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Medicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Objective To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who … Medicaid services their recipients require, which includes pharmacy services. Many recipients have other third-party … audit period, HMS’ third-party liability recoveries on MCO pharmacy payments totaled about $118 million. Key Findings We …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsImplementation of the Security Guard Act
To determine whether the Department of State is adequately monitoring and enforcing the requirements for security guards under the Security Guard Act
https://www.osc.ny.gov/state-agencies/audits/2021/07/06/implementation-security-guard-actHuman Resource Practices (Follow-Up)
… University of New York (SUNY) system since 1950, Upstate Medical University’s (Upstate) mission is to improve the … research, and patient care. Upstate, the only academic medical center in Central New York, comprises four colleges, …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/human-resource-practices-followOversight of Mitchell-Lama Application Fees
… to promote the quality and affordability of housing. The Mitchell-Lama Program (Mitchell-Lama) provides affordable rental and cooperative … should be offered and awarded to applicants based on their order on the waiting list, which is updated to …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/oversight-mitchell-lama-application-feesOversight of Residential Domestic Violence Programs (Follow-Up)
… Offices – Albany, Buffalo, New York City, Rochester, Spring Valley, and Syracuse – that provide local oversight and are …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/oversight-residential-domestic-violence-programs-followProblem Gambling Treatment Program (Follow-Up)
… included in our initial audit report Problem Gambling Treatment Program ( 2018-S-39 ) . About the Program The … responsible for administering the State’s problem gambling treatment program which includes: defining problem gambling … services; developing and ensuring access to prevention, treatment, and recovery services; developing minimum …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/problem-gambling-treatment-program-followNational Directory of New Hires Data Security
… covers the period June 2, 2016 to March 3, 2020. About the Program The Office of Temporary and Disability Assistance … and process Directory data must demonstrate a strong security posture and comply with the security requirements established by Health and Human …
https://www.osc.ny.gov/state-agencies/audits/2020/05/20/national-directory-new-hires-data-securityNational Directory of New Hires Data Security
… the period from March 2020 through January 2024. About the Program The Office of Temporary and Disability Assistance … and process Directory data must demonstrate a strong security posture and comply with the security requirements established by Health and Human …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/national-directory-new-hires-data-securityOversight of Transportation Services and Expenses (Follow-Up)
… in our initial audit report, Oversight of Transportation Services and Expenses (Report 2021-S-1 ). About the Program … facilities, seven regional offices that provide support services for parolees (Community Supervision), as well as a … contract (Contract) for fleet management and repair services. DOCCS is responsible for periodically reviewing a …
https://www.osc.ny.gov/state-agencies/audits/2024/07/31/oversight-transportation-services-and-expenses-followMedicaid Program – Improper Payments for Brand Name Drugs
… by directing pharmacies to “dispense as written” either in writing or electronically; otherwise, a generic drug should be dispensed. Usually, brand name drugs are more expensive than generic … in Medicaid overpayments for brand name prescription drugs where generic drugs were available. Our review found: …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-improper-payments-brand-name-drugsMedicaid Program – Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance
… Inc. (a Gainwell Technologies company [Gainwell]) to identify and recover payments made for services that should … recovery process for managed care inpatient services to identify all factors that led to improper payments not being …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/medicaid-program-recovering-managed-care-payments-inpatient-services-behalf-recipientsEarly Childhood Learning Center of Greene County – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Early Childhood Learning Center of Greene County (ECLC) on its Consolidated Fiscal Report (CFR) were properly … ECLC is reimbursed for these services through rates set by SED. The reimbursement rates are based on financial …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/early-childhood-learning-center-greene-county-compliance-reimbursable-cost-manualOversight of Weights and Measures Programs (Follow-Up)
… Bureau of Weights and Measures (Bureau) shares inspection responsibility with 60 municipal weights and … The Department supervises municipal activities; provides training to municipalities; assists municipal officials when … inspections, and municipalities reported that they needed training focused on reporting, workload prioritization, and …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/oversight-weights-and-measures-programs-followAccountability and Surplussing of Vehicles
… and Manhattan), Brooklyn, Bernard M. Fineson (Queens), and Staten Island. Per OPWDD and information obtained from the Office of … possible theft. Of 12 vehicles surplussed and auctioned at Staten Island, 5 were purchased by a supervisor at the …
https://www.osc.ny.gov/state-agencies/audits/2019/08/15/accountability-and-surplussing-vehiclesNorthside Center for Child Development – Compliance With the Reimbursable Cost Manual
… ended June 30, 2014. Background Northside was established in 1946 and was reapproved by SED on July 1, 2012 to operate … Special Class (SC) and full-day Preschool Special Class in an Integrated Setting (SCIS) to children with disabilities … 65 to 75 students from nine different school districts in its cost-based programs. Northside is reimbursed for …
https://www.osc.ny.gov/state-agencies/audits/2019/01/11/northside-center-child-development-compliance-reimbursable-cost-manualVolunteers of America – Greater New York, Inc.: Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Volunteers of America – Greater New York, Inc. (VOA-GNY) on its … To determine whether the costs reported by Volunteers of America Greater New York Inc on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2018/12/10/volunteers-america-greater-new-york-inc-compliance-reimbursable-cost-manualKinderwise Learning Associates, LLC – Compliance With the Reimbursable Cost Manual
… The audit covered expenses reported on Kinderwise’s CFR for the fiscal year ended June 30, 2015. Background Kinderwise is an SED-approved, for-profit special education provider located in North Salem, … three and four years of age. Kinderwise is reimbursed for preschool special education services through rates set by …
https://www.osc.ny.gov/state-agencies/audits/2018/10/23/kinderwise-learning-associates-llc-compliance-reimbursable-cost-manualControls Over Unclaimed Bottle Deposits (Follow-Up)
… may then return their empty beverage containers to a dealer or redemption center to get their deposit back. The …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/controls-over-unclaimed-bottle-deposits-followAssessable Expenses of Administering the Motor Vehicle Financial Security Act and Motor Vehicle Safety Responsibility Act for the Four State Fiscal Years Ended March 31, 2018
… or whose property they might damage as a result of an accident. According to Vehicle and Traffic Law, the …
https://www.osc.ny.gov/state-agencies/audits/2019/09/11/assessable-expenses-administering-motor-vehicle-financial-security-act-and-motor-vehicleState Agencies Bulletin No. 2030
… 6/30/2022, agencies will need to insert a new row into the Department Budget Table USA (refer to Job Aid for … . Please include this bulletin number in the email subject line. Questions related to SFS should be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2030-updating-payserv-chartfield-strings-june-lapsing-events