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Medicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… Medicaid pays managed care organizations (MCOs) a fixed monthly capitation payment for each newborn enrolled in the … reimburse directly for providing services. In addition to monthly capitation payments, MCOs receive supplemental …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightKids-Centric, Inc. – Compliance With the Reimbursable Cost Manual
… the costs reported by Kids-Centric, Inc. (Kids-Centric) on its Consolidated Fiscal Reports (CFRs) were properly … Cost Manual (Manual). The audit covered expenses claimed on Kids-Centric’s CFR for fiscal year 2012-13, and certain expenses claimed on Kids-Centric’s CFRs for the two fiscal years ended June …
https://www.osc.ny.gov/state-agencies/audits/2015/12/30/kids-centric-inc-compliance-reimbursable-cost-manualExamination of Unemployment Insurance Benefits
… requests and payments DOL approved were appropriate and in accordance with applicable Federal and State laws and … including: (i) high risk payment requests DOL approved in 2015; and (ii) prior year payments related to those 2015 … duplicate payments; and (iii) out of country indicators in the claimants’ log file to the DOL payment file to …
https://www.osc.ny.gov/state-agencies/audits/2016/09/16/examination-unemployment-insurance-benefitsMedicaid Program – Oversight of Localities' Efforts to Coordinate Veterans' Health Care Benefits Under Medicaid and the U.S. Department of Veterans Affairs
… veterans' health care benefits provided through Medicaid and the U.S. Department of Veterans Affairs (VA). The audit … cost savings could be realized by assisting veterans and coordinating their health care benefits through the VA. … Medicaid eligibility process, veterans must be identified and referred to the State Division of Veterans' Affairs …
https://www.osc.ny.gov/state-agencies/audits/2014/03/19/medicaid-program-oversight-localities-efforts-coordinate-veterans-health-care-benefitsEmployee Incentive and Bonus Payments
… if incentive and bonus payments made by the Erie County Medical Center Corporation (ECMCC) were warranted, supported, … Public Authorities Law §3626 to manage the Erie County Medical Center health network. Between January 1, 2013 and … if incentive and bonus payments made by the Erie County Medical Center Corporation were warranted supported and …
https://www.osc.ny.gov/state-agencies/audits/2017/01/13/employee-incentive-and-bonus-paymentsStatewide Compliance With Administrative Requirements for Retail Liquor License Approvals, Renewals, and Enforcement Actions
… retail license types (On Premises Liquor, Grocery Store Beer, and Liquor Store). Between April 2014 and June 2016, …
https://www.osc.ny.gov/state-agencies/audits/2017/06/21/statewide-compliance-administrative-requirements-retail-liquor-license-approvals-renewalsE&D Children Center, Inc. – Compliance With the Reimbursable Cost Manual
… audit focused primarily on expenses claimed on E&D’s CFR for the fiscal year ended June 30, 2015 and certain expenses … refers students to E&D and pays for its services using rates established by SED. The rates are based on the … fringe benefits expenses (e.g., pension, health insurance) that were not proportionately similar between …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/ed-children-center-inc-compliance-reimbursable-cost-manualFacility Planning Bureau Project Review (Follow-Up)
… 6 months or longer to finalize its approval for 2,764 (43.8%) of the 6,315 projects analyzed. The Bureau also lacked …
https://www.osc.ny.gov/state-agencies/audits/2022/01/05/facility-planning-bureau-project-review-followMedicaid Program – Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans
… from MMC and HARP and moved to Medicaid fee-for-service (FFS) because the cost of the managed care premiums generally … of deductibles and coinsurance that Medicaid would pay on FFS claims for dual-eligibles. In response to the coronavirus … as long as minimum essential coverage (e.g., Medicaid FFS) was maintained. Key Findings We identified over $194.1 …
https://www.osc.ny.gov/state-agencies/audits/2022/10/31/medicaid-program-excessive-premium-payments-dual-eligible-recipients-enrolled-mainstreamEnforcement of Article 19-A of the Vehicle and Traffic Law (Follow-Up)
… ( 2018-S-7 ). About the Program In 1972, a tragic school bus and freight train collision near Congers, New York, that involved bus driver negligence prompted legislation to amend the New … Law. The amendment, Article 19-A: Special Requirements for Bus Drivers (Law), created qualification standards for bus …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/enforcement-article-19-vehicle-and-traffic-law-followOpioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
… treatment, which includes certain opioid medications and counseling and behavioral therapies for people diagnosed with … safeguard Medicaid recipients who were receiving opioids while also in a Treatment Program for opioid use disorder. … 208,198 opioid prescriptions through the Medicaid program while also receiving opioids as part of a Treatment Program …
https://www.osc.ny.gov/state-agencies/audits/2020/05/07/opioid-prescriptions-medicaid-recipients-opioid-treatment-program-followHomeless Housing and Assistance Program – Project Selection and Maintenance (Follow-Up)
… Objective To assess the extent of implementation of the four recommendations included in our initial audit report, Homeless Housing and Assistance … the Office of Temporary and Disability Assistance pursuant to its service agreement with HHAC. Through the Homeless …
https://www.osc.ny.gov/state-agencies/audits/2020/08/18/homeless-housing-and-assistance-program-project-selection-and-maintenance-followPositive Beginnings, Inc. – Compliance With the Reimbursable Cost Manual
… program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost Manual … program and sufficiently documented pursuant to the State Education Departments SED …
https://www.osc.ny.gov/state-agencies/audits/2024/03/13/positive-beginnings-inc-compliance-reimbursable-cost-manualMedicaid Program – Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance
… of managed care recipients who had third-party health insurance were appropriately recovered. The audit covered the … services. Many recipients have other third-party health insurance (TPHI) in addition to Medicaid (e.g., … million in inpatient claims where MCOs paid as the primary insurance despite recipients having TPHI inpatient coverage. …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/medicaid-program-recovering-managed-care-payments-inpatient-services-behalf-recipientsDevelopmental Disabilities Institute, Inc. – Compliance With the Reimbursable Cost Manual
… an SED-approved school-age special education program, an Early Intervention program funded through the Department of … of Interest State Education Department: Infant and Child Learning Center - The Research Foundation for the State University of …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/developmental-disabilities-institute-inc-compliance-reimbursable-cost-manualLeague Treatment Center – Compliance With the Reimbursable Cost Manual
… years ended June 30, 2014. About the Program LTC is a New York City-based not-for-profit organization authorized by … an average of 163 students in its cost-based programs. The New York City Department of Education (DOE) refers students …
https://www.osc.ny.gov/state-agencies/audits/2019/12/16/league-treatment-center-compliance-reimbursable-cost-manualState Agencies Bulletin No. 1937
… to provide agency instructions for new overtime earnings codes to be used for Time Entry overtime payments. Affected … hours. Effective Dates New overtime Time Entry Earnings Codes effective as of: Pay Cycle/Pay Period Type Payment … agreement. OSC Actions OSC has updated or created Earning Codes to be used to report overtime and overtime related …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1937-new-overtime-earnings-codes-overtime-eligible-employees-publicOther Bulletin No. 16
… Purpose To inform agencies of new earnings codes and procedures for … taken by the 2012-2013 Deficit Reduction Plans to employees in the bargaining units listed below who leave … To inform agencies of new earnings codes and procedures for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-16-repayment-compensation-taken-2012-2013-deficit-reductionTown of Hanover – Procurement (2025M-58)
… bookkeeping, auditing and water testing services. As a result, Board members may not have known about other …
https://www.osc.ny.gov/local-government/audits/town/2025/09/26/town-hanover-procurement-2025m-58City of Dunkirk – Budget Review (B24-1-10)
… [read complete report – pdf] Purpose The purpose of our budget review was to provide an independent evaluation of the City’s proposed budget for 2025. Background Chapter 5 6 of the Laws of 2024, Part DD … The purpose of our budget review was to provide an independent evaluation of the …
https://www.osc.ny.gov/local-government/audits/city/2024/11/27/city-dunkirk-budget-review-b24-1-10