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Medicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… manner, in some cases taking more than six months to enter new enrollee eligibility data. Key Recommendations Review the …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careDisposal of Electronic Devices
… One way information can be compromised is through careless disposal of electronic devices. This policy also requires … Agencies are required to remove all information prior to disposal and, if sending them to OGS, to certify in writing … University at Albany had 36 electronic devices ready for disposal through OGS' Surplus Unit. Key Findings Seven of the …
https://www.osc.ny.gov/state-agencies/audits/2013/09/04/disposal-electronic-devicesOversight of International Offices
… Purpose To determine if Empire State Development (ESD) monitors the effectiveness of its … Other Related Audits/Reports of Interest Empire State Development Corporation: Personal and Miscellaneous Services Contracts ( 2009-S-62) Empire State Development Corporation: Funding Commitments for Economic …
https://www.osc.ny.gov/state-agencies/audits/2013/06/28/oversight-international-officesMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2013, eMedNY processed about 167 million claims resulting in payments to providers of about $26 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Rochester Childfirst Network – Compliance With the Reimbursable Cost Manual
… RCN, a not-for-profit organization located in Rochester, New York, is an SED-approved provider of preschool special …
https://www.osc.ny.gov/state-agencies/audits/2016/11/17/rochester-childfirst-network-compliance-reimbursable-cost-manualBenchmark Family Services, Inc. – Compliance With the Reimbursable Cost Manual
… Class services to 94 children with learning disabilities from school districts located in Jefferson, Lewis, Oswego, …
https://www.osc.ny.gov/state-agencies/audits/2016/12/29/benchmark-family-services-inc-compliance-reimbursable-cost-manualAudits of Local Governments: The Audit Process
… A risk assessment process precedes most Office of the New York State Comptroller (OSC) audits of local governments …
https://www.osc.ny.gov/local-government/audits/audits-local-governments-audit-processFranziska Racker Centers, Inc.: Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Franziska Racker Centers, Inc. dba … calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM). The audit covered …
https://www.osc.ny.gov/state-agencies/audits/2022/02/01/franziska-racker-centers-inc-compliance-reimbursable-cost-manualAccuracy of Medicaid Eligibility Determined by NY State of Health (Follow-Up)
… audit report, Accuracy of Medicaid Eligibility Determined by NY State of Health (Report 2019-S-43 ). About the Program … audit report Accuracy of Medicaid Eligibility Determined by NY State of Health Report 2019S43 …
https://www.osc.ny.gov/state-agencies/audits/2022/09/30/accuracy-medicaid-eligibility-determined-ny-state-health-followThe Arc Erie County New York – Compliance With the Reimbursable Cost Manual
… with the guidelines in SED’s RCM regarding eligibility and documentation requirements. For the fiscal year ended June … included: $6,178 in non-reimbursable costs, including $1,715 in promotional items, $1,707 in food for staff, $955 in undocumented expenses, $813 …
https://www.osc.ny.gov/state-agencies/audits/2022/12/06/arc-erie-county-new-york-compliance-reimbursable-cost-manualMedicaid Program – Claims Processing Activity October 1, 2019 Through March 31, 2020
… and diagnosis code; $513,427 was paid for practitioner, clinic, inpatient, pharmacy, and episodic home health care …
https://www.osc.ny.gov/state-agencies/audits/2020/10/20/medicaid-program-claims-processing-activity-october-1-2019-through-march-31-2020Oversight of Career and Technical Education Programs in New York State Schools
… and what the Department, school districts, and Boards of Cooperative Educational Services (BOCES) can do to enhance … (Approved programs) or may operate outside of the Department approval structure (Local programs). Key … school system align with student goals and the needs of the State labor market. We found that CTE programs and …
https://www.osc.ny.gov/state-agencies/audits/2020/12/21/oversight-career-and-technical-education-programs-new-york-state-schoolsWayne County Chapter NYSARC, Inc. – Compliance With the Reimbursable Cost Manual
… reported by the Wayne County Chapter of NYSARC, Inc. (ARC Wayne) on its Consolidated Fiscal Report (CFR) were … (CFR Manual). The audit covered expenses reported on ARC Wayne’s 2016 and 2017 CFRs for the fiscal year ended June 30, 2017. About the Program ARC Wayne is a not-for-profit organization located in Wayne …
https://www.osc.ny.gov/state-agencies/audits/2020/12/07/wayne-county-chapter-nysarc-inc-compliance-reimbursable-cost-manualMary Cariola Children’s Center, Inc. – Compliance With the Reimbursable Cost Manual
… Mary Cariola is a not-for-profit organization located in Monroe County. Among other programs, Mary Cariola provides … 30, 2016, Mary Cariola reported approximately $2.6 million in reimbursable costs on its CFR for the Preschool Special … the fiscal year ended June 30, 2016, we identified $12,744 in ineligible costs that Mary Cariola reported on its CFRs …
https://www.osc.ny.gov/state-agencies/audits/2020/12/07/mary-cariola-childrens-center-inc-compliance-reimbursable-cost-manualUse of Vendor-Supported Technology (Follow-Up)
… Objective To assess the extent of implementation of the two … (IT) department that operates out of its main office. To help carry out its mission, NFTA owns IT resources, … As a public benefit corporation, NFTA must adhere to the New York State Information Technology Security Policy …
https://www.osc.ny.gov/state-agencies/audits/2021/01/19/use-vendor-supported-technology-followKids Unlimited, PT, OT & SLP, PLLC – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Kids Unlimited, PT, OT & SLP, PLLC (Kids Unlimited) on its Consolidated Fiscal Reports (CFRs) … The audit focused primarily on expenses claimed on Kids Unlimited’s CFR for the fiscal year ended June 30, 2015 …
https://www.osc.ny.gov/state-agencies/audits/2020/12/31/kids-unlimited-pt-ot-slp-pllc-compliance-reimbursable-cost-manualOversight of Industrial Hemp (Follow-Up)
… hemp for research purposes. In response, Article 29 of New York’s Agriculture and Markets Law was enacted, launching …
https://www.osc.ny.gov/state-agencies/audits/2021/07/16/oversight-industrial-hemp-followNational Directory of New Hires Data Security
… Objective To determine whether the Office of Temporary and Disability Assistance has met … for securing National Directory of New Hires data. The audit covers the period June 2, 2016 to March 3, 2020. About the Program … To determine whether the Office of Temporary and Disability Assistance has met …
https://www.osc.ny.gov/state-agencies/audits/2020/05/20/national-directory-new-hires-data-securityMedicaid Program – Claims Processing Activity October 1, 2021 Through March 31, 2022
… inpatient, managed care, and laboratory claims that did not comply with Medicaid policies, such as billing in excess …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-claims-processing-activity-october-1-2021-through-march-31-2022New York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service … The Empire Plan is the primary health insurance plan for NYSHIP, covering 1.1 million members. Civil Service contracts …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-services