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Medicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… services that are not covered by original Medicare (e.g., dental services). Plans reimburse health care providers for …
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
… a new type of health plan, Health and Recovery Plans (HARP). These health plans allowed qualified managed care … significant behavioral health needs were enrolled into HARP. Key Findings With the inception of HARP – and the transition of certain behavioral health …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansProcurement Practices
… employs more than 2,500 faculty on its three campuses. In support of its mission, Buffalo spent nearly $330 million in … were paid to two vendors: Buffalo Foundation Activities, Inc. for research-related administrative services; and Corr … avoidance, overcharges by vendors, and purchases that lack support for business need or reasonableness of price, among …
https://www.osc.ny.gov/state-agencies/audits/2019/10/03/procurement-practicesMedicaid Program – Claims Processing Activity October 1, 2018 Through March 31, 2019
… 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, … prompt attention, as follows: $1.9 million was paid for inpatient claims that were billed at a higher level of …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/medicaid-program-claims-processing-activity-october-1-2018-through-march-31-2019SUNY Bulletin No. SU-282
… Actions Prior to processing, agencies must complete a roster identifying employees who will receive an April 2019 … SUNY M/C Retroactive Discretionary Salary Increase. The roster must include the increased salary and must be signed … forwarded to SUNY System Administration. A copy of this roster will be provided to OSC in Excel format. To pay the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-282-april-2019-state-university-new-york-suny-management-andReal Estate Advisory Committee
… to Section 423 of the Retirement and Social Security Law. The Real Estate Advisory Committee reviews proposed … Ratner Salzberg Principal Uplands Real Estate Partners Peter Tilles Developer …
https://www.osc.ny.gov/common-retirement-fund/resources/real-estate-advisory-committeeActuarial Advisory Committee
… appointed by the Comptroller pursuant to regulation (11 NYCRR 136-2), reviews and advises the Comptroller on the …
https://www.osc.ny.gov/common-retirement-fund/resources/actuarial-advisory-committeeMedicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … 2017 through September 30, 2017. Background The Department of Health (Department) administers the State’s Medicaid … 193 million claims, resulting in payments to providers of more than $31 billion. The claims are processed and paid …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Optimizing Medicaid Drug Rebates (Follow-Up)
… made in our initial audit report, Optimizing Medicaid Drug Rebates (Report 2015-S-1 ). Background The State’s … able to recover a portion of the Medicaid prescription drug costs by requesting rebates from drug manufacturers. We issued our initial audit report on …
https://www.osc.ny.gov/state-agencies/audits/2017/12/20/optimizing-medicaid-drug-rebates-followNichols Joint Fire District – Procurement (2025M-103)
… [read complete report – pdf] Audit Objective Did Nichols Joint Fire District (District) Board of Fire … Did Nichols Joint Fire District District Board of Fire …
https://www.osc.ny.gov/local-government/audits/fire-district/2026/01/09/nichols-joint-fire-district-procurement-2025m-103Sherburne-Earlville Central School District – Financial Management (2024M-61)
… officials are not presenting the District’s spending plan in a transparent and meaningful manner to taxpayers. In addition, the Board did not adopt a reserve policy to define its rationale for establishing reserve funds, maximum targeted funding …
https://www.osc.ny.gov/local-government/audits/school-district/2024/10/04/sherburne-earlville-central-school-district-financial-management-2024m-61Miller Place Fire District – Credit Cards (2024M-58)
… of Fire Commissioners (Board) ensured that credit card charges were properly approved, supported and for appropriate … Findings The Board did not always ensure that credit card charges were properly approved, supported and for appropriate … for unauthorized or inappropriate purchases. Of the 136 charges and credits totaling $70,570 we reviewed: 86 charges …
https://www.osc.ny.gov/local-government/audits/fire-district/2024/09/13/miller-place-fire-district-credit-cards-2024m-58Gowanda Central School District – Financial Management (2024M-104)
… budgeting practices were not transparent and resulted in the District exceeding the statutory limit on surplus fund … finance operations as a means to accumulate surplus funds in excess of the legal limit is in effect a reservation of fund balance that artificially …
https://www.osc.ny.gov/local-government/audits/school-district/2024/12/13/gowanda-central-school-district-financial-management-2024m-104State Agencies Bulletin No. 278
… to these events, two codes have been created. If agencies do not need to track expenditures separately, or if they have …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/278-tracking-expenditures-related-overtime-worked-due-events-september-11Avon Central School District – Financial Management (2024M-75)
… gaps. However, the District incurred operating surpluses in all five years we reviewed, totaling $8.2 million. Appropriating fund balance that is not needed is, in effect, a reservation of fund balance that is not provided … annual expenditures for 344 years and the debt reserve in the debt service fund had $866,000 in unidentified money …
https://www.osc.ny.gov/local-government/audits/school-district/2024/10/25/avon-central-school-district-financial-management-2024m-75Falconer Central School District – Financial Management (2024M-52)
… excess of the legal limit or to provide a funding source for capital projects without voter approval is misleading and …
https://www.osc.ny.gov/local-government/audits/school-district/2024/08/09/falconer-central-school-district-financial-management-2024m-52State Agencies Bulletin No. 1161
… employee’s retroactive adjustments minus the retroactive health insurance adjustment. If the deficit reduction monies … to the deficit reduction. Bonus Pay Fringe Benefits Health Insurance Opt-OutHoliday Pay Lost Time Lump Sum …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1161-2011-2012-and-2012-2013-deficit-reduction-plan-non-arbitration-eligibleCUNY Bulletin No. CU-234
… , TK , and TY Background Pursuant to the 2002-06 Blue and White Collar Memorandum of Agreement dated July 19, 2005 … unit’s ratification date of the 2002-06 Blue and White Collar Agreement. Ratification Dates and Bargaining …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-234-cuny-2005-ratification-bonus-paymentsMedicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2015, eMedNY processed about 264 million claims, resulting in payments to providers of about $28.5 billion. The claims …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015Tuition Assistance Program – Metropolitan Learning Institute
… complied with the Education Law and the Commissioner of Education’s Rules and Regulations when certifying students … totaling almost $8.7 million that were paid on behalf of 1,890 students. At the time of our audit, Metropolitan served about 550 students. Tuition …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/tuition-assistance-program-metropolitan-learning-institute