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Medicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… of Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans. The … plans (Plans) also offer supplemental insurance benefits for services that are not covered by original Medicare (e.g., … dental services). Plans reimburse health care providers for services provided to enrollees. Generally, Medicaid is …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesMedicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… Background In 1990, Congress created the Medicaid Drug Rebate Program to reduce state and federal expenditures for … basis, the Department of Health (Department) submits rebate invoices to the manufacturers. The Affordable Care … that HARP-related drugs were identified and processed for rebate invoicing. We determined that the Department …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansOptimizing Medicaid Drug Rebates (Follow-Up)
… the Department had overlooked multiple sources of drug rebate revenue. As a result, the Department did not collect … audit period. We determined that some of the Department’s rebate policies undermined its ability to collect all drug … Given the current fiscal stress on state Medicaid programs, we strongly urge the Department to promptly take …
https://www.osc.ny.gov/state-agencies/audits/2017/12/20/optimizing-medicaid-drug-rebates-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… claims for Medicaid recipients who were enrolled in a managed care plan; $684,457 in overpayments for … the Medicaid program, eMedNY paid five of the providers a total of $292,681 from the date they were charged with a crime to their termination date. The Department should assess …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Bowmansville Volunteer Fire Association, Inc. - Financial Management (2015M-10)
… in Erie County. The Fire Company, which has a five-member Board of Directors, provides fire protection to a portion of … risk that funds were misspent, misused or improper. The Board did not conduct a comprehensive audit of all the bills … possibly misused funds can be recovered. Ensure that the Board conducts a comprehensive review of bills and invoices …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2019/03/08/bowmansville-volunteer-fire-association-inc-financialWelcome Center and Rest Area Planning and Implementation
… projects to construct and improve Rest Areas located on interstate highways. The Rest Area Plan, last issued in July … Areas. Rest Areas are defined as facilities that: exist on interstate highways; are built to American Association of … Three of them (Western, Capital Region, and Mohawk) are on Interstate 87 (New York State Thruway), and the Adirondack …
https://www.osc.ny.gov/state-agencies/audits/2019/06/20/welcome-center-and-rest-area-planning-and-implementationCUNY Bulletin No. CU-509
… of new deduction codes for automatic Dues and Agency Shop Fees for employees in Bargaining Unit T4. Affected … Local 3, IBEW to establish payroll deductions for agency shop fees and dues for employees represented by Local 3, … Description 486 IBEW Local 3 Dues 487 IBEW Local 3 Agency Shop Fee The PayServ system will automatically assign agency …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-509-establishing-dues-and-agency-shop-fees-local-3State Agencies Bulletin No. 1504
… Purpose To remind agencies of the Submission Schedule including all submissions and changes for deductions, taxes, retirement, direct deposit, and earnings transactions. … processing dates that agencies must follow. Please refer to Bulletin Number 1469 for the 2016-17 deadlines for the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1504-timing-deductions-tax-retirement-direct-deposit-and-earnings-entriesLiverpool Public Library - Board Oversight and Leave Accruals (2018M-126)
… - pdf] Audit Objective To determine whether: The Board of Trustees provided adequate oversight of the Library’s financial operations. Library officials … public library is established to serve the residents of the school district. The library and the library board are …
https://www.osc.ny.gov/local-government/audits/library/2018/12/07/liverpool-public-library-board-oversight-and-leave-accruals-2018m-126Medicaid Program – Medicaid Claims Processing Activity October 1, 2016 Through March 31, 2017
… 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, as follows: $4.58 million in overpayments for long-stay inpatient claims that were billed at higher …
https://www.osc.ny.gov/state-agencies/audits/2017/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2016-through-march-31-2017CUNY Bulletin No. CU-572
… Purpose To inform agencies of raise eligibility and automatic processing and to provide … in a separate bulletin Background Pursuant to Memorandum of Agreement between the City University of NY and the PSC (Professional Staff Congress) for the Term … To inform agencies of raise eligibility and automatic processing and to provide …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-572-2012-2016-psc-retroactive-general-salary-increasesCUNY Bulletin No. CU-571
… salary increases. Affected Employees Annual and Hourly PSC employees in Bargaining Units AJ who meet the eligibility … to Memorandum of Agreement between the City University of NY and the PSC (Professional Staff Congress) for the Term of 10/20/2010 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-571-2012-2016-psc-adjunct-retroactive-general-salary-increasesTuition Assistance Program – Metropolitan Learning Institute
… Assistance program (TAP) awards and other State financial aid. Background TAP is an entitlement program designed to … institutions. Schools receiving TAP payments certify student eligibility. The Metropolitan Learning Institute … and other fees, the school’s refund policy, etc. The other student’s enrollment agreement was not signed by an SED …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/tuition-assistance-program-metropolitan-learning-instituteAccountability for Traffic Ticket Surcharges
… collected, accounted for, and reported all traffic ticket surcharge revenue received through its Traffic … for processing and collecting fines and traffic ticket surcharges. Unlike fines, surcharges are … TVBs, including about $147 million generated from traffic ticket surcharges. Key Findings With the exception of about …
https://www.osc.ny.gov/state-agencies/audits/2015/08/10/accountability-traffic-ticket-surchargesMedicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… Purpose To determine whether the Department of Health’s eMedNY system … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period October 1, … claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015Yaphank Fire District – Claims Processing (2013M-51)
… 31, 2012. Background The Yaphank Fire District is located in the Town of Brookhaven in Suffolk County and serves 14.1 square miles in the areas of Yaphank, Shirley and Medford. The District is …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/05/31/yaphank-fire-district-claims-processing-2013m-51White Lake Fire District – Budgeting Practices (2013M-156)
… audit was to examine the District’s budgeting practices for the period January 1, 2012, to April 23, 2013. Background … The District’s general fund budget totaled $234,950 for the 2013 fiscal year. Key Findings The Board has not … our audit was to examine the Districts budgeting practices for the period January 1 2012 to April 23 2013 …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/08/30/white-lake-fire-district-budgeting-practices-2013m-156Rescue Fire Company, Inc. – Unaccounted-For Bar Receipts (2012M-250)
… audit was to evaluate the Company’s financial operations for the period January 1, 2010, to January 24, 2013. … and five Trustees. The Company’s expenses totaled $148,073 for the 2011 fiscal year. Key Findings On August 21, 2012, we … cash from the safe. Bar committee members routinely paid for bar-related purchases with undeposited cash generated …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/04/19/rescue-fire-company-inc-unaccounted-bar-receipts-2012m-250Middle Island Fire District – Budgeting Practices (2013M-93)
… Purpose of Audit The purpose of our audit was to examine the District’s budgeting practices for the … The purpose of our audit was to examine the Districts budgeting practices for the …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/07/05/middle-island-fire-district-budgeting-practices-2013m-93Lansing Fire District – Financial Condition (2013M-80)
… Purpose of Audit The purpose of our audit was to examine the District’s financial condition for the … significantly. At the end of 2012, total fund balance was nearly double the ensuing year’s appropriations, and … The purpose of our audit was to examine the Districts financial condition for the …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/07/05/lansing-fire-district-financial-condition-2013m-80