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Medicaid Program – Medicaid Payments Made Pursuant to Medicare Part C
… liabilities such that the total Medicare and Medicaid payment for a service did not exceed Medicaid's normal … for the procedure was $13,180 - far less than Medicare's payment. Nevertheless, Medicaid paid the provider $5,848 for … limits on Part C cost-sharing. If the Department limited payment of Part C coinsurance so that the Medicare and …
https://www.osc.ny.gov/state-agencies/audits/2014/05/09/medicaid-program-medicaid-payments-made-pursuant-medicare-part-cCyber Incident Response Team
… Objective To determine whether the Cyber Incident Response Team at the … achieving its mission of providing cybersecurity support to non-Executive agencies, local governments, and public … To determine whether the Cyber Incident Response Team at the …
https://www.osc.ny.gov/state-agencies/audits/2021/11/12/cyber-incident-response-teamMedicaid Program – Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes
… 2016 to December 2020. About the Program The New York State Medicaid program, administered by the Department of … and/or have special health care needs. Many of the State’s Medicaid recipients receive their services through …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-improper-medicaid-managed-care-payments-durable-medical-equipmentStreet and Sidewalk Cleanliness (Follow-Up)
… Objective To assess the extent of implementation of the eight recommendations … included in our initial audit report, Street and Sidewalk Cleanliness (Report 2019-N-1 ). About the … York City (NYC) Department of Sanitation (DSNY) has access to several data sources to monitor the cleanliness of NYC’s …
https://www.osc.ny.gov/state-agencies/audits/2022/10/25/street-and-sidewalk-cleanliness-followCompliance With Executive Order 95 (Open Data) (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Compliance With Executive Order … by the Executive). EO 95 implementation was phased in beginning in March 2013, with covered entities required to be in full … of implementation of the two recommendations included in our initial audit report Compliance With Executive Order …
https://www.osc.ny.gov/state-agencies/audits/2022/11/09/compliance-executive-order-95-open-data-followImproper Medicaid Payments for Childhood Vaccines (Follow-Up)
… Objective To determine the extent of implementation of the six recommendations included in our initial audit … To determine the extent of implementation of the six recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2020/12/23/improper-medicaid-payments-childhood-vaccines-followOversight of Industrial Hemp (Follow-Up)
… Objective To determine the extent of implementation of the three … the United States, as both the stalk and seed can be used to produce thousands of different products, including … of higher education and state departments of agriculture to grow or cultivate industrial hemp for research purposes. …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/oversight-industrial-hemp-followImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… Covered by Managed Long-Term Care Plans (Report 2018-S-65 ). About the Program The State’s Medicaid program offers …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… drugs, to Medicaid recipients age 21 or older with serious mental illness and/or substance use disorders. We issued our initial …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followUtilization of the Arch Street Yard and Shop Facility (Follow-Up)
… intended: for the initial acceptance and inspection of M-7 cars. Moreover, except for occasional use of the wheel truing … once to a contractor to perform modifications on MNR rail cars. Key Finding LIRR officials did not address the problems …
https://www.osc.ny.gov/state-agencies/audits/2020/01/28/utilization-arch-street-yard-and-shop-facility-followCompliance With Executive Order 95 (Open Data)
… To determine whether the Department of State (Department) is complying with Executive Order 95 (EO 95), including … (ITS) under EO 95, and whether data posted under EO 95 is reliable and easily usable. The audit covered the period … publishable State data that it maintains. Therefore, there is limited assurance the Department provided a complete …
https://www.osc.ny.gov/state-agencies/audits/2020/04/08/compliance-executive-order-95-open-data-0Medicaid Program – Accuracy of Medicaid Eligibility Determined by NY State of Health
… Objective To determine whether NY State of Health (NYSOH, New York’s online health plan marketplace) … February 28, 2020. About the Program The Department of Health (Department) administers New York’s Medicaid program. Many of the State’s Medicaid recipients receive their services …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-accuracy-medicaid-eligibility-determined-ny-state-healthMedicaid Program – Cost of Pharmacy Services Under Managed Care
… Objective To determine whether the Department of Health (Department) obtained Medicaid pharmacy services under managed care in an economical manner. The audit covered the period … care organizations (MCOs), which arrange for the provision of pharmacy services for Medicaid recipients and payments to …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-cost-pharmacy-services-under-managed-careCompliance With Special Education Requirements – Evaluations (Follow-Up)
… Individualized Education Program (IEP) development, and placement of students in special education. The New York City … this end, the DOE follows a multi-step evaluation and placement process. The evaluation component – the focus of … within required time frames. The audit scope covered the period of July 1, 2016 through March 9, 2018, and included …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-requirements-evaluations-followMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… created the MDRP to reduce state and federal expenditures for Medicaid prescription drugs. The program was later expanded to require rebate collection for certain physician-administered drugs and drugs dispensed … to enter into a national rebate agreement with the Centers for Medicare & Medicaid Services in exchange for Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programCyber Incident Response Team (Follow-Up)
… in our initial audit report, Cyber Incident Response Team (Report 2020-S-58 ). About the Program Cybercrimes … Crime Report. In 2017, the Cyber Incident Response Team (CIRT) was created within the Division of Homeland … in our initial audit report Cyber Incident Response Team Report 2020S58 …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/cyber-incident-response-team-followImproper Medicaid Payments to Eye Care Providers (Follow-Up)
… in our initial audit report, Improper Medicaid Payments to Eye Care Providers (Report 2015-S-6 ). Background Under … State requirements. As a result of these weaknesses, six eye care professionals who did not comply with the … Department of Health: Improper Medicaid Payments to Eye Care Providers ( 2015-S-6 ) …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/improper-medicaid-payments-eye-care-providers-followState Agencies Bulletin No. 1747
… report changes to maintenance deductions by inserting a new effective date row on the General Deductions page. The …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1747-change-maintenance-rates-employee-housing-and-mealsComptroller DiNapoli Releases Municipal Audits
… Rockland County – Budget Review (B6-16-19) The county does not have a plan for reducing the general fund’s outstanding deficit. The 2017 proposed budget does not include potential increased salary costs that may …
https://www.osc.ny.gov/press/releases/2016/11/comptroller-dinapoli-releases-municipal-audits-0State Comptroller DiNapoli Releases Municipal Audits
… that were in violation of New York State Public Officers Law. The board also approved $1,488 in charges that were not … option. Track state and local government spending at Open Book New York . Under State Comptroller DiNapoli’s open data initiative, search millions of state and local …
https://www.osc.ny.gov/press/releases/2022/03/state-comptroller-dinapoli-releases-municipal-audits