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Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… our initial audit report, Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance … Recipients should, instead, be enrolled in Medicaid fee-for-service to avoid the expense of monthly managed care premiums (for instance, under fee-for-service, after the comprehensive …
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)
… against hazardous materials and waste. Our audit found that SUNY officials have established controls over and … Paltz, Polytechnic Institute, Oneonta, and Cobleskill), we found significant variation in the adequacy of controls over … At most of the non-university center campuses, we found select areas in which controls over hazardous materials …
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
… reported costs submitted by Behavior Analysts of New York, LLC (BANY) on its Consolidated Fiscal Report (CFR) were … reported costs submitted by Behavior Analysts of New York LLC BANY on its Consolidated Fiscal Report CFR were allowable …
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
… the Office for People With Developmental Disabilities, a camp, and a day care program. During the 2016-17 school year, …
https://www.osc.ny.gov/state-agencies/audits/2020/02/04/hebrew-academy-special-children-inc-compliance-reimbursable-cost-manualEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… To determine whether 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 … To determine whether EmblemHealth Plan Inc overpaid dental claims for members covered by two subscriber plans …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsMaximizing Incentives for Individuals With Disabilities (Follow-Up)
… a disability. Employment can enrich and enhance quality of life and is associated with improved health outcomes and … December 2023, 151 TTW providers (hereafter referred to as provider affiliates) were participating in NYESS. These provider affiliates provide customer support/services such as …
https://www.osc.ny.gov/state-agencies/audits/2024/02/20/maximizing-incentives-individuals-disabilities-followCompliance With Special Education Requirements – Evaluations (Follow-Up)
… of Education (Regulations) stipulate requirements for the referral, evaluation, Individualized Education Program (IEP) … – the focus of the initial audit report – includes a referral from a parent/guardian or other interested … provision of services, thus adversely impacting students’ educational growth. The objective of our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2023/03/15/compliance-special-education-requirements-evaluations-followOversight of Chemical Dependence Residential Services (Follow-Up)
… our initial audit report, Oversight of Chemical Dependence Residential Services (2020-S-49) . About the Program The … 680,000 New Yorkers each year, including inpatient and residential services for about 8,000 individuals. OASAS’ regulations govern Chemical Dependence Residential Services (Part 819) delivered by certified …
https://www.osc.ny.gov/state-agencies/audits/2023/10/30/oversight-chemical-dependence-residential-services-followOversight of New York State Forest Tax Programs (Follow-Up)
… in our initial audit report, Oversight of New York State Forest Tax Programs (Report 2020-S-51 ). About the Program … of 30.2 million acres comprises almost 19 million acres of forest, which provide many public benefits, including clean air and water, carbon storage, forest products (e.g., timber), jobs, scenic beauty, and …
https://www.osc.ny.gov/state-agencies/audits/2023/12/05/oversight-new-york-state-forest-tax-programs-followImplementation of the Security Guard Act (Follow-Up)
… of Licensing Services (Division), oversees the licensure, registration, and regulation of 36 occupations throughout New … entrusts the Department with issuing registration cards for all security guard applicants who meet the requirements … was adequately monitoring and enforcing the requirements for security guards under the Act. The audit identified areas …
https://www.osc.ny.gov/state-agencies/audits/2023/09/29/implementation-security-guard-act-followImproper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… report, Improper Managed Care Payments for Misclassified Patient Discharges (Report 2021-S-8 ). About the Program The … reports certain information on its claims, including patient status codes to indicate whether the patient was transferred or discharged at the end of their …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followCompliance With School Safety Planning Requirements (Follow-Up)
… (City Regulations) provide additional guidance. For example, DOE’s District Safety Team must develop a …
https://www.osc.ny.gov/state-agencies/audits/2024/01/11/compliance-school-safety-planning-requirements-followOversight of Building Construction Site Safety (Follow-Up)
… included in our initial audit report, Oversight of Building Construction Site Safety (Report 2021-N-3 ). About … 2022, was to determine whether DOB adequately monitors NYC building construction sites to ensure compliance with … 2018 to December 2021, found that DOB’s oversight of building construction sites – including construction site …
https://www.osc.ny.gov/state-agencies/audits/2024/01/10/oversight-building-construction-site-safety-followOversight of Persons Convicted of Driving While Intoxicated (Follow-Up)
… device (IID), only 1,952 (20 percent) did. We also found material non-compliance with the Office’s protocols to …
https://www.osc.ny.gov/state-agencies/audits/2018/11/29/oversight-persons-convicted-driving-while-intoxicated-followSecurity Over Critical Information Systems (Follow-Up)
… Security Over Critical Information Systems (Report 2016-S-69 ). Background Our initial audit report, which was issued … Security Over Critical Information Systems ( 2016-S-69 ) …
https://www.osc.ny.gov/state-agencies/audits/2018/11/13/security-over-critical-information-systems-followYork College – Time and Attendance Practices for Public Safety Staff (Follow-Up)
… audit report, Time and Attendance Practices for Public Safety Staff ( 2013-S-65 ). Background Our initial report, … internal controls over time and attendance for Public Safety officers. No one was responsible for verifying the hours worked by Department of Public Safety (Department) staff, and officers could alter time …
https://www.osc.ny.gov/state-agencies/audits/2018/12/28/york-college-time-and-attendance-practices-public-safety-staff-followRestrictions on Consecutive Hours of Work for Nurses (Follow-Up)
… audit report Restrictions on Consecutive Hours of Work for Nurses (Report 2017-S-14 ). About the Program The Department of Labor (Department) is responsible for enforcing the requirements of Section 167 of the New York … to as the Restrictions on Consecutive Hours of Work for Nurses Law (Law). Effective July 2009, the Law limits …
https://www.osc.ny.gov/state-agencies/audits/2019/09/09/restrictions-consecutive-hours-work-nurses-followMedicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… therapy services and prescription drugs that are covered by Medicare. The audit covered the period January 1, 2012 to … to the automated claim information, should have been paid by Medicare, as follows: $18.6 million was paid for physical, … occupational, and speech therapy services provided by licensed therapists. Payments were made on behalf of 6,712 …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareImplementation of the Dignity for All Students Act (Follow-Up)
… (e.g., race, sexual orientation, weight) and required schools to designate a trained Dignity Act Coordinator (DAC). … ended June 30, 2018, school districts (excluding New York City) reported 15,826 incidents statewide under DASA. Our … oversight of DASA implementation. However, while most schools we visited had designated DACs, more than half of the …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followOversight of Young Adult Institute, Inc.'s Family Support Services Contracts (Follow-Up)
… the implementation of the three recommendations included in our initial audit report, Oversight of Young Adult Institute, Inc.’s Family Support Services … Young Adult Institute Network (YAI Network) to provide FSS in the New York City Metropolitan Area. OPWDD reimburses …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/oversight-young-adult-institute-incs-family-support-services-contracts-follow