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Crossroads Center for Children – Compliance With the Reimbursable Cost Manual
… to children with disabilities who are between the ages of three and five years. Crossroads is reimbursed for … tuition reimbursement rates. Remind Crossroads officials of the pertinent SED guidelines that relate to the … clarification as needed. Other Related Audits/Reports of Interest State Education Department: Newmeadow, Inc. – …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/crossroads-center-children-compliance-reimbursable-cost-manualCenter for Disability Services – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by the Center for … York. CFDS provides preschool special education services to children with disabilities between the ages of three and … financial information, including costs, that CFDS reports to SED on its annual CFR. To be eligible for reimbursement, …
https://www.osc.ny.gov/state-agencies/audits/2016/05/13/center-disability-services-compliance-reimbursable-cost-manualUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… Purpose To determine the extent of implementation of the six recommendations included in our initial audit … To determine the extent of implementation of the six recommendations included in our …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followAnnual Assessment of Market Orders for 2012, 2013, and 2014
… that the Comptroller audit the expenditures for each market order. Our audit covered the period July 1, 2011 through June 30, 2014 for the Apple and Sour Cherry Market Orders and the period April 1, 2011 through March 31, … Programs. Background Within the Department, the Market Order Administration unit is responsible for …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Medicaid Program – Overpayments for Services Also Covered by Medicare Part B
… parts. Medicare Part B helps pay for medical care provided in outpatient settings. Medicaid is a joint state and federal … received Medicare Part B services totaling $740 million in 2009. These services were provided in outpatient settings such as doctors' offices, clinics, and …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bSexual Harassment Policy for the Office of the State Comptroller
… free from sexual harassment. Sexual harassment is a form of workplace sex discrimination. All employees are required to work in a manner that prevents sexual harassment in the workplace. … from coming forward to make or support a sexual harassment claim. Adverse action need not be job-related or occur in the …
https://www.osc.ny.gov/sexual-harassment-policyMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, such as … but then admitted to a different hospital within the same day or the following day (which often meets the definition of …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesCompliance With Special Education Regulations for the Provision of Services
… Objective To determine if the New York City Department of Education (DOE) arranged for eligible students to be placed in special education services and programs … To determine if the New York City Department of Education DOE …
https://www.osc.ny.gov/state-agencies/audits/2020/09/30/compliance-special-education-regulations-provision-servicesImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… pay providers for services rendered to their members. The State’s Medicaid program offers different types of managed … since the audit, we identified nearly $7 million in new improper payments and further actions are still needed to … initially identified as a district with one of the highest number of improper newborn FFS claims; however, our updated …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followSelected Aspects of Collecting Outstanding Amounts Due for Parking Violations
… Objective To determine whether the New York City Department of Finance (DOF) identifies and … 30 entities that can issue parking summonses within New York City (NYC). During fiscal years 2017 through 2019, … only enforces collections from respondents who have New York plates and live within NYC. DOF refers other cases …
https://www.osc.ny.gov/state-agencies/audits/2021/03/23/selected-aspects-collecting-outstanding-amounts-due-parking-violationsImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… Objective To determine the extent of implementation of the two recommendations made in our initial audit report, Improper Medicaid Payments for … of Diseases (ICD) code on its Medicaid claim to reflect the diagnosis. Generally, as the severity of the … We have followed up on the actions taken by by officials of the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… Objective To determine the extent of implementation of the three … the Program Mechanical ventilation is the use of a device to inflate and deflate a patient’s lungs. Mechanical … To follow up on the actions taken by officials of the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… (secondary payer). This is necessary to prevent duplicate payment of services by the primary and secondary payers. In …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsApplication Review and Site Permitting for Major Renewable Energy Projects
… and Community Protection Act (Climate Act), effective January 1, 2020, was designed to put the State on a path to … to establish a renewable energy program by the end of June 2021 to meet two requirements: by 2030, a minimum of 70% of …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/application-review-and-site-permitting-major-renewable-energy-projectsCantalician Center for Learning – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Cantalician Center for Learning (Cantalician) on its Consolidated Fiscal Reports … Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM) and the Consolidated Fiscal Reporting and … To determine whether the costs reported by Cantalician Center for Learning on its Consolidated Fiscal Reports CFRs …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/cantalician-center-learning-compliance-reimbursable-cost-manualImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… Objective To assess the extent of implementation of the five recommendations included in our initial audit report, … eligibility period in eMedNY. Of the initial report’s five audit recommendations, two had been implemented, two had … To assess the extent of implementation of the five recommendations included in our initial audit report …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… in our initial audit report, Use of Federal Funding for Election Technology and Security (Report 2020-S-18 ). About … (BOE) is responsible for administering and enforcing election laws in the State. To fulfill these … the nation’s voting process. HAVA established minimum election administration standards and created the U.S. …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followBenefits Advisement Services for Individuals With Disabilities Seeking Employment (Follow-Up)
… audit report, Benefits Advisement Services for Individuals With Disabilities Seeking Employment ( 2020-S-41 ). About the … approximately 1 million working-age adults (ages 18–64) with disabilities in New York State in 2021. The employment rate of working-age people with disabilities was about 37% compared to about 75% for …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/benefits-advisement-services-individuals-disabilities-seeking-employment-followQueens Centers for Progress – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Queens Centers for Progress (QCP) on its Consolidated Fiscal Reports (CFRs) … audit focused primarily on expenses claimed on QCP’s CFR for the fiscal year ended June 30, 2019 and certain expenses claimed on its CFRs for the 2 fiscal years ended June 30, 2018. About the Program …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/queens-centers-progress-compliance-reimbursable-cost-manualUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs
… drug is an outpatient drug (other than a vaccine) that is usually administered by a health care …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugs