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Overpayments of Certain Medicare Crossover Claims (Follow-Up)
… also enrolled in Medicare, the federal health care program for people 65 years of age and older and people under 65 … “dual-eligibles.” Generally, Medicare is the primary payer for medical services provided to dual-eligibles. Medicaid then typically pays for any remaining balance not covered by Medicare, including …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followLow-Income Housing Trust Fund Program
… Purpose To determine whether Low-Income Housing Trust Fund Program (Program) funds are being awarded and disbursed … through December 11, 2013. Background The Housing Trust Fund Corporation's (Corporation) mission is to create decent … Document the reasons for any management decisions to fund projects that do not adhere to the established criteria …
https://www.osc.ny.gov/state-agencies/audits/2014/08/28/low-income-housing-trust-fund-programKids Quality Care, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Kids Quality Care, Inc. (KQC) on the Consolidated Fiscal … with another privately-owned special education company, Kids & the Training Institute (KTI). The New York City … Determine whether costs reported by Kids Quality Care Inc on the CFR were properly calculated …
https://www.osc.ny.gov/state-agencies/audits/2013/02/07/kids-quality-care-inc-compliance-reimbursable-cost-manualMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for services their members require. In addition to the … one-time Supplemental Maternity Capitation Payment (SMCP) for the prenatal and postpartum physician care and hospital …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careOversight of Selected Fiscal Aspects of Homeless Shelter Services (Follow-Up)
… report, Oversight of Selected Fiscal Aspects of Homeless Shelter Services (Report 2016-N-1 ). About the Program Governed by a “right to shelter” mandate, New York City provides temporary emergency shelter to every eligible person who requests services. DHS, …
https://www.osc.ny.gov/state-agencies/audits/2020/05/06/oversight-selected-fiscal-aspects-homeless-shelter-services-followThrough Ages, Inc. – Compliance With the Reimbursable Cost Manual
… focused primarily on expenses claimed on Through Ages’ CFR for the fiscal year ended June 30, 2015 and certain expenses claimed on its CFRs for the two fiscal years ended June 30, 2014. About the Program Through Ages is a New York City-based for-profit organization authorized by SED to provide …
https://www.osc.ny.gov/state-agencies/audits/2020/06/03/through-ages-inc-compliance-reimbursable-cost-manualCounty Inmates Receiving Inappropriate Benefits While Incarcerated (2013MS-1)
… was to determine if counties have ensured that inmates do not receive inappropriate social welfare and other …
https://www.osc.ny.gov/local-government/audits/county/2013/10/04/county-inmates-receiving-inappropriate-benefits-while-incarcerated-2013ms-1City of Mount Vernon – Audit Follow-Up (2020M-96-F)
… audit report City of Mount Vernon – Financial Reporting and Oversight (2020M-96), released in September 2020. The audit determined that: The City Council (Council) and officials did not have adequate financial information for the effective management of operations and, as a result, the City lost its credit rating. The City …
https://www.osc.ny.gov/local-government/audits/city/2025/12/24/city-mount-vernon-audit-follow-2020m-96-fCity of Lockport -- Budget Review (B18-1-10)
… Two of the City’s collective bargaining agreements (CBAs) have expired and 36 City employees are retirement … whether the contingency appropriations are adequate if CBAs are approved and unanticipated retirements occur. …
https://www.osc.ny.gov/local-government/audits/city/2018/11/08/city-lockport-budget-review-b18-1-10State Comptroller DiNapoli Releases Municipal Audits
… that employees were paid appropriately. As a result, for the limited periods reviewed, 11 employees (15%) received … were overpaid by $49,000 with two officers accounting for $39,000 of the total. The payroll clerk accrued and used unauthorized leave and paid herself for more time than she was entitled, resulting in …
https://www.osc.ny.gov/press/releases/2022/11/state-comptroller-dinapoli-releases-municipal-auditsComptroller DiNapoli Releases Municipal Audits
… staff and supervisors. In addition, village officials do not review the payroll clerks’ payroll calculations or …
https://www.osc.ny.gov/press/releases/2019/05/comptroller-dinapoli-releases-municipal-auditsCUNY Bulletin No. CU-731
… Employees Eligible CUNY employees electing to participate in the Health Benefits Buy-Out Waiver Program are affected. … Buy-Out Waiver Program is authorized under IRC Section 125 and administered under the Medical Spending Conversion (MSC) … The employee must complete the Health Benefits Application and the MSC Enrollment/Change Form. An employee will receive …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-731-city-university-new-york-cuny-health-benefits-buy-outThe VendRep System
… The VendRep System is a secure application that allows vendors to enter, maintain and … The VendRep System is a secure application that allows vendors to enter maintain and certify …
https://www.osc.ny.gov/state-vendors/vendrep/vendrep-systemVendor Responsibility Review Process
… vendor must have the: integrity to justify the award of public dollars; and the capacity to perform the requirements of the contract fully. Who determines responsibility It is … the contract. This is an important part of the procurement process as it: helps ensure public dollars support honest …
https://www.osc.ny.gov/state-vendors/vendrep/vendor-responsibility-review-processMedicaid Program – Claims Processing Activity April 1, 2025 Through September 30, 2025
… To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid claims were submitted … the State’s Medicaid program. DOH’s eMedNY computer system processes claims submitted by providers for services … To determine whether the Department of Healths eMedNY system reasonably ensured that Medicaid claims were submitted …
https://www.osc.ny.gov/state-agencies/audits/2026/06/17/medicaid-program-claims-processing-activity-april-1-2025-through-september-30-2025XI.2.D Vendor Name on Contractual Agreements – XI. Procurement and Contract Management
… entities should reference the contractor’s legal name in the contractual agreement. In certain instances, it … referenced in the contractual agreement and the entity’s name in the Statewide Vendor/Centralized Corporate Customer … State agencies should reference the contractors legal name in the contractual agreement …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi2d-vendor-name-contractual-agreementsAnthem Blue Cross – Effectiveness of the Recovery Process
… Additionally, we expanded our audit scope to January 2018 for claims impacted by contract recovery time frame limits. … The Empire Plan is the primary health benefits plan for NYSHIP, covering over 1 million members. Civil Service … Empire Plan’s Hospital Program, which includes coverage for inpatient and outpatient services provided by a hospital, …
https://www.osc.ny.gov/state-agencies/audits/2026/01/06/anthem-blue-cross-effectiveness-recovery-processState Agencies Bulletin No. 1986
State Agencies Bulletin No 1986
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1986-pilot-program-establishing-temporary-overtime-rate-employees-certainState Agencies Bulletin No. 1999
… in certain titles represented by PEF or CSEA working at DOCCS. Affected Employees Employees in certain Institutional … and Technical Services Unit (BU05) titles who work at DOCCS are affected. Background The Memorandum of Agreement (MOA) between the State of New York, DOCCS, CSEA, and PEF allows DOCCS to establish a temporary …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1999-pilot-program-establishing-temporary-overtime-rate-employees-certainState Agencies Bulletin No. 2004
… overtime rate for overtime eligible employees working at DOCCS in titles represented by PEF or CSEA that were not … Affected Employees Overtime eligible employees who work at DOCCS in Administrative Services Unit (BU02), Operational … the Department of Corrections and Community Supervision (DOCCS), the Civil Service Employees Association (CSEA), and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2004-pilot-program-establishing-temporary-overtime-rate-overtime-eligible