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Improper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care
… as inpatient services for recipients enrolled in managed care. The audit covered the period from July 2019 through … recipients receive their medical services through managed care organizations (MCOs). When managed care enrollees receive inpatient care or outpatient care from …
https://www.osc.ny.gov/state-agencies/audits/2024/08/28/improper-medicaid-payments-hospitals-outpatient-services-billed-inpatient-servicesOverpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Follow-Up)
… to Managed Care Organizations and Hospitals for Low Birth Weight Newborns (Report 2013-S-57). Background The … care. For example, MCOs receive a “Supplemental Low Birth Weight Newborn Capitation Payment” (low birth weight kick payment) for each enrolled newborn weighing …
https://www.osc.ny.gov/state-agencies/audits/2016/12/07/overpayments-managed-care-organizations-and-hospitals-low-birth-weight-newborns-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2018 Through September 30, 2018
… who had concurrent comprehensive third-party health insurance (TPHI); $6.1 million was paid for an inpatient … million was paid for inpatient claims that were billed at a higher level of care than what was actually provided; $1 … and clinic claims and $326,697 was paid for episodic home health care claims that did not comply with Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2019/07/10/medicaid-program-medicaid-claims-processing-activity-april-1-2018-through-september-30-2018Housing for Seniors (Follow-Up)
… Heights LLC in the Bronx, Victory Plaza in Manhattan, and Woodlawn Senior Living in the Bronx—and one development …
https://www.osc.ny.gov/state-agencies/audits/2026/05/18/housing-seniors-followSecurity Self-Assessment: Questions – Information Technology Governance
… programs maintained at vendor-supported versions and are patches and updates applied and installed in a timely manner? … for identifying, applying and installing relevant software patches and updates: Access Controls 7a Are unique network …
https://www.osc.ny.gov/local-government/publications/it-governance/security-self-assessment-questionsMedicaid Program – Overpayments to Managed Care Organizations and Hospitals for Low Birth Weight Newborns
… Medicaid pays managed care organizations (MCOs) a fixed monthly capitation payment for each newborn enrolled in the … reimburse directly for providing services. In addition to monthly capitation payments, MCOs receive supplemental …
https://www.osc.ny.gov/state-agencies/audits/2014/10/02/medicaid-program-overpayments-managed-care-organizations-and-hospitals-low-birth-weightCity of Glen Cove – Budget Review (B7-15-17)
… the significant revenue and expenditure projections in the City’s preliminary budget for the 2016 fiscal year are … reasonable. Background The City of Glen Cove is located in Nassau County. Our Office completed a review of the City’s preliminary budget for the 2016 fiscal …
https://www.osc.ny.gov/local-government/audits/city/2015/10/16/city-glen-cove-budget-review-b7-15-17New York City Department of Homeless Services – Oversight of Contract Expenditures of Institute for Community Living, Inc. (Follow-Up)
… Objective To assess the extent of implementation of the nine recommendations included in our initial audit report, New York City Department of Homeless Services – Oversight of Contract Expenditures of … To assess the extent of implementation of the nine recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2025/11/06/new-york-city-department-homeless-services-oversight-contract-expenditures-instituteOversight of Contract Expenditures of Palladia, Inc.
… the period from July 1, 2015 through June 30, 2018. About the Program OASAS oversees one of the nation’s largest …
https://www.osc.ny.gov/state-agencies/audits/2021/08/18/oversight-contract-expenditures-palladia-incNew York City Department of Homeless Services – Oversight of Contract Expenditures of Samaritan Daytop Village, Inc. (Follow-Up)
… Program The New York City Department of Homeless Services (DHS), an administrative unit of the New York City Department … fiscal oversight of the homeless shelters. In July 2013, DHS contracted with Samaritan Daytop Village, Inc. … $44 million. During the COVID-19 pandemic, per DHS directives, Myrtle operations were moved to an …
https://www.osc.ny.gov/state-agencies/audits/2026/05/20/new-york-city-department-homeless-services-oversight-contract-expenditures-samaritan-daytopNew York City Department of Homeless Services – Oversight of Contract Expenditures of Church Avenue Merchants Block Association, Inc.
… whether the New York City Department of Homeless Services (DHS) is effectively monitoring its contract with Church … period from July 2020 through June 2023. About the Program DHS, an administrative unit of the New York City Department … fiscal oversight of the homeless shelters. In July 2011, DHS contracted with CAMBA, a City-based not-for-profit …
https://www.osc.ny.gov/state-agencies/audits/2025/07/14/new-york-city-department-homeless-services-oversight-contract-expenditures-church-avenueMedicaid Program – Managed Care Organizations’ Readiness for the Encounter Intake System
… Purpose To determine the readiness of all Medicaid managed care organizations … (MCOs) to submit Medicaid encounter transactions to the new Encounter Intake System. We conducted an early assessment of the readiness of Medicaid MCOs as of September 30, 2015. We …
https://www.osc.ny.gov/state-agencies/audits/2016/03/29/medicaid-program-managed-care-organizations-readiness-encounter-intake-systemMitchell-Lama Vacancies
… Preservation and Development (HPD) is ensuring that vacant apartments at Mitchell-Lama developments are filled timely. Our audit covered apartments that were vacant, and those that became vacant, in … co-op developments with approximately 47,000 total apartments. Apartments in Mitchell-Lama developments tend to …
https://www.osc.ny.gov/state-agencies/audits/2021/07/13/mitchell-lama-vacanciesLinkNYC Program Revenues and Monitoring (Follow-Up)
… in our initial audit report, LinkNYC Program Revenues and Monitoring (Report 2019-N-5 ). About the Program The New York City Office of Technology and Innovation (OTI), formerly the Department of Information Technology and Telecommunications (DoITT), is the technology core of New …
https://www.osc.ny.gov/state-agencies/audits/2023/09/26/linknyc-program-revenues-and-monitoring-followMaking Adjustments to Earnings and Days Worked – Enhanced Reporting
… If you need to correct a member’s earnings or days worked, submit an … add or subtract from the previously reported data in order to correct it in our system – Retirement Online will not … in a future annual bill. Do not make an adjustment to a member’s SCP, loan payments or contributions. These …
https://www.osc.ny.gov/retirement/employers/enhanced-reporting/making-adjustments-earnings-and-days-workedPhysical and Financial Conditions at Selected Mitchell-Lama Developments
… and whether funds at these developments are being used for intended purposes. The audit covered the period from … often enter into written agreements with agents for management services, which must be approved in writing by … failed to provide a safe and clean living environment for their residents and commercial tenants and used …
https://www.osc.ny.gov/state-agencies/audits/2026/01/15/physical-and-financial-conditions-selected-mitchell-lama-developmentsContract Advisory No. 4
… Agencies may have multiple Business Unit/ Department ID combinations, but only certain of those combinations are … created in the SFS must use a Business Unit/Department ID combination which is valid for contracts. A list of valid Business Unit/Department ID combinations can be found in the Guide to Financial …
https://www.osc.ny.gov/state-agencies/advisories/contract-advisory/4-business-unit-and-department-id-combinations-used-create-contracts-statewidePhysical and Financial Conditions at Selected Mitchell-Lama Developments
… and whether funds at these developments are being used for intended purposes. Our audit covered the period from … enter into written management agreements with agents for management services; these agreements must be approved in … failed to provide a safe and clean living environment for residents, and they misspent funds. Across the three …
https://www.osc.ny.gov/state-agencies/audits/2024/09/30/physical-and-financial-conditions-selected-mitchell-lama-developmentsReport File Transactions (File Upload) – Enhanced Reporting
… In the enhanced report file, you report employee information through transactions. There are four … the Enrollment Dashboard and upload a signed membership application to Retirement Online when you submit your report … using the Enrollment Dashboard. For instructions on hiring employees for the purpose of receiving a NYSLRS ID, …
https://www.osc.ny.gov/retirement/employers/enhanced-reporting/report-file-transactions-file-uploadCustodial Service Contract Procurement and Oversight
… Objective To determine whether the selected New York City Department of … was effective in procuring the custodial service contracts it has in effect for the 2017–2020 and 2021–2028 fiscal years at the lowest … To determine whether the selected New York City Department of …
https://www.osc.ny.gov/state-agencies/audits/2022/04/08/custodial-service-contract-procurement-and-oversight