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Medicaid 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-equipmentPayments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members
… paid mental health and substance abuse (MHSA) claims for Empire Plan members who were not eligible for coverage. The audit covered the period from January 2015 … The Empire Plan is the primary health insurance plan for NYSHIP, serving about 1.1 million members. Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2022/05/13/payments-beacon-health-options-mental-health-and-substance-abuse-services-ineligibleInternal Controls Over Selected Financial Operations (Follow-Up)
… military forces, which are composed of the New York Army National Guard, the New York Air National Guard, the New … it incurs for the operation and training of the State Army and Air National Guard, including facilities, equipment, …
https://www.osc.ny.gov/state-agencies/audits/2022/06/22/internal-controls-over-selected-financial-operations-followOversight of Pupil Transportation Services (Follow-Up)
… with State aid covering $2 billion. The New York State Education Law requires the State Education Department … to (a) determine and define the qualifications of drivers, monitors, and attendants and to make the rules and … training and safety technique requirements for school bus drivers and school bus safety training instructors and make …
https://www.osc.ny.gov/state-agencies/audits/2022/06/22/oversight-pupil-transportation-services-followOversight of Construction Management Contracts (Follow-Up)
… (Report 2020-S-43 ). About the Program The Office of Parks, Recreation and Historic Preservation (Parks) is responsible for operating and maintaining the State … resources of New York State. This system includes over 250 parks, historic sites, recreational trails, golf courses, …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/oversight-construction-management-contracts-followOversight of Telemental Health Services (Follow-Up)
… of the three recommendations included in our initial audit report, Oversight of Telemental Health Services (Report 2020-S-16 ). About the Program The Office of Mental … of the three recommendations included in our initial audit report Oversight of Telemental Health Services Report 2020S16 …
https://www.osc.ny.gov/state-agencies/audits/2022/12/06/oversight-telemental-health-services-followOversight of School Safety Planning Requirements (Follow-Up)
… initial audit report, Oversight of School Safety Planning Requirements ( 2018-S-34 ). About the Program In New York, … monitoring School Districts’ compliance with the requirements for school safety planning, and consequently did not have assurance that the requirements were being met. We found that the Department …
https://www.osc.ny.gov/state-agencies/audits/2021/01/13/oversight-school-safety-planning-requirements-followMedicaid Program – Cost Saving Opportunities on Payments of Medicare Part C Claims
… reviewed by this audit: outpatient claims for clinic, practitioner, transportation, referred ambulatory, durable …
https://www.osc.ny.gov/state-agencies/audits/2021/09/21/medicaid-program-cost-saving-opportunities-payments-medicare-part-c-claimsOversight of Direct Placement of Children (Follow-Up)
… ( 2017-S-30 ). About the Program OCFS oversees the State’s child welfare system, and its Central Office is responsible for supervising and coordinating child welfare services, including child protective services, foster care, and preventive services, which are administered by 58 …
https://www.osc.ny.gov/state-agencies/audits/2021/08/30/oversight-direct-placement-children-followProcessing of Sexual Offense Evidence Collection Kits (Follow-Up)
… evidence during the physical exam of an alleged sexual assault victim. The victim has the right to choose whether to …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/processing-sexual-offense-evidence-collection-kits-followExamination of Unemployment Insurance Benefit Payments (January 1, 2018 – December 31, 2018)
… the Department’s recovery of UI overpayments made to New York State (NYS) employees. Background We examined high … previous overpayments due and owing to the Department from New York State employees. We reviewed pertinent supporting …
https://www.osc.ny.gov/state-agencies/audits/2019/09/16/examination-unemployment-insurance-benefit-payments-january-1-2018-december-31-2018Efficiency of Warehouse Space
… The Spending and Government Efficiency Commission was formed to streamline State government operations by …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/efficiency-warehouse-spaceOversight of Nurse Hiring and Retention (Follow-Up)
… 2017-N-2 ). About the Program The New York City Health and Hospitals Corporation (Health and Hospitals) is a public benefit corporation created by the New York City Health and Hospitals Corporation Act of 1969 to oversee the provision …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/oversight-nurse-hiring-and-retention-followManaged Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… Comprehensive Third-Party Insurance (Report 2016-S-60 ). About the Program Mainstream managed care (the managed …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followOversight of Hazardous Materials and Waste (Follow-Up)
… These weaknesses prevent proper monitoring and accounting for hazardous materials, compliance with legal requirements, …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/oversight-hazardous-materials-and-waste-followBehavior Analysts of New York, LLC – Compliance With the Reimbursable Cost Manual
… calculated, and adequately documented in accordance with applicable State Education Department (SED) … not eligible for reimbursement. The $2,082 included $1,134 in personal service costs that either exceeded … $948 in other than personal service costs, such as vehicle insurance, that either did not relate to the Program they …
https://www.osc.ny.gov/state-agencies/audits/2020/01/31/behavior-analysts-new-york-llc-compliance-reimbursable-cost-manualHebrew Academy for Special Children, Inc. – Compliance With the Reimbursable Cost Manual
… preschool Special Education Itinerant Teacher (SEIT), full- and half-day Special Class (SC), and full- and half-day Special Class in an Integrated Setting …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualDo Not Call Enforcement Efforts (Follow-Up)
… included in our initial audit report, Do Not Call Enforcement Efforts (Report 2017-S-55 ). About the Program The New York State Do Not Call law (Law) allows consumers to register their personal … Commission collaborated to create the National Do Not Call Registry (Registry), and consumers’ phone numbers that …
https://www.osc.ny.gov/state-agencies/audits/2020/02/19/do-not-call-enforcement-efforts-followEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… services according to contracts it negotiates with member hospitals. Empire’s contracts with member hospitals include rate schedules for the payment of inpatient and outpatient hospital services. Hospitals may be entitled to additional payments for special …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program. The audit covered the period from January 2018 through October 2022. … EmblemHealth Plan Inc overpaid dental claims for members covered by two subscriber plans under the New York State …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefits