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Medicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… for MLTC covered services. The improper payments resulted from the following: $15.6 million was paid because eMedNY did … certain MLTC services as the responsibility of the MLTC plan. Over $877,000 was paid because, at the time eMedNY … improper Medicaid FFS payments for MLTC services resulting from retroactive enrollments. … The objective of this audit …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansCrossroads Center for Children – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Crossroads Center for Children, (Crossroads) on its Consolidated Fiscal Report … special education services through rates set by SED. These reimbursement rates are based on financial information, … reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the guidelines …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualNew York State Health Insurance Program - Empire Plan Members With Dual Family Coverage
… Objective To determine whether participating organizations and members … for the purpose of providing health insurance benefits to State government employees, retirees, and their …
https://www.osc.ny.gov/state-agencies/audits/2021/01/07/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverageAstor Services for Children & Families – Compliance With the Reimbursable Cost Manual
… services to children with disabilities between the ages of three and five years. Astor is reimbursed for preschool … fiscal year ended June 30, 2013, Astor reported a total of $6.4 million in reimbursable costs on its CFR, of which $3.3 million was for the Preschool Special Class and …
https://www.osc.ny.gov/state-agencies/audits/2015/09/02/astor-services-children-families-compliance-reimbursable-cost-manualChildren’s Unit for Treatment and Evaluation – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Children’s Unit for Treatment and Evaluation (CUTE) on its Consolidated … for these services through rates set by SED. The reimbursement rates are based on financial information, … CUTE reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with the RCM …
https://www.osc.ny.gov/state-agencies/audits/2019/07/15/childrens-unit-treatment-and-evaluation-compliance-reimbursable-cost-manualUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… (United) paid claims using reasonable and customary (R&C) reimbursement rate schedules that did not correlate with the … The Empire Plan is the primary health benefits plan for NYSHIP, covering nearly 1.1 million members. Civil … receive services from out-of-network providers. United’s reimbursement for certain out-of-network claims is 80 percent …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsRockland County – Budget Review (B6-13-22)
… the significant revenue and expenditure projections in the County’s proposed budget for the 2014 fiscal year are reasonable. Background The County of Rockland is authorized to issue debt totaling $96,000,000 to liquidate …
https://www.osc.ny.gov/local-government/audits/county/2013/11/25/rockland-county-budget-review-b6-13-22Association for the Advancement of the Blind and Retarded – Options for People Through Services Program
… Purpose To determine whether payments made by the Office for People With Developmental Disabilities (OPWDD) to the … than actual, expenses when developing its contractor reimbursement rates. OPWDD needs to enhance its monitoring of …
https://www.osc.ny.gov/state-agencies/audits/2013/07/26/association-advancement-blind-and-retarded-options-people-through-services-programIV.5.B Bond and Debt Proceeds – IV. Accounting Codes - Uses and Descriptions
… Proceeds from the exchange of one investment security for another to change the maturity or interest rate of bonds. … Proceeds from the exchange of one investment security for another to change the maturity or interest rate of bonds. 36431 Premiums on Bonds Issued Premium (bond sale price is higher …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv5b-bond-and-debt-proceedsNew York’s Economy and Finances in the COVID-19 Era (June 24, 2021)
… health.” Often, these services are performed through live audio or video conferencing. While comprehensive data on … August 5, 2020 July 22, 2020 July 9, 2020 Subscribe for Latest Updates The State Comptroller’s Office is committed to … on the State’s economy and finances. Subscribe to get the latest update. Subscribe … The COVID19 pandemic prompted many …
https://www.osc.ny.gov/reports/new-yorks-economy-and-finances-covid-19-era-june-24-2021Medicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023
… computer system processes claims submitted by providers for services rendered to Medicaid-eligible recipients and generates payments to reimburse the providers for their claims. During the 6-month period ending September … as follows: $9.3 million was paid for managed care premiums on behalf of Medicaid recipients who had other …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/medicaid-program-claims-processing-activity-april-1-2023-through-september-30-2023State Agencies Bulletin No. 1682
To inform agency payroll officers of the new procedure for how OSC will handle current year Social Security andor Medicare FICA tax deficiencies for inactive
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1682-current-year-social-security-andor-medicare-tax-deficiencies-and-impactAllocation, Billing, and Collection of Expenses of Administering the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act
… possess adequate insurance coverage, or are financially secure, to compensate persons they might injure or whose …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityDiNapoli: Former Non-Profit Executive Pleads Guilty to Falsifying Business Records
… increase her paid time off and lower her health insurance premiums, giving herself $5,518.77 in benefits that she was … to. "Today, Jennifer Thurber is being held accountable for her actions,” DiNapoli said. “She was entrusted with overseeing key business functions for an organization that does vital work with youth, but …
https://www.osc.ny.gov/press/releases/2021/08/dinapoli-former-non-profit-executive-pleads-guilty-falsifying-business-recordsDiNapoli Seeks Stronger Federal Safety Measures for Oil Trains to Protect New Yorkers
… in a letter released today, called on the U.S. Department of Transportation and the Federal Railroad Administration to … accidents demands that we take every measure to avoid loss of life and financial loss,” DiNapoli said. “A major accident … could impose not only tragic human costs, but loss of local jobs and tax revenues. The state has stepped up …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-seeks-stronger-federal-safety-measures-oil-trains-protect-new-yorkersWest Seneca Fire District #2 – Purchasing and Capital Project Management (2018M-241)
… than $115,000. District officials did not obtain quotes for 16 of 21 purchases totaling approximately $56,000. The … may have improperly charged the District more than $14,000 for administrative fees and sales tax. Key Recommendations … invoices. Consult legal counsel and, if appropriate, seek reimbursement for the improper charges. District officials …
https://www.osc.ny.gov/local-government/audits/fire-district/2019/08/30/west-seneca-fire-district-2-purchasing-and-capital-project-management-2018mAllocation, Billing, and Collection of Expenses of Administering the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act (Follow-Up)
… appropriately allocating, billing, and collecting nearly all expenses related to administering the Acts. However, it …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityAudit of the Tuition Reimbursement Account for the Three Fiscal Years Ended March 31, 2013
… Purpose To express an opinion on the fair presentation of the Financial Statements … Rules and Regulations (Regulations). Key Finding In our opinion, the financial statements referred to above present … Years Ended March 31, 2010 (2010-S-39) … To express an opinion on the fair presentation of the Financial Statements …
https://www.osc.ny.gov/state-agencies/audits/2014/07/24/audit-tuition-reimbursement-account-three-fiscal-years-ended-march-31-2013Cantalician Center for Learning – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Cantalician Center for Learning (Cantalician) on its Consolidated Fiscal Reports … for these services through rates set by SED. The reimbursement rates are based on financial information, … reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with RCM …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/cantalician-center-learning-compliance-reimbursable-cost-manualCenter for Disability Services – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by the Center for Disability Services (CFDS) on its Consolidated Fiscal … education program services through rates set by SED. These reimbursement rates are based on financial information, … CFDS reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with Manual …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manual