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Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Unnecessary Managed Care … Medicare deductibles and coinsurance for the recipients in question, the net savings to Medicaid would have been … Medicaid managed care premiums occurred because of delays in posting recipients' Medicare data to eMedNY (Medicaid's …
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)
… included in our initial audit report, Contract with EBSCO Subscription Services, Inc. (Report 2007-R-6). Background Our … of General Services’ (OGS) administration of contracts for subscription services that provided books, journals, … subdivisions, and other authorized entities. EBSCO Subscription Services Inc. (EBSCO) is the largest provider 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)
… our initial audit report, Medicaid Payments for Excessive Dental Services (Report 2009-S-46). Background Our initial … on August 16, 2010, examined Medicaid payments for routine dental services, such as cleanings and oral evaluations, … 31, 2009. Our audit identified $40 million of excessive dental services that exceeded certain frequency limits (i.e., …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Overpayments for Services Also … fees, and medical supplies. Individuals enrolled in both Medicaid and Medicare are commonly referred to as … Findings Department officials made considerable progress in addressing the issues we identified in the initial audit. …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
… Purpose To determine the extent of implementation of the five recommendations made in our audit report, … To determine the extent of implementation of the five recommendations made in our …
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)
… made in our audit report, Unnecessary Medicaid Payments for Children at Voluntary Agencies (2010-S-47). Background … Department of Health: Unnecessary Medicaid Payments for Children at Voluntary Agencies (2010-S-47) … made in our audit report Unnecessary Medicaid Payments for Children at Voluntary Agencies …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followChild and Dependent Care Credit
… was to identify potentially inappropriate Child and Dependent Care credits (credits) processed by the Department of Taxation and Finance (Department) for tax year 2015 because the … subsidies from the New York State Office of Children and Family Services (OCFS) or the New York City …
https://www.osc.ny.gov/state-agencies/audits/2017/08/29/child-and-dependent-care-creditEfforts to Collect Delinquent Taxes (Follow-Up)
… Objective To determine the extent of implementation of the two recommendations included in our initial audit … (Report 2019-S-61 ). About the Program The Department of Taxation and Finance’s (Department) mission is to … To determine the extent of implementation of the two recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2023/03/01/efforts-collect-delinquent-taxes-followPurchasing and Procurement Practices (Follow-Up)
… racetracks: Aqueduct Racetrack, Belmont Park, and Saratoga Race Course. In September 2008, upon renewal of its … officials developed a Purchasing Policy and Procedures Manual (Manual) that included requirements for competitive bidding …
https://www.osc.ny.gov/state-agencies/audits/2024/01/18/purchasing-and-procurement-practices-followContract with Daytop Village, Inc. (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … To determine the extent of implementation of the three recommendations incld in our …
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)
… of implementation of the seven recommendations included in our initial audit report, Chemical Dependency Program Payments to Selected Contractors in New York City (Report 2007-S-60). Background Our initial … of alcohol and substance abuse. We audited $8.4 million in payments made to the two contractors, and found that …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/chemical-dependency-program-payments-selected-contractors-new-york-city-followCyber Incident Response Team (Follow-Up)
… in our initial audit report, Cyber Incident Response Team (Report 2020-S-58 ). About the Program Cybercrimes … Crime Report. In 2017, the Cyber Incident Response Team (CIRT) was created within the Division of Homeland … in our initial audit report Cyber Incident Response Team Report 2020S58 …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/cyber-incident-response-team-followSales Tax Vendor Registration Practices (Follow-Up)
… Objective To determine the extent of implementation of the … some exemptions, and require vendors that make these sales to register for a Certificate of Authority (COA), collect the tax from customers, and remit the tax to the State. New York's sales tax is imposed at a rate of …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/sales-tax-vendor-registration-practices-followLong-Term Care Ombudsman Program (Follow-Up)
… and persons with disabilities who live in Long-Term Care (LTC) facilities, such as nursing homes, assisted living, and … and monitoring laws and regulations that relate to LTC facilities and submitting an annual report that covers … of trained volunteers to visit the approximately 1,500 LTC facilities in the State, establish relationships with …
https://www.osc.ny.gov/state-agencies/audits/2020/12/31/long-term-care-ombudsman-program-followConclusion – Travel and Conference Expense Management
… The lack of effective controls over travel and conference expenses will create an opportunity for … the risk of abuse (or fraud) occurring in travel and conference expenses. Managers should also be familiar with the requirements imposed by law on travel and conference expenses. Some of the more significant types of …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/conclusionInappropriate 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-andCVS Health – Temporary Holding Account Rebate Revenue (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Temporary Holding Account Rebate … for the period January 1, 2014 through December 31, 2018. In accordance with the contract, CVS Health was required to … revenue attributable to eligible prescription drug claims in its temporary holding account. We found that CVS Health …
https://www.osc.ny.gov/state-agencies/audits/2020/10/15/cvs-health-temporary-holding-account-rebate-revenue-followState Agencies Bulletin No. 1725
… Affected Employees Employees in the Fire Protection Specialist title series at OFPC in the Division of Homeland … and is not included in the calculation of overtime. Tax Information The 2018-2019 PEF OFPC Uniform Maintenance … and income taxes. Federal, State and New York City income tax withholding will be calculated using the Aggregate …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1725-2018-2019-uniform-maintenance-allowance-employees-fire-protectionImproper Overlapping Medicaid and Essential Plan Enrollments (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Improper Overlapping Medicaid and Essential Plan Enrollments (Report 2020-S-66 ). About the … under DOH where individuals can apply for and enroll in health insurance plans, including Medicaid and the …
https://www.osc.ny.gov/state-agencies/audits/2024/04/10/improper-overlapping-medicaid-and-essential-plan-enrollments-followManaged Care Organizations – Payments to Ineligible Providers (Follow-Up)
… Objective To determine the extent of implementation of the eight recommendations made in our initial audit … To determine the extent of implementation of the eight recommendations made in our …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/managed-care-organizations-payments-ineligible-providers-follow