Search
Inappropriate Medicaid Payments for Recipients With Multiple Identification Numbers and No Social Security Numbers (Follow-Up)
… Medicaid Payments for Recipients with Multiple Identification Numbers and No Social Security Numbers … service districts (local districts) properly assigned identification numbers to individuals eligible for Medicaid, … identification numbers. The recipient identification number is a critical factor in determining the …
https://www.osc.ny.gov/state-agencies/audits/2014/08/06/inappropriate-medicaid-payments-recipients-multiple-identification-numbers-and-no-socialNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… Incorporated: New York State Dental Program - Payments for Scaling and Root Planing Procedure s (Report 2009-S-95). … and root planing procedures and whether GHI overpaid for scaling and root planing services. Our audit covered the … GHI processes and pays approximately $57 million a year for dental services provided to eligible members. Services …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… not implemented. Key Recommendation Officials are given 30 days after the issuance of the follow-up report to provide …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… managed care premiums for enrollees of the Family Health Plus program who also have Medicare. Key Finding Department …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followContract with EBSCO Subscription Services, Inc. (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations … entities. EBSCO Subscription Services Inc. (EBSCO) is the largest provider in this contract group. Its current five-year contract is valued at $140 million and expires December 31, 2015. In …
https://www.osc.ny.gov/state-agencies/audits/2013/05/13/contract-ebsco-subscription-services-inc-followMedicaid Payments for Excessive Dental Services (Follow-Up)
… Department of Health: Medicaid Payments for Dental Consultations (2010-S-12) … To determine the extent of …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followEfforts to Collect Delinquent Taxes (Follow-Up)
… 29% and 40% higher than their respective totals as of March 2021, which we cited in our initial audit report. The objective of our initial audit, issued August 24, 2021, was to determine whether the Department is making …
https://www.osc.ny.gov/state-agencies/audits/2023/03/01/efforts-collect-delinquent-taxes-followImproper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… to individuals who are economically disadvantaged and/or have special health care needs. The New York State … can dispense when prescriptions are ordered by telephone or fax. Our initial audit report, which was issued on …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… made in our audit report, Improper Managed Care Payments for Certain Medicaid Recipients (Report 2010-S-66). … which was issued on July 24, 2012, determined that, for the five years ended June 30, 2010, Medicaid made $15.6 … Department of Health: Improper Managed Care Payments for Certain Medicaid Recipients ( 2010-S-66 ) … To determine …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations made in our audit report, …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… for Services Also Covered by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are … for Services Also Covered by Medicare Part B (2010-S-50) … To determine the extent of implementation of the three …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followContract with Daytop Village, Inc. (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Contract with Daytop Village, … as of October 2012, of the three recommendations included in our initial report. Key Findings OASAS officials have made progress in addressing the matters identified in our initial report. …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/contract-daytop-village-inc-followChemical Dependency Program Payments to Selected Contractors in New York City (Follow-Up)
… Dependency Program Payments to Selected Contractors in New York City (Report 2007-S-60). Background Our initial audit report, which was issued …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/chemical-dependency-program-payments-selected-contractors-new-york-city-followInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… the initial audit period, Family Health Plus (FHP) was a publicly funded managed care program for individuals whose … 171,936 recipients who were retroactively disenrolled from a Plan. We provided the claim data to the Office of the … (OMIG), and it recovered about $7.4 million from the Plans by the end of the audit. We also found the New York City …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andCVS Health – Temporary Holding Account Rebate Revenue (Follow-Up)
… prescription drug claims, as “non-rebate-eligible.” As a result, CVS Health did not seek rebates from drug … “non-rebate-eligible” designation from the account. As a result, we projected Civil Service would receive additional …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/cvs-health-temporary-holding-account-rebate-revenue-followLong-Term Care Ombudsman Program (Follow-Up)
… an advocate and resource for both older adults and persons with disabilities who live in Long-Term Care (LTC) … 1,500 LTC facilities in the State, establish relationships with residents, and respond to resident complaints. Our … in part to a decline in the number of volunteers combined with a lack of paid regional program staff. Many facilities …
https://www.osc.ny.gov/state-agencies/audits/2020/12/31/long-term-care-ombudsman-program-followConclusion – Travel and Conference Expense Management
… and conference expenses. Managers should also be familiar with the requirements imposed by law on travel and conference … requirements; and the timely submission of claims/vouchers with appropriate documentation. Managers should use the … expenses. The auditing body or official must be familiar with travel and conference procedures so that any significant …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/conclusionManaged Care Organizations – Payments to Ineligible Providers (Follow-Up)
… not implemented. Key Recommendation Officials are given 30 days after the issuance of the follow-up report to provide …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/managed-care-organizations-payments-ineligible-providers-followHousing Preferences for Disabled Veterans (Follow-Up)
… Purpose To determine the extent of implementation of the two recommendations included in our initial audit report, … Veterans (2010-S-42). Background In November 2007, the Private Housing Law was amended to require housing …
https://www.osc.ny.gov/state-agencies/audits/2013/02/19/housing-preferences-disabled-veterans-followChild 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 … day care files provided by OCFS and ACS. Key Findings During the period of our examination, the Department …
https://www.osc.ny.gov/state-agencies/audits/2017/08/29/child-and-dependent-care-credit