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Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… included in our initial audit report, Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Report … (Department) made premium payments to Medicaid managed care plans for Medicaid recipients who also had Medicare … we identified about 271,000 unnecessary Medicaid managed care payments (totaling about $111 million) that were made on …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… made in our audit report, Medicaid Payments for Medicare Part A Beneficiaries (2009-S-36). Background Our initial … for recipients who were also enrolled in Medicare Part A. Medicare Part A provides supplementary medical insurance for inpatient … made in our audit report Medicaid Payments for Medicare Part A Beneficiaries 2009S36 …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followNew York State Dental Program – Payments for Scaling and Root Planing Procedures (Follow-Up)
… initial report Group Health Incorporated: New York State Dental Program - Payments for Scaling and Root Planing … 1, 2005 through December 31, 2008. New York State provides dental insurance benefits to certain State employees and … contracts with Group Health Incorporated (GHI) to process dental claims on behalf of the State. Emblem Health is the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/12/new-york-state-dental-program-payments-scaling-and-root-planing-procedures-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are also eligible for Medicare Part B, which provides supplementary medical insurance … health care providers' Medicaid claims for Medicare Part B deductibles and coinsurance. The audit covered the …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followVehicle and Heavy Equipment Purchase Program (Follow-Up)
… included in our initial audit report, Vehicle and Heavy Equipment Purchase Program ( Report 2009-S-32 ). … procedures to ensure that the acquisition of vehicles and heavy equipment was justified. In a random sample of 75 … In addition, the Port Authority included funds for vehicle and equipment rentals in its annual Purchase Program. We also …
https://www.osc.ny.gov/state-agencies/audits/2014/11/03/vehicle-and-heavy-equipment-purchase-program-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… ensure proper Medicaid payments for foster care children placed in voluntary agencies. The Department administers the … State Medicaid program. Many foster care children who are placed in private welfare agencies (known as voluntary … paid about $990 million on behalf of about 70,000 children placed in voluntary agencies - $640 million of which was paid …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… recommendations made in our audit report, Improper Managed Care Payments for Certain Medicaid Recipients (Report … 30, 2010, Medicaid made $15.6 million in improper managed care payments on behalf of 14,899 recipients who, by State law, were precluded from enrollment in managed care programs. We recommended that the Department investigate …
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followEnhanced Medicaid Payments to Selected Home Health Care Service Providers (Follow-Up)
… audit report, Enhanced Medicaid Payments to Selected Home Health Care Service Providers (Report 2009-S-25). … issued on September 24, 2010, examined whether selected home health care providers properly used Medicaid funds for … 2006 through 2011, to organizations that provide certain home health care services to Medicaid recipients. The …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/enhanced-medicaid-payments-selected-home-health-care-service-providers-followChemical Dependency Program Payments to Selected Contractors in New York City (Follow-Up)
… Dependency Program Payments to Selected Contractors in NYC 2007S60 …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/chemical-dependency-program-payments-selected-contractors-new-york-city-followContract with Daytop Village, Inc. (Follow-Up)
… Key Recommendations Officials are given 30 days after the issuance of the follow-up review to provide information on …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/contract-daytop-village-inc-followHourly Based Information Technology Services
… (HBITS) vendors: (i) at the appropriate hourly bill rates; (ii) for consultants with the required months of … for standard and specialty job titles. The hourly bill rates for standard titles are based on job title, skill … skill demand level, and region of service. The hourly bill rates for specialty titles are based upon job title and …
https://www.osc.ny.gov/state-agencies/audits/2016/09/02/hourly-based-information-technology-servicesMission Statement and Performance Measures
… impact on the project schedule and/or budget. However, it needs to analyze this information better to identify common … late when compared to the original baseline end date, to seven months early when compared to the latest projection. …
https://www.osc.ny.gov/state-agencies/audits/2014/06/13/mission-statement-and-performance-measuresFood Safety Monitoring
… 3,894 food samples for testing to identify potential violations of food safety. Key Findings The Division has been …
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 … the New York City Administration for Children’s Services (ACS). To accomplish our objective, we matched a file of tax … to the subsidized day care files provided by OCFS and ACS. Key Findings During the period of our examination, the …
https://www.osc.ny.gov/state-agencies/audits/2017/08/29/child-and-dependent-care-creditCVS Health – Temporary Holding Account Rebate Revenue (Follow-Up)
… CVS Health to administer the Empire Plan’s prescription drug program for the period January 1, 2014 through December … CVS Health was required to negotiate agreements with drug manufacturers for rebates and remit the rebate revenue … CVS Health remitted to Civil Service all commercial drug rebate revenue attributable to eligible prescription …
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)
… in our initial audit report, Compliance With Jonathan’s Law (Report 2017-S-67 ). About the Program In February 2007, … and then at a State-run facility. In May 2007, “Jonathan’s Law” was enacted to expand parents’, guardians’, and other … of Addiction Services and Supports. Under Jonathan’s Law, facility directors are required to do the following in …
https://www.osc.ny.gov/state-agencies/audits/2021/02/25/compliance-jonathans-law-followLong-Term Care Ombudsman Program (Follow-Up)
… made in our initial audit report, Long-Term Care Ombudsman Program (Report 2018-S-48 ). About the Program Under the … is required to establish an Office of the State Long-Term Care Ombudsman. In New York, this office (hereafter referred … recommendations made in our initial audit report LongTerm Care Ombudsman Program Report 2018S48 …
https://www.osc.ny.gov/state-agencies/audits/2020/12/31/long-term-care-ombudsman-program-followSelected Controls Over the Property Tax Assessment Process (Follow-Up)
… years and non-taxable properties every five years. There are four tax classes for property in New York City: Class 1 covers one- to … previous tax classes. The tax classification determines how property value is assessed. DOF uses the …
https://www.osc.ny.gov/state-agencies/audits/2020/01/06/selected-controls-over-property-tax-assessment-process-followInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… made in our initial audit report, Inappropriate Premium Payments for Recipients No Longer Enrolled in … program. Managed care plans (Plans) receive monthly premium payments for individuals enrolled in their plans. The … Department of Health (Department) has the right to recover premium payments from Plans for inappropriately enrolled …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andSignal Maintenance, Inspection, and Testing (Follow-Up)
… including Electrical, which is responsible for Power and Signals. Subway track is divided into sections for … from the logbook is entered into the Integrated Signals’ Equipment Information System and Enterprise Asset Management (EAM), Signals’ internal database. The EAM system, still under …
https://www.osc.ny.gov/state-agencies/audits/2020/08/19/signal-maintenance-inspection-and-testing-follow