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Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements (Follow-Up)
… (Report 2019-S-2 ). About the Program The Department of Health (Department) administers New York’s Medicaid program. Physicians and other health care professionals who order, prescribe, refer, or … that require an appropriate NPI for OPRA health care providers. The audit covered the period from January 1, 2014 …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/improper-medicaid-payments-claims-not-compliance-ordering-prescribing-referring-andRecovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance (Follow-Up)
… Objective To determine the extent of implementation of the six … each enrolled recipient and, in turn, MCOs are required to pay for the Medicaid services their recipients require, … have other third-party health insurance in addition to Medicaid (e.g., employer-based coverage or Medicare Part …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/recovering-managed-care-overpayments-pharmacy-services-behalf-recipients-third-party-healthDiNapoli: Florida Man Charged with Stealing Nearly $80,000 in Pension Benefits Issued to His Deceased Father
… Yorkers can report allegations of fraud involving taxpayer money by calling the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint online at [email protected] , or by mailing a …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-florida-man-charged-stealing-nearly-80000-pension-benefits-issued-his-deceased-fatherDiNapoli: Participation in New York's 30% School Lunch Reimbursement Program Can Be Increased With Improved Administration
… New York State Department of Agriculture and Markets’ (Ag & Markets) initiative to … school districts at a higher rate if at least 30% of the costs for lunch is spent on eligible New York produced … “But there’s room to do better to expand on the good work of the Department of Agriculture and Markets by reducing the …
https://www.osc.ny.gov/press/releases/2025/10/dinapoli-participation-new-yorks-30-school-lunch-reimbursement-program-can-be-increased-improvedThe Arc Erie County New York – Compliance with the Reimbursable Cost Manual (2022-S-10)
To determine whether the costs reported by The Arc Erie County New York on its Consolidated Fiscal Reports were properly calculated, adequately documented, and allowable under the State Education Department’s guidelines, including the Reimbursable Cost Manual and the ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22s10.pdfAbilities First, Inc.: Compliance With the Reimbursable Cost Manual (2022-S-23) 180-Day Response
To determine whether the costs reported by Abilities First, Inc. (AFI) on its Consolidated Fiscal Report (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM) and the Consolidated Fis
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22s23-responseSED.pdfSelected Aspects of Accommodations for Passengers with Disabilities (Follow-Up) (2022-F-24) 30-Day Response
To determine the extent of implementation of the seven recommendations included in our initial audit report, Selected Aspects of Accommodations for Passengers with Disabilities (2019-S-41).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f24-response.pdfCantalician Center for Learning – Compliance With the Reimbursable Cost Manual (2022-S-7) 180-Day Response
To determine whether the costs reported by Cantalician Center for Learning on its Consolidated Fiscal Reports were properly calculated, adequately documented, and allowable under the State Education Department’s guidelines, including the Reimbursable Cost Manual and the Consolidated Fiscal ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22s7-response.pdfCanarsie Childhood Center, Inc. – Compliance With the Reimbursable Cost Manual (2021-S-2) 180-Day Response
To determine whether costs reported by Canarsie Childhood Center on its Consolidated Fiscal Reports were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to the State Education Department’s Reimbursable Cost Manual and the Consolidated...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-21s2-response.pdfSt. Mary’s Hospital for Children, Inc.: Compliance With the Reimbursable Cost Manual (2021-S-38)
To determine whether the costs reported by St. Mary’s Hospital for Children, Inc. on its Consolidated Fiscal Reports (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented under the State Education Department’s guidelines ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s38.pdfField of Dreams, Inc. – Compliance With the Reimbursable Cost Manual (2022-S-2) 180-Day Response
To determine whether the costs reported by Field of Dreams, Inc. on its Consolidated Fiscal Reports (CFRs) were properly calculated, adequately documented, and allowable under the State Education Department’s guidelines, including the Reimbursable Cost Manual and the Consolidated Fiscal ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22s2-response.pdfAdministration of the Contract With the Postgraduate Center for Mental Health (Follow-Up) (2019-F-51)
To follow up on actions by OMH to implement recommendations from Report 2015-S-88: Administration of the Contract With the Postgraduate Center for Mental ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19f51_0.pdfMarie Pense, LLC - Compliance With the Reimbursable Cost Manual (2019-S-36) 180-Day Response
To determine whether the costs reported by Marie Pense Center, LLC on its Consolidated Fiscal Reports (CFRs) were reasonable, necessary, directly related to...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19s36-response.pdfBlock Institute School - Compliance With the Reimbursable Cost Manual (2018-S-69) 180-Day Response
To determine whether the costs reported by Block Institute School on its Consolidated Fiscal Reports (CFRs) were reasonable, necessary, directly related to...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s69-response.pdfSt. Anne Institute – Compliance With the Reimbursable Cost Manual (2019-S-20) 180-Day Response
To determine whether the costs reported by St. Anne Institute (St. Anne) on its Consolidated Fiscal Report (CFR) were properly calculated, adequately ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19s20-response_0.pdfLeague Treatment Center - Compliance With the Reimbursable Cost Manual (2018-S-56) 180-Day Response
To determine whether the costs reported by League Treatment Center (LTC) on its Consolidated Fiscal Reports (CFR) were reasonable, necessary, directly...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s56-response.pdfBilingual Care, Inc. – Compliance With the Reimbursable Cost Manual (2018-S-51) 90-Day Response
To determine whether the costs reported by Bilingual Care, Inc. (Bilingual) on its Consolidated Fiscal Reports (CFR) were reasonable, necessary, directly...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-18s51-response.pdfSpringbrook NY, Inc. – Compliance With the Reimbursable Cost Manual (2018-S-63) 90-Day Response
To determine whether the costs reported by Springbrook NY, Inc. on its Consolidated Fiscal Report were properly calculated, adequately documented ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-18s63-response.pdfRetirement Option Election Form with Partial Lump Sum Payment For Tier 1 Members (RS6419-A)
For NYSLRS Tier 1 members to elect a pension payment option at retirement with a partial lump sum payment and to designate one beneficiary.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs6419-a.pdfMedicaid Program: Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (2016-S-60)
To determine whether the Department of Health (Department) made Medicaid mainstream managed care premium payments on behalf of individuals who had ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-16s60.pdf