Search
Medicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… audit found: $31.4 million in potential overpayments for clinic claims that were processed using an incorrect pricing … improper payments for HIV tests, duplicate billings, and clinic, practitioner, and health home services. By the end of …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014American Academy of Pediatrics, District II
… C018189 and C022937. We sought to determine whether the expenses were bona fide and made in accordance with the … AAP approximately $1.5 million under these contracts for expenses related to various immunization initiatives. Key … Medical Education (CME) credits, program materials, hotel expenses, fringe benefits allegedly paid to the Executive …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiContract with Daytop Village, Inc. (Follow-Up)
… Purpose To determine the extent of implementation of the three … OASAS paid Daytop $11.5 million more than it was entitled to. The objective of our follow-up was to assess the extent of implementation, as of October 2012, … To determine the extent of implementation of the three …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/contract-daytop-village-inc-followTravel Card Transactions
… transactions at the Department of Economic Development (DED). Background The New York State Travel Manual requires … appropriately. This is a particular risk in an agency like DED, which has a relatively high volume of transactions per … including international travel. Key Findings We found many DED travelers did not reconcile their credit card …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/travel-card-transactionsExamination of Unemployment Insurance Benefits
… UI benefits from claimants who made false statements or representations to obtain benefits they were not eligible to …
https://www.osc.ny.gov/state-agencies/audits/2015/10/07/examination-unemployment-insurance-benefitsHourly Based Information Technology Services
… for consultants with the required months of experience; and (iii) exclusively for hours worked. Background In November 2012, the Division of the Budget and OGS jointly implemented the HBITS contracts to create a … that defines the hourly bill rate for standard and specialty job titles. The hourly bill rates for standard …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/hourly-based-information-technology-servicesFood Safety Monitoring
… of Food Safety and Inspection (Division) is responsible for enforcing State laws and Department regulations related … As of June 4, 2013, the Division was responsible for inspecting 31,401 establishments. From April 1, 2011 … June 4, 2013, it received 5,724 consumer complaints for investigation, and inspectors obtained 3,894 food samples …
https://www.osc.ny.gov/state-agencies/audits/2014/01/30/food-safety-monitoringChild and Dependent Care Credit
… claimed were not paid by the taxpayer, but were paid, in whole or in part, through subsidies from the New York State Office of … from OCFS and ACS. Use the data to identify taxpayers who claim inappropriate credits. …
https://www.osc.ny.gov/state-agencies/audits/2017/08/29/child-and-dependent-care-creditAudit of the Tuition Assistance Program at Plaza College
… Audit of the Tuition Assistance Program at SUNY ‐ Fashion Institute of Technology (2010-T-4) Higher Education …
https://www.osc.ny.gov/state-agencies/audits/2013/11/05/audit-tuition-assistance-program-plaza-collegeAudit of the Tuition Assistance Program at CUNY Medgar Evers College
… Department: Audit of the Tuition Assistance Program at Dowling College (2012-T-2) Higher Education Services … Department: Audit of the Tuition Assistance Program at Plaza College (2011-T-2) …
https://www.osc.ny.gov/state-agencies/audits/2014/05/16/audit-tuition-assistance-program-cuny-medgar-evers-collegeMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, … payments, including: $6,329,458 in questionable payments for claims that were not subjected to the appropriate edits …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Medicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… Claims with incorrect billings for alternate levels of care, which caused $465,313 in overpayments; Claims for dental services that should have been covered by a managed care plan, which caused $336,780 in overpayments; and Claims …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012Real Estate Portfolio
… procedures that define the specific steps for setting lease and license rates for using Authority property. Other …
https://www.osc.ny.gov/state-agencies/audits/2014/03/27/real-estate-portfolioManagement of Invasive Species (Follow-Up)
… invasive species (TIS). AIS are commonly spread via fishing and boating activities. The Department is authorized …
https://www.osc.ny.gov/state-agencies/audits/2021/11/19/management-invasive-species-followCVS Health – Temporary Holding Account Rebate Revenue (Follow-Up)
… included in our initial audit report, Temporary Holding Account Rebate Revenue ( 2019-S-27 ). Background The New York … eligible prescription drug claims in its temporary holding account. We found that CVS Health improperly designated a temporary holding account, used to process certain prescription drug claims, as …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/cvs-health-temporary-holding-account-rebate-revenue-followCompliance With Jonathan’s Law (Follow-Up)
… of the three recommendations included in our initial audit report, Compliance With Jonathan’s Law (Report 2017-S-67 ). About the Program In February 2007, … of the three recommendations included in our initial audit report Compliance With Jonathans Law Report 2017S67 …
https://www.osc.ny.gov/state-agencies/audits/2021/02/25/compliance-jonathans-law-followAccess Controls Over Selected Critical Systems (Follow-Up)
… vulnerable adult protective services; preventive services for children and families; and juvenile justice. OCFS owns … inappropriate access to OCFS systems because OCFS hadn’t performed required annual user reviews. We also found OCFS …
https://www.osc.ny.gov/state-agencies/audits/2020/12/29/access-controls-over-selected-critical-systems-followUse of Vendor-Supported Technology (Follow-Up)
… Technology Security Policy (Policy) established by the New York State Office of Information Technology … levels. However, we identified unsupported systems used by NFTA on 66 devices. We found that NFTA officials did not develop …
https://www.osc.ny.gov/state-agencies/audits/2021/01/19/use-vendor-supported-technology-followOversight of Critical Foster Care Program Requirements (Follow-Up)
… in our initial audit report, Oversight of Critical Foster Care Program Requirements (Report 2015-S-79 ). … regulates and supervises child welfare services, including foster care and adoption, through its Division of Child … Social Services (counties). These entities administer the foster care program, including placing children in foster …
https://www.osc.ny.gov/state-agencies/audits/2020/02/03/oversight-critical-foster-care-program-requirements-followImproper Overlapping Medicaid and Essential Plan Enrollments (Follow-Up)
… don’t qualify for Medicaid. As income, household makeup, and other factors change, individuals may transition …
https://www.osc.ny.gov/state-agencies/audits/2024/04/10/improper-overlapping-medicaid-and-essential-plan-enrollments-follow