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Selected M/WBE Purchases by Various Facilities
… Purpose To determine whether Department purchases from one vendor, … real, substantial and continuing, and who control the day-to-day business decisions. These enterprises must also be authorized to do business in New York State and registered under the … To determine whether Department purchases from one vendor …
https://www.osc.ny.gov/state-agencies/audits/2014/03/07/selected-mwbe-purchases-various-facilitiesChild Care Licensing and Inspection
… activities ensure licensed and registered child care fa …
https://www.osc.ny.gov/state-agencies/audits/2014/08/14/child-care-licensing-and-inspectionMedicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… Purpose To determine whether the Department of Health established adequate controls over inpatient claims … 1, 2009 through June 30, 2014. Background The Department of Health (Department) administers the State’s Medicaid … Other Related Audits/Reports of Interest Department of Health: Improper Medicaid Payments for Misclassified …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesMedicaid Program – Improper Payments to a Dentist
… made improper payments for dental claims submitted by Dr. Prosper Bonsi. The audit period was June 1, 2009 through … operates Advanced Family Dentistry in Oneonta. In 2009, Dr. Bonsi enrolled in the Medicaid program. From June 1, 2009 through September 30, 2012, Medicaid paid Dr. Bonsi about $593,000 for the claims he submitted. Many of …
https://www.osc.ny.gov/state-agencies/audits/2013/07/15/medicaid-program-improper-payments-dentistWestchester Community Opportunity Program, Inc. – Compliance With the Reimbursable Cost Manual
… June 30, 2013. Background WestCOP is an SED-approved, not-for-profit special education provider located in … which consisted of $44,262 in lease expenses that were not properly allocated, $22,766 in non-Program-related … $165 in bonus compensation. We also determined WestCOP did not disclose related-party transactions with three vendors on …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/westchester-community-opportunity-program-inc-compliance-reimbursable-cost-manualGanrormic, Inc. – Compliance With the Reimbursable Cost Manual
… service costs that Ganrormic reported on its CFR that did not comply with SED’s requirements for reimbursement. We also … of $14,431 in costs for professional services that were not obtained through competitive procurement processes. Key …
https://www.osc.ny.gov/state-agencies/audits/2017/03/21/ganrormic-inc-compliance-reimbursable-cost-manualCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
… Remitted to the Department of Civil Service (Report 2019-S-51 ). About the Program The New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-followMedicaid Program – Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes
… orthotics, and supplies while recipients were residing in nursing homes. The audit covered the period from January … (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs arrange for the provision of health care … providers. Medicaid recipients, including those enrolled in managed care, generally receive necessary durable medical …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-improper-medicaid-managed-care-payments-durable-medical-equipmentNew York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)
To assess the extent of implementation of the two recommendations included in our initial audit report Empire Plan Members With Dual Family Coverage Report 2019S23
https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-followStreet and Sidewalk Cleanliness (Follow-Up)
… Objective To assess the extent of implementation of the eight recommendations included in our initial audit … ). About the Program The New York City (NYC) Department of Sanitation (DSNY) has access to several data sources to … To assess the extent of implementation of the eight recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2022/10/25/street-and-sidewalk-cleanliness-followMedicaid Program – Claims Processing Activity April 1, 2019 Through September 30, 2019
… with incorrect information pertaining to other health insurance coverage that recipients had; $767,471 was paid for inpatient … what was actually provided; $225,862 was paid for episodic home health care claims that did not comply with Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/medicaid-program-claims-processing-activity-april-1-2019-through-september-30-2019The Kelberman Center, Inc. – Compliance With the Reimbursable Cost Manual
… and services for children and adults with Autism Spectrum Disorder and their families through various programs and …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/kelberman-center-inc-compliance-reimbursable-cost-manualCourt Facilities Aid and Assistance Program
… Objective To determine if the Office of Court Administration (OCA) is ensuring court facility aid and assistance programs are being used for … To determine if the Office of Court Administration is ensuring court facility aid and …
https://www.osc.ny.gov/state-agencies/audits/2019/12/18/court-facilities-aid-and-assistance-programMedicaid Program – Accuracy of Medicaid Eligibility Determined by NY State of Health
… NY State of Health (NYSOH, New York’s online health plan marketplace) properly sent accurate, complete, and timely … to Medicaid recipients. NYSOH is the State-run health plan marketplace organized under the Department where individuals, … NY State of Health NYSOH New Yorks online health plan marketplace properly sent accurate complete and timely …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-accuracy-medicaid-eligibility-determined-ny-state-healthMedicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… and Essential Plan coverage because the Department did not account for the Essential Plan as a liable third-party … million for managed care premiums when recipients did not qualify for Medicaid managed care because they also had …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andEmpire BlueCross – Overpayments for Physician-Administered Drugs
… Empire Plan. Empire processes and pays claims for hospital services, which includes coverage for inpatient and … physician-administered drugs. A physician-administered drug is a drug, other than a vaccine, that is typically administered by …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/empire-bluecross-overpayments-physician-administered-drugsSelected Safety and Security Equipment at Train Stations (Follow-Up)
… runs the length of Staten Island (about 14 miles) from St. George Terminal to Tottenville. SIR’s management oversees …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/selected-safety-and-security-equipment-train-stations-followMedicaid Program – Claims Processing Activity October 1, 2018 Through March 31, 2019
… with incorrect information pertaining to other health insurance coverage that recipients had; $278,850 was paid for … excess of permitted limits; $215,673 was paid for episodic home health care claims that did not comply with Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/medicaid-program-claims-processing-activity-october-1-2018-through-march-31-2019Compliance With Payment Card Industry Standards
… of payment must comply with the Data Security Standards (DSS) established by the PCI Security Standards Council. The PCI DSS is a set of technical and operational requirements … cardholder data. Entities that do not comply with PCI DSS may be subject to fines and penalties, as well as lose …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/compliance-payment-card-industry-standardsDepartment of Transportation Bulletin No. DOT-35
… Purpose The purpose of this bulletin is to provide agency instructions for processing the 2019 … Payment Information The Shift Lump Sum Payment is pensionable but is not included in the calculation of overtime. Tax … The purpose of this bulletin is to provide agency instructions for processing the 2019 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/transportation/dot-35-2019-shift-lump-sum-payment-winter-maintenance-season