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Medicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… health care needs. In general, the Medicaid program pays medical providers through either the fee-for-service … plan method. Under the feefor- service method, Medicaid pays providers directly for Medicaid-eligible services … recipients. Under the managed care plan method, Medicaid pays managed care organizations (MCOs) a monthly premium for …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careCity of Olean – Budget Review (B1-16-2)
… Purpose of Budget Review The purpose of our budget review was to determine whether the significant … review letter issued in March 2015. Background The City of Olean, located in Cattaraugus County, issued debt totaling … City of Olean Budget Review B1162 …
https://www.osc.ny.gov/local-government/audits/city/2016/03/14/city-olean-budget-review-b1-16-2Excessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… this amount occurred because the Department did not ensure New York’s regulatory structure has kept pace with other …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followGanrormic, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Ganrormic, Inc. on its Consolidated Fiscal Report (CFR) were properly … calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including … To determine whether the costs reported by Ganrormic Inc on its Consolidated …
https://www.osc.ny.gov/state-agencies/audits/2017/03/21/ganrormic-inc-compliance-reimbursable-cost-manualSpotted Zebra Learning Center, Inc. – Compliance With the Reimbursable Cost Manual
… located in Albany, New York, is an SED-approved provider of preschool special education services. During the 2013-14 … to Spotted Zebra for these services using reimbursement rates set by SED; the State, in turn, reimburses the counties 59.5 percent of the tuition that the counties pay. SED sets the rates …
https://www.osc.ny.gov/state-agencies/audits/2017/04/12/spotted-zebra-learning-center-inc-compliance-reimbursable-cost-manualOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… in our audit report, Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (2010-S-30). Background … have special health care needs. When billing Medicaid for inpatient services, hospitals must indicate a patient’s … occurred primarily because hospitals billed Medicaid for higher (and more costly) levels of care when, in fact, …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followComptroller DiNapoli Releases School Audits
… P. DiNapoli today announced his office completed audits of the Broadalbin-Perth Central School District , Medina … and the Sullivan West Central School District . “In an era of limited resources and increased accountability, it’s … payments were accurate, in compliance with the terms of employee contracts and approved by the board. Medina …
https://www.osc.ny.gov/press/releases/2014/08/comptroller-dinapoli-releases-school-audits-1Empire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… report, Empire BlueCross BlueShield: Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 … The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Department of Civil Service contracts with … audit report Empire BlueCross BlueShield Selected Payments for Special Items …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations made in our audit report, … To determine the extent of implementation of the five recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followAdministration of the Article 8-A Loan Program
… goal is to improve living conditions and to preserve safe and affordable housing for low- and moderate-income … for building inspections that would ensure timely project compliance with Voluntary Repair Agreements and …
https://www.osc.ny.gov/state-agencies/audits/2014/09/18/administration-article-8-loan-programProcurement and Contracting Practices (Follow-Up)
… York State Public Officers Law. ITS plays a significant strategic and technology procurement role in State …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/procurement-and-contracting-practices-followAnnual Employer Contributions – Employer Contributions and Rates
… for the invoice due approximately 18 months later. The 2026 invoice (current year’s invoice for the payment due February 1, 2026) uses: The employees’ earnings reported to NYSLRS by … in November, we provide your final annual invoice . The 2027 invoice (next year’s invoice for the payment due …
https://www.osc.ny.gov/retirement/employers/contributions/annual-employer-contributionsComptroller DiNapoli Releases School Audits
… School District and the Mount Pleasant Cottage Union Free School District . “In an era of limited resources and … the past three fiscal years. Mount Pleasant Cottage Union Free School District – Financial Condition (Westchester … School District and the Mount Pleasant Cottage Union Free School District …
https://www.osc.ny.gov/press/releases/2014/03/comptroller-dinapoli-releases-school-audits-0Central New York Regional Market Authority – Financial Condition (2024M-18)
… analysis was performed prior to buying a $2.3 million warehouse that is currently vacant and not generating any income. Officials were aware the warehouse needed repairs when they purchased it but did not … the finances to complete the repairs. Without tenants, the warehouse will continue to deplete the Authority’s resources. …
https://www.osc.ny.gov/local-government/audits/public-authority/2024/05/14/central-new-york-regional-market-authority-financial-condition-2024m-18DiNapoli: Queens Woman Charged With Stealing Nearly $85,000 in NYS Pension Payments Meant for Her Deceased Father
… A 37-year-old Queens woman was arrested today for allegedly stealing nearly $85,000 in New York state … A 37yearold Queens woman was arrested today for allegedly stealing nearly $85000 in New York state …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-queens-woman-charged-stealing-nearly-85000-nys-pension-payments-meant-her-deceased-fatherChild Protective Services (2013-MS-5)
… January 1, 2011 through December 31, 2012. Background The New York State Office of Children and Family Services (OCFS) …
https://www.osc.ny.gov/local-government/audits/county/2014/10/14/child-protective-services-2013-ms-5School Tax Relief (STAR) Program (2012-MS-6)
… of Audit The purpose of our audit was to review local assessors’ administration of the STAR Program for the period … for one exemption for a primary residence only. Local assessors accept and process residents’ applications for STAR … in 1998-99 to $3.2 billion in 2010-11. Key Findings Local assessors have granted a significant number of exemptions to …
https://www.osc.ny.gov/local-government/audits/statewide-audit/2013/02/28/school-tax-relief-star-program-2012-ms-6Oversight of Building Construction Site Safety (Follow-Up)
… Site Safety (Report 2021-N-3 ). About the Program The New York City Department of Buildings (DOB) is responsible …
https://www.osc.ny.gov/state-agencies/audits/2024/01/10/oversight-building-construction-site-safety-followPublic Safety – 2023 Financial Condition Report
… in 2022, shooting incidents where a person was hit are up 15 percent, and the number of individuals killed by gun …
https://www.osc.ny.gov/reports/finance/2023-fcr/public-safetyOversight of Chemical Dependence Residential Services (Follow-Up)
… and recovery programs providing services for over 680,000 New Yorkers each year, including inpatient and residential …
https://www.osc.ny.gov/state-agencies/audits/2023/10/30/oversight-chemical-dependence-residential-services-follow