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Improper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… Purpose To determine the extent of implementation of the five … Medicaid managed care payments and strengthen efforts to oversee and monitor Medicaid managed care enrollments. Key … given 30 days after the issuance of the follow-up report to provide information on any actions that are planned to …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… audit found: $31.4 million in potential overpayments for clinic claims that were processed using an incorrect pricing … improper payments for HIV tests, duplicate billings, and clinic, practitioner, and health home services. By the end of …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Circle of Friends – Compliance With the Reimbursable Cost Manual
… To determine whether the costs submitted by Circle of Friends on its Consolidated Fiscal Reports (CFRs) were … the fiscal year ended June 30, 2013. Background Circle of Friends provides preschool special education services to … RCM. For the fiscal year ended June 30, 2013, Circle of Friends claimed about $1.1 million in reimbursable expenses …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/circle-friends-compliance-reimbursable-cost-manualBright Start Pediatric Services, LLC – Compliance With the Reimbursable Cost Manual
… provides preschool special education services to children with disabilities between the ages of three and five years. … reimbursement, the provider's reported costs must comply with the guidelines specified in the RCM. For the fiscal year … in costs charged to the SEIT program that did not comply with SED’s requirements for reimbursement. The disallowances …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/bright-start-pediatric-services-llc-compliance-reimbursable-cost-manualEarly Childhood Education Center – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Early … ECEC provides preschool special education services to children with disabilities between the ages of three and five years. Pursuant to the State Education Law, providers such as ECEC are … To determine whether the costs reported by the Early …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/early-childhood-education-center-compliance-reimbursable-cost-manualMilestone School for Child Development – Compliance With the Reimbursable Cost Manual
… 110 students. The New York City Department of Education (DoE) refers students to Milestone based on clinical … and properly documented. SED reimburses DoE for a portion of its payments to Milestone based on …
https://www.osc.ny.gov/state-agencies/audits/2015/07/17/milestone-school-child-development-compliance-reimbursable-cost-manualSky Light Center Inc. – Supported Housing Program
… supported housing providers, such as Sky Light, to locate apartments and negotiate leases on behalf of clients, help the clients move into their apartments, and provide necessary related services. Sky Light … his personal property, and rental payments for unoccupied apartments. Sky Light officials cannot account for over …
https://www.osc.ny.gov/state-agencies/audits/2014/05/05/sky-light-center-inc-supported-housing-programAmerican Academy of Pediatrics, District II
… made to the American Academy of Pediatrics, District II (AAP) under contract C028275.After identifying questionable … 16, 2006 through August 13, 2013, the Department paid AAP approximately $1.5 million under these contracts for … Findings To date, we found that the Executive Director of AAP falsely certified and submitted to the Department 16 …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiOverpayments of Claims for Selected Professional Services (Follow-Up)
… of Claims for Selected Professional Services (Report 2010-S-73). Background Our initial audit report, which was issued … and 2011. In each case, both the provider and the provider's affiliated medical group received Medicaid payments for the … of Claims for Selected Professional Services (2010-S-73) …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followContract with Daytop Village, Inc. (Follow-Up)
… Purpose To determine the extent of implementation of the three … OASAS paid Daytop $11.5 million more than it was entitled to. The objective of our follow-up was to assess the extent of implementation, as of October 2012, … To determine the extent of implementation of the three …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/contract-daytop-village-inc-followExamination of Unemployment Insurance Benefits
… To accomplish our examination objectives, we selected for audit benefit payment requests and payments based on … newly hired New York State employees who owed DOL money for outstanding benefit overpayments. The results contained … from newly hired New York State employees who owe DOL for UI overpayments made in prior years, and $179,236 from …
https://www.osc.ny.gov/state-agencies/audits/2015/10/07/examination-unemployment-insurance-benefitsHourly Based Information Technology Services
… for consultants with the required months of experience; and (iii) exclusively for hours worked. Background In November 2012, the Division of the Budget and OGS jointly implemented the HBITS contracts to create a cost- and time-efficient means for agencies to procure short-term …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/hourly-based-information-technology-servicesChild and Dependent Care Credit
… part, through subsidies from the New York State Office of Children and Family Services (OCFS) or the New York City Administration for Children’s Services (ACS). To accomplish our objective, we matched a … tax returns processed by the Department to the subsidized day care files provided by OCFS and ACS. Key Findings During …
https://www.osc.ny.gov/state-agencies/audits/2017/08/29/child-and-dependent-care-creditSelected Aspects of Railcar Fleet Maintenance (Follow-Up)
… York City Transit (Transit) and the MTA-Staten Island Railway (Railway) have established systems of regularly scheduled … was not always the case. We recommended that Transit and Railway monitor when inspections are occurring and the …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/selected-aspects-railcar-fleet-maintenance-followThe Norman Howard School – Compliance With the Reimbursable Cost Manual
… in overstated mortgage interest costs and $7,980 in contracted direct care expenses that were not reasonable or … $21,729 in other than personal service costs for a contracted program that might no longer be necessary. Key …
https://www.osc.ny.gov/state-agencies/audits/2013/07/15/norman-howard-school-compliance-reimbursable-cost-manualCompliance With State Arts Education Requirements
… Arts courses must: Be taught by individuals who are certified Arts teachers; Provide 180 minutes per week, or 108 … diplomas in 2011. These students were the most recently certified cohort at the time of our audit. Key Findings The …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/compliance-state-arts-education-requirementsDisposal of Electronic Devices
… Policy therefore requires that all electronic media (e.g., hard drives and other memory components) in these devices be … a directive requiring that all surplus computers have the hard drives removed and shredded, this will no longer be an …
https://www.osc.ny.gov/state-agencies/audits/2013/05/13/disposal-electronic-devicesAudit of the Tuition Assistance Program at Plaza College
… Purpose To determine whether Plaza College complied with the Education Law and the Commissioner of Education’s Rules … per semester. TAP is an entitlement program designed to provide funds for paying tuition costs to eligible … To determine whether Plaza College complied with the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/05/audit-tuition-assistance-program-plaza-collegeAudit of the Tuition Assistance Program at CUNY Medgar Evers College
… Purpose To determine whether Medgar Evers College complied with the Education Law and the Commissioner of Education's Rules … $5,000 per year. TAP is an entitlement program designed to provide funds for paying tuition costs to eligible … To determine whether Medgar Evers College complied with the …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-cuny-medgar-evers-collegeMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… Purpose To determine whether the Department of Health's eMedNY system … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period October 1, … claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013