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Improper Medicaid Payments to Eye Care Providers (Follow-Up)
… Providers (Report 2015-S-6 ). Background Under federal and State regulations, providers must apply for enrollment into the Medicaid program and meet certain requirements in order to provide services to … their enrollment every five years. The enrollment and revalidating processes are intended to prevent improper …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/improper-medicaid-payments-eye-care-providers-followOversight of Weights and Measures Programs (Follow-Up)
… Objective To determine the extent of implementation of the four recommendations included in our initial audit report, Oversight of Weights and Measures Programs (Report 2016-S-98 ). About …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/oversight-weights-and-measures-programs-followHTA of New York, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by HTA of New York, Inc. (HTA) on its Consolidated Fiscal Report (CFR) were …
https://www.osc.ny.gov/state-agencies/audits/2016/12/15/hta-new-york-inc-compliance-reimbursable-cost-manualState Agencies Bulletin No. 949
… deduction limit as a result of the American Recovery and Reinvestment Act (ARRA). Legal Reference The American Recovery and Reinvestment Act (ARRA) includes changes to the monthly … an employee’s gross income for Federal income tax purposes and from Social Security and Medicare taxes. Under ARRA, the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/949-nys-ride-transportation-benefit-program-and-cuny-transit-benefitThe Norman Howard School – Compliance With the Reimbursable Cost Manual
… disabilities in grades 5 through 12. NHS is reimbursed for these services based upon financial information contained … New York State Education Department (SED). To be eligible for reimbursement, the expenses must comply with the guidelines contained in the CFR Manual and RCM. For the three fiscal years ended June 30, 2011, NHS reported …
https://www.osc.ny.gov/state-agencies/audits/2013/07/15/norman-howard-school-compliance-reimbursable-cost-manualImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… coverage to people who are chronically ill or disabled and who wish to stay in their homes and communities. MLTC plans offer a range of services, such … health care, nursing home care, dentistry, vision care, and durable medical equipment. The Department of Health …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followKids Unlimited, PT, OT & SLP, PLLC – Compliance With the Reimbursable Cost Manual
… documented pursuant to the State Education Department’s (SED) Reimbursable Cost Manual (RCM) and the Consolidated … ended June 30, 2014. About the Program Kids Unlimited is a New York City-based for-profit organization authorized by SED to …
https://www.osc.ny.gov/state-agencies/audits/2020/12/31/kids-unlimited-pt-ot-slp-pllc-compliance-reimbursable-cost-manualMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… initial audit report, Maximizing Drug Rebates for Health and Recovery Plans (Report 2017-S-61 ). About the Program … behavioral health needs began to be enrolled into Health and Recovery Plans (HARPs). HARPs are a type of managed care … recipients age 21 or older with serious mental illness and/or substance use disorders. We issued our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followMedicaid Program – Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes
… and supplies while recipients were residing in nursing homes. The audit covered the period from January 2016 to … nursing home reimbursement rates, recipients in nursing homes are to be provided with DMEPOS (the rates do not … items that likely should have been provided by nursing homes as part of the daily all-inclusive rate paid to those …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-improper-medicaid-managed-care-payments-durable-medical-equipmentCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
… of Drug Rebate Revenue Remitted to the Department of Civil Service (Report 2019-S-51 ). About the Program The New … Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit … for services rendered to Medicaid eligible recipients, and it generates payments to reimburse the providers for … providers of about $25 billion. The claims are processed and paid in weekly cycles which averaged about 6.8 million …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… individuals who, generally, don’t otherwise qualify for Medicaid. As income, household makeup, and other factors … Plan coverage because the Department did not account for the Essential Plan as a liable third-party health … both programs and having enrollment information for both in its systems, the Department never applied payment …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andMedicaid Program – Claims Processing Activity October 1, 2022 Through March 31, 2023
… were processed in accordance with Medicaid requirements, and resulted in correct payments to providers. The audit covered the period October 2022 through March 2023, and certain claims going back to June 2022. About the Program … for services rendered to Medicaid-eligible recipients and generates payments to reimburse the providers for their …
https://www.osc.ny.gov/state-agencies/audits/2023/10/25/medicaid-program-claims-processing-activity-october-1-2022-through-march-31-2023New York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)
… two recommendations included in our initial audit report, New York State Health Insurance Program: Empire Plan Members With Dual Family Coverage (Report …
https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-followState Comptroller DiNapoli Releases Year-End Accomplishments
… among other issues. Provided training to more than 6,000 local government officials on accounting operations and … for the first time in four years in State Fiscal Year 2014-15 (0.8 percent of payroll for the Employee Retirement System … Enhanced DiNapoli’s transparency website openbooknewyork.com to include millions of payments made by the state, which …
https://www.osc.ny.gov/press/releases/2014/01/state-comptroller-dinapoli-releases-year-end-accomplishmentsDiNapoli Announces State Contract and Payment Actions for May 2015
… the playing field is level and taxpayers get the best value for their money. These independent audits also … Contracts Approved Department of Agriculture and Markets NY State Fair - 28 concession contracts estimated to bring in … at Chapin and Schomburg Apartments. SUNY – Upstate Medical University $300 million with Central New York Care …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-announces-state-contract-and-payment-actions-may-2015State Contract and Payment Actions in December
… Psychiatric Center in Rockland County. Department of Health $137.3 million with Execusearch Holdings LLC for the … to Beacon Health Options Inc. for benefit services for the Mental Health & Substance Abuse Program for the Empire Plan. … million for the Excluded Workers Fund program. Office of Mental Health $1.2 million to support the COVID-19 pandemic …
https://www.osc.ny.gov/press/releases/2022/01/state-contract-and-payment-actions-decemberII.3.A Planning – II. New York State Financial Accounting
… It outlines, in general terms, the Governor’s priorities for the coming year, alerts the agency management to expected … fiscal constraints, and informs agencies of the schedule for submitting requests to the Division of the Budget (DOB). … set forth by DOB in their Budget Request Manual; reviewed for consistency with the call letter; and approved by the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ii/ii3a-planningResidents of Long-Term Care Facilities Lacking Access to Advocates
… Many residents of long-term care facilities in New York state lack regular access to ombudsman services due to a decline in the number of volunteers and a severe shortage of paid staff, according to … their quality of life,” DiNapoli said. “The Office for the Aging needs to improve access to these important …
https://www.osc.ny.gov/press/releases/2019/10/residents-long-term-care-facilities-lacking-access-advocatesHousing Trust Fund Corporation: Internal Controls Over and Maximization of Federal Funding for Community Development Block Grant & HOME Investment Partnerships Programs (2021-S-10) 180-Day Response
To determine whether Homes and Community Renewal (HCR) has established and maintains adequate internal controls to oversee and monitor the federally funded Community Development Block Grant program and HOME Investment Partnerships Program to ensure they meet requirements, and whether ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-21s10-response.pdf