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Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Medicaid Program: Improper … between Medicaid and the Essential Plan, resulting in DOH-authorized periods of overlapping coverage. The … The audit found Medicaid improperly paid $93.7 million in claims during periods of overlapping Medicaid and …
https://www.osc.ny.gov/state-agencies/audits/2025/06/04/improper-medicaid-payments-during-permissible-overlapping-medicaid-and-essential-planMedicaid Program – Impact of Rejected Encounters on the Collection of Drug Rebates
… manufacturers. The Department of Health (DOH) administers New York’s Medicaid program. Many of the State’s Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2024/12/23/medicaid-program-impact-rejected-encounters-collection-drug-rebatesState Agencies Bulletin No. 2237
… pay, in addition to unfilled positions, are included on the master file. The birthdate and pension elect/term … 2024 Eligibility Criteria: Employee must have received pay on the specified check date to appear on file. OSC Actions: … include the bulletin number in the subject line. In the body, please provide the SFTP address to send test files to, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2237-changes-nhrp501-agency-master-file-include-additional-fieldsYour Pension Pay Stub
… Your monthly Pension Pay Stub is available in Retirement Online and … pay stubs for year-to-date totals of each. View Your Pension Pay Stub in Retirement Online Sign in to Retirement … under I want to… (located at the top right). Click View Pension Check link. Select date of the pension payment to …
https://www.osc.ny.gov/retirement/retirees/your-pension-pay-stubFacility Oversight and Timeliness of Response to Complaints and Inmate Grievances
… Purpose To determine if the State Commission of Correction (Commission) is fulfilling its responsibilities for the oversight of correctional facilities and for responding timely to … Background The Commission is responsible for oversight of all 561 correctional facilities throughout the State …
https://www.osc.ny.gov/state-agencies/audits/2018/01/19/facility-oversight-and-timeliness-response-complaints-and-inmate-grievancesFinancial Condition and Selected Expenses (Follow-Up)
… Agreement with New York State, a percentage of Resorts’ Video Lottery Terminal (VLT) revenues is to be directed to …
https://www.osc.ny.gov/state-agencies/audits/2018/01/24/financial-condition-and-selected-expenses-followBorough of Manhattan Community College – Controls Over Bank Accounts (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial report, Borough of Manhattan Community College: Controls Over Bank Accounts ( … To determine the extent of implementation of the three recommendations included in …
https://www.osc.ny.gov/state-agencies/audits/2018/03/06/borough-manhattan-community-college-controls-over-bank-accounts-followSecurity Over Electronic Protected Health Information (Follow-Up)
… initial audit report, Security Over Electronic Protected Health Information (2014-S-67). Background Our initial audit … security program to protect the electronic protected health information (ePHI) it creates, receives, maintains, or … had taken many steps to safeguard its ePHI and meet Health Insurance Portability and Accountability Act security …
https://www.osc.ny.gov/state-agencies/audits/2016/10/07/security-over-electronic-protected-health-information-followSecurity and Effectiveness of Division of Criminal Justice Services' Core Systems (Follow-Up)
… Key Recommendation Officials are given 30 days after the issuance of the follow-up review to provide …
https://www.osc.ny.gov/state-agencies/audits/2017/04/07/security-and-effectiveness-division-criminal-justice-services-core-systems-followCollection and Use of Oil Spill Funds (Follow-Up)
… Purpose To assess the extent of implementation of the four recommendations included in our initial audit report, Collection and Use of Oil Spill Funds ( 2014-S-59 ). Background Chapter 845 of … To assess the extent of implementation of the four recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2017/12/07/collection-and-use-oil-spill-funds-followMedicaid Program – Ambulatory Patient Groups Payments for Duplicate Claims and Services in Excess of Medicaid Service Limits
… Purpose To determine whether the Department of Health established adequate controls to prevent duplicate … services using the APG payment methodology. The Department of Health (Department) adopted the APG methodology in an … are reimbursed based on patient condition and complexity of service. The Department phased in the APG methodology …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-ambulatory-patient-groups-payments-duplicate-claims-and-services-excessAccounts Receivable Collections
… when they should have been reopened and reassigned because new charges were incurred on the accounts. The Bureau needed …
https://www.osc.ny.gov/state-agencies/audits/2013/03/13/accounts-receivable-collectionsInternal Control System Components
… internal control system appropriately addresses all five com …
https://www.osc.ny.gov/state-agencies/audits/2015/08/04/internal-control-system-componentsMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days … Determine extent of implementation of 3 recommendations included in our initial audit report …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followWage Theft Investigations (Follow-Up)
… Investigations (2013-S-38). Background Our initial report, issued on June 6, 2014, determined the Department was not completing wage theft investigations timely. As of … reports that track information to monitor these plans and alert senior management to accounts in arrears. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2015/05/22/wage-theft-investigations-followViolations of Law, Conflicts of Interest and Other Improprieties at the Department of Correctional Services' Food Production Center (Follow-Up)
… to one of two employee benefit funds to be used for gifts for staff and other items. In return, these same …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/violations-law-conflicts-interest-and-other-improprieties-department-correctional-servicesNew York Psychiatric Center – Controls Over State Resources (Follow-Up)
… of Mental Health (OMH). The Institute conducts clinical trials and research studies relating to the treatment of …
https://www.osc.ny.gov/state-agencies/audits/2014/03/21/new-york-psychiatric-center-controls-over-state-resources-followMotor Vehicle Financial Security and Safety Responsibility Acts – Assessable Expenses for the Fiscal Year Ended March 31, 2014
… or whose property they might damage as a result of an accident. According to Article VI, Section 317 and Article … for the Three Fiscal Years Ended March 31, 2013 (2014-S-17) …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/motor-vehicle-financial-security-and-safety-responsibility-acts-assessable-expenses-fiscalEnhanced Medicaid Payments to Selected Home Health Care Service Providers (Follow-Up)
… audit report, Enhanced Medicaid Payments to Selected Home Health Care Service Providers (Report 2009-S-25). … issued on September 24, 2010, examined whether selected home health care providers properly used Medicaid funds for … 2006 through 2011, to organizations that provide certain home health care services to Medicaid recipients. The …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/enhanced-medicaid-payments-selected-home-health-care-service-providers-followHourly Based Information Technology Services
… (i) at the appropriate hourly bill rates; (ii) for consultants with the required months of experience; and (iii) … the bill rates for all standard and most specialty title consultants are based in part on months of experience. Bill …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/hourly-based-information-technology-services