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HTA of New York, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by HTA of New York, Inc. (HTA) on its Consolidated Fiscal Report (CFR) were …
https://www.osc.ny.gov/state-agencies/audits/2016/12/15/hta-new-york-inc-compliance-reimbursable-cost-manualState Agencies Bulletin No. 949
… deduction limit as a result of the American Recovery and Reinvestment Act (ARRA). Legal Reference The American Recovery and Reinvestment Act (ARRA) includes changes to the monthly … an employee’s gross income for Federal income tax purposes and from Social Security and Medicare taxes. Under ARRA, the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/949-nys-ride-transportation-benefit-program-and-cuny-transit-benefitMedicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit … for services rendered to Medicaid eligible recipients, and it generates payments to reimburse the providers for … providers of about $25 billion. The claims are processed and paid in weekly cycles which averaged about 6.8 million …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Claims Processing Activity October 1, 2022 Through March 31, 2023
… were processed in accordance with Medicaid requirements, and resulted in correct payments to providers. The audit covered the period October 2022 through March 2023, and certain claims going back to June 2022. About the Program … for services rendered to Medicaid-eligible recipients and generates payments to reimburse the providers for their …
https://www.osc.ny.gov/state-agencies/audits/2023/10/25/medicaid-program-claims-processing-activity-october-1-2022-through-march-31-2023Medicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… individuals who, generally, don’t otherwise qualify for Medicaid. As income, household makeup, and other factors … Plan coverage because the Department did not account for the Essential Plan as a liable third-party health … both programs and having enrollment information for both in its systems, the Department never applied payment …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andMedicaid Program – Improper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes
… and supplies while recipients were residing in nursing homes. The audit covered the period from January 2016 to … nursing home reimbursement rates, recipients in nursing homes are to be provided with DMEPOS (the rates do not … items that likely should have been provided by nursing homes as part of the daily all-inclusive rate paid to those …
https://www.osc.ny.gov/state-agencies/audits/2022/04/19/medicaid-program-improper-medicaid-managed-care-payments-durable-medical-equipmentKids Unlimited, PT, OT & SLP, PLLC – Compliance With the Reimbursable Cost Manual
… documented pursuant to the State Education Department’s (SED) Reimbursable Cost Manual (RCM) and the Consolidated … ended June 30, 2014. About the Program Kids Unlimited is a New York City-based for-profit organization authorized by SED to …
https://www.osc.ny.gov/state-agencies/audits/2020/12/31/kids-unlimited-pt-ot-slp-pllc-compliance-reimbursable-cost-manualMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… initial audit report, Maximizing Drug Rebates for Health and Recovery Plans (Report 2017-S-61 ). About the Program … behavioral health needs began to be enrolled into Health and Recovery Plans (HARPs). HARPs are a type of managed care … recipients age 21 or older with serious mental illness and/or substance use disorders. We issued our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followThe Norman Howard School – Compliance With the Reimbursable Cost Manual
… disabilities in grades 5 through 12. NHS is reimbursed for these services based upon financial information contained … New York State Education Department (SED). To be eligible for reimbursement, the expenses must comply with the guidelines contained in the CFR Manual and RCM. For the three fiscal years ended June 30, 2011, NHS reported …
https://www.osc.ny.gov/state-agencies/audits/2013/07/15/norman-howard-school-compliance-reimbursable-cost-manualCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
… of Drug Rebate Revenue Remitted to the Department of Civil Service (Report 2019-S-51 ). About the Program The New … Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-followImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… coverage to people who are chronically ill or disabled and who wish to stay in their homes and communities. MLTC plans offer a range of services, such … health care, nursing home care, dentistry, vision care, and durable medical equipment. The Department of Health …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followNew York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)
… two recommendations included in our initial audit report, New York State Health Insurance Program: Empire Plan Members With Dual Family Coverage (Report …
https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-followBooks and Rattles, Inc. – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Books and Rattles, Inc. (Books and Rattles) on … to children with disabilities who are between the ages of three and five years. For purposes of this report, these … special education programs, Books and Rattles operated another SED-approved preschool special education program: 1:1 …
https://www.osc.ny.gov/state-agencies/audits/2017/01/03/books-and-rattles-inc-compliance-reimbursable-cost-manualComptroller DiNapoli Releases State Audits
… New York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued: Department of Health (DOH): Improper Payments Related to the Medicare Buy-In Program (Follow-Up) (2014-F-12) An initial …
https://www.osc.ny.gov/press/releases/2014/12/comptroller-dinapoli-releases-state-auditsState Agencies Bulletin No. 734
… Purpose To inform the Department of Environmental Conservation of the procedure to return employees in the titles of Forest Ranger 1, 2 and 3 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/734-return-certain-arbitration-eligible-employees-bargaining-units-31-and-61Maximizing Incentives for Individuals With Disabilities (Follow-Up)
… Objective To determine the extent of implementation of the four recommendations included in our … by the SSA with the goal of helping SSA beneficiaries (i.e., Supplemental Security Income and Social Security …
https://www.osc.ny.gov/state-agencies/audits/2024/02/20/maximizing-incentives-individuals-disabilities-followPublic Health – 2023 Financial Condition Report
… restrictions on disenrollment during the COVID public health emergency. Federal restrictions during the pandemic … New Yorkers Benefited from Medicaid, Essential Plan or Child Health Plus In March 2023, nearly 9.4 million … Yorkers were enrolled in Medicaid, the Essential Plan or Child Health Plus (which provides coverage for children under …
https://www.osc.ny.gov/reports/finance/2023-fcr/public-healthOversight of Pupil Transportation Services (Follow-Up)
… children are transported to school daily across the State, with one third riding School District-owned buses, one … make rules and regulations implementing such requirements on a statewide basis; and (c) establish an electronic data … required initial and annual refresher trainings. To carry out its responsibilities to ensure safe and efficient …
https://www.osc.ny.gov/state-agencies/audits/2022/06/22/oversight-pupil-transportation-services-followCompliance With the Sewage Pollution Right to Know Act and Monitoring and Enforcement of State Pollutant Discharge Elimination System Permit Requirements
… freshwater lakes, ponds, and reservoirs that are used for drinking, bathing, and recreation. As the State’s … regulatory agency, the Department is responsible for improving and protecting this vast network of water … the Department requires POTWs and POSSs to register for and use its NY-Alert electronic notification system to …
https://www.osc.ny.gov/state-agencies/audits/2020/10/19/compliance-sewage-pollution-right-know-act-and-monitoring-and-enforcement-state-pollutantPublic Health – 2022 Financial Condition Report
… by nearly $3 billion and local Medicaid spending by $645 million in SFY 2021-22. State share spending is further …
https://www.osc.ny.gov/reports/finance/2022-fcr/public-health