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Examination of Unemployment Insurance Benefit Payments (January 1, 2018 – December 31, 2018)
… or representations to obtain benefits to which they were not entitled. Based on overpayments identified during …
https://www.osc.ny.gov/state-agencies/audits/2019/09/16/examination-unemployment-insurance-benefit-payments-january-1-2018-december-31-2018Minds in Motion, Inc. – Compliance With the Reimbursable Cost Manual
… in expenses that lacked appropriate documentation or were not program related, $933 in costs for meals provided at …
https://www.osc.ny.gov/state-agencies/audits/2019/12/31/minds-motion-inc-compliance-reimbursable-cost-manualOversight of Nurse Hiring and Retention (Follow-Up)
… screening of its direct hire and temporary nurses, it had not taken action to ensure that direct hire nurses who began …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/oversight-nurse-hiring-and-retention-followOversight of Critical Foster Care Program Requirements (Follow-Up)
… implemented and one was partially implemented. OCFS is not required to respond to this follow-up report. However, we …
https://www.osc.ny.gov/state-agencies/audits/2020/02/03/oversight-critical-foster-care-program-requirements-followMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… of the overpayments occurred because eMedNY controls were not in place to prevent the payment of coinsurance for …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followSummit Security Services, Inc. (Summit)
… subcontractor, Bestworth Security Services, who did not meet the Contract qualifications . Specifically, none …
https://www.osc.ny.gov/state-agencies/audits/2020/08/03/summit-security-services-inc-summitMedicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023
… referred ambulatory, lab, and practitioner claims that did not comply with Medicaid policies; $167,098 was paid for …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/medicaid-program-claims-processing-activity-april-1-2023-through-september-30-2023National Directory of New Hires Data Security
… (TANF) and the Supplemental Nutrition Assistance Program (SNAP). As part of managing these programs, OTDA obtains … insurance. OTDA uses Directory data to verify TANF and SNAP eligibility information. The identification and …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/national-directory-new-hires-data-securityNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up)
… CVS paid pharmacy claims for Empire Plan members who were not eligible. Our audit covered the period from January 1, …
https://www.osc.ny.gov/state-agencies/audits/2023/01/04/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleOffice of Temporary and Disability Assistance - SSP Payments Made to Deceased Individuals
… Services. Deceased SSP recipients’ beneficiaries are not entitled to continued SSP payments. OTDA obtains …
https://www.osc.ny.gov/state-agencies/audits/2018/01/09/office-temporary-and-disability-assistance-ssp-payments-made-deceased-individualsCompliance With Requirements to Maintain Systems at Vendor-Supported Levels
… vendors. In these cases, we determined that RGRTA was not providing sufficient oversight of those vendors to ensure …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/compliance-requirements-maintain-systems-vendor-supported-levelsInappropriate Payments Related to Procedure Modifiers (Follow-Up)
… two audit recommendations, one was implemented and one was not implemented. Key Recommendation Officials are given 30 …
https://www.osc.ny.gov/state-agencies/audits/2019/07/31/inappropriate-payments-related-procedure-modifiers-followMedicaid Program – Improper Medicaid Payments for Recipients in Hospice Care
… for services, such as private duty nursing, that were not allowed in combination with the daily hospice rate; $2.4 …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-improper-medicaid-payments-recipients-hospice-careCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… with six drug manufacturers and found that CVS Health did not always properly invoice drug manufacturers for rebates …
https://www.osc.ny.gov/state-agencies/audits/2019/01/28/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… the initial report’s three audit recommendations, one was not implemented and two were partially implemented. Key …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followCVS Health – Temporary Holding Account Rebate Revenue
… as “non-rebate-eligible.” As a result, CVS Health did not seek rebates from drug manufacturers on claims that were, …
https://www.osc.ny.gov/state-agencies/audits/2019/10/17/cvs-health-temporary-holding-account-rebate-revenueWadsworth Center Environmental Laboratory Approval Program
… Wadsworth has taken corrective action. However, we did not find a significant amount of other non-compliance with …
https://www.osc.ny.gov/state-agencies/audits/2019/12/09/wadsworth-center-environmental-laboratory-approval-programSt. Anne Institute – Compliance With the Reimbursable Cost Manual
… 30, 2016. About the Program St. Anne is an SED-approved, not-for-profit private school located in Albany that provides … and $1,277 in fringe benefits for employees who were not directly related to the preschool program; and $6,917 in …
https://www.osc.ny.gov/state-agencies/audits/2019/12/10/st-anne-institute-compliance-reimbursable-cost-manualState Agencies Bulletin No. 2063
… for reporting and tax withholding purposes only and does not increase the employee’s compensation. Tax Information …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2063-certification-licensure-and-exam-fee-reimbursement-clefr-2022State Agencies Bulletin No. 1956
… for reporting and tax withholding purposes only and does not increase the employee’s compensation. Tax Information …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1956-certification-licensure-and-exam-fee-reimbursement-clefr-2021