 31, 2014. Background DDI is a Suffolk County-based not-for-profit organization approved … Audits/Reports of Interest State Education Department: Infant and Child Learning Center - The Research Foundation …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/developmental-disabilities-institute-inc-compliance-reimbursable-cost-manualCity of Dunkirk – Budget Review (B24-1-10)
… due to the New York State and Local Retirement System (NYSLRS), $1.75 million for two pumper trucks and $795,000 …
https://www.osc.ny.gov/local-government/audits/city/2024/11/27/city-dunkirk-budget-review-b24-1-10Adequacy of 2021 Budgets - Town of Niskayuna (S9-21-11)
… cities, towns and villages across the State. The Town of Niskayuna (Town) is one of the local governments included in …
https://www.osc.ny.gov/local-government/audits/statewide-audit/2021/05/07/adequacy-2021-budgets-town-niskayuna-s9-21-11Monitoring Town Asphalt Road Projects (2012MS-7)
… in each specific batch of hot mix asphalt (HMA) loaded on delivery trucks. The delivery ticket specifies the type and quantity of product … bid specifications by reviewing the batch reports and delivery tickets. Towns can also require that vendors provide …
https://www.osc.ny.gov/local-government/audits/statewide-audit/2013/04/05/monitoring-town-asphalt-road-projects-2012ms-7Oswego County – Court and Trust Funds (2022-C&T-5)
… Review The purpose of our review was to determine whether County officials have established appropriate controls to safeguard and account for court and trust funds for the period January 1, 2019 … may be provided to the court and then delivered to the County Treasurer (Treasurer) for safekeeping. Payments made …
https://www.osc.ny.gov/local-government/audits/county/2022/11/23/oswego-county-court-and-trust-funds-2022-ct-5CUNY Bulletin No. CU-522
… Employees CUNY employees in the following titles: Staff Nurse (Full-time) Staff Nurse (Hourly) Nurse Practitioner (Full-time only) Background The 2015 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-522-2015-city-university-new-york-cuny-nurses-health-specialty