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Medicaid Program – Medicaid Payments to Medicare Advantage Plan Providers
… the Medicare managed care program also known as Medicare Advantage. Under Medicare Part C, private managed care … to enrollees. For dual-eligibles, Medicaid reimburses the plan providers for the enrollee’s Part C cost-sharing … Medicare Advantage plan contracts offered by Fidelis and WellCare and, based on judgmental sampling, determined …
https://www.osc.ny.gov/state-agencies/audits/2018/09/10/medicaid-program-medicaid-payments-medicare-advantage-plan-providersInappropriate Medicaid Payments for Recipients With Multiple Identification Numbers and No Social Security Numbers (Follow-Up)
… Payments for Recipients with Multiple Identification Numbers and No Social Security Numbers (2010-S-29). Background Our initial audit report, which was issued on July 24, 2012, examined whether the Department of Health …
https://www.osc.ny.gov/state-agencies/audits/2014/08/06/inappropriate-medicaid-payments-recipients-multiple-identification-numbers-and-no-socialHoags Corners Volunteer Fire Company, Inc. – Internal Controls (2014M-09)
Hoags Corners Volunteer Fire Company Inc Internal Controls 2014M09
https://www.osc.ny.gov/local-government/audits/fire-district/2014/04/04/hoags-corners-volunteer-fire-company-inc-internal-controls-2014m-09Oversight of Persons Convicted of Driving While Intoxicated (Follow-Up)
… sufficient oversight of DWI offenders. We also found that referral of probation violators were not made to the …
https://www.osc.ny.gov/state-agencies/audits/2017/05/15/oversight-persons-convicted-driving-while-intoxicated-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… to Medicaid recipients enrolled in a Healthfirst Medicare Advantage Plan. Many Medicaid recipients are also enrolled in Medicare … Part C, managed care plans (also known as Medicare Advantage Plans) administer an individual's Medicare …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followContracts for Personal and Miscellaneous Services (Follow-Up)
… Purpose To determine the extent of implementation of the five … report, issued on July 19, 2011, determined that the Port Authority of New York and New Jersey (Port Authority) generally did not have documentation to …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followVillage of New York Mills – Justice Court (S9-14-4)
… holding onto $3,650 in bail money that was over six years old. The Court is not properly reporting unresolved traffic … allocated. Transfer all bail money that is over six years old to the Village. Contact the DMV about receiving the …
https://www.osc.ny.gov/local-government/audits/justice-court/2014/08/15/village-new-york-mills-justice-court-s9-14-4Lackawanna City School District – Financial Condition (2014M-119)
… result in cash constraints forcing the District to rely on short-term borrowings. District officials do not prepare … expenditures with recurring revenues. Reduce reliance on fund balance as a financing source and continue to …
https://www.osc.ny.gov/local-government/audits/school-district/2014/08/08/lackawanna-city-school-district-financial-condition-2014m-119Hamburg Central School District – Capital Project (2014M-129)
… Purpose of Audit The purpose of our audit was to assess the … detailed for the taxpayer to know exactly what work was to be performed and what furnishings and equipment … contracts, which was not part of the Project’s original scope. The Board President did not approve all change orders …
https://www.osc.ny.gov/local-government/audits/school-district/2014/08/08/hamburg-central-school-district-capital-project-2014m-129Quogue Union Free School District – Financial Condition and Cash Receipts (2013M-274)
… the Districts controls over its budgeting practices and cash receipts process for the period July 1, 2011 through … expenditures for the 2011-12 fiscal year were $6,641,760 and $6,176,464 for the 2012-13 fiscal year. Key Findings … officials have consistently over-estimated expenditures and appropriated unexpended surplus funds that they did not …
https://www.osc.ny.gov/local-government/audits/school-district/2013/12/13/quogue-union-free-school-district-financial-condition-and-cash-receiptsTown of Pittstown – Records and Reports (2013M-5)
… Supervisor did not maintain adequate accounting records or provide the Board with accurate financial reports. … monthly reports did not agree with bank balances or accounting records for any of the 17 months we reviewed, …
https://www.osc.ny.gov/local-government/audits/town/2013/06/08/town-pittstown-records-and-reports-2013m-5Town of Pittsfield – Disbursements (2013M-82)
… to December 19, 2012. Background The Town of Pittsfield is located in Otsego County and has a population of … was underpaid by a total of more than $2,300 for his health insurance buy-out in the 2011 and 2012 fiscal years. These …
https://www.osc.ny.gov/local-government/audits/town/2013/06/07/town-pittsfield-disbursements-2013m-82Oversight of Security Expenses in Single Adult and Adult Family Homeless Shelters (Follow-Up)
… audit report, Oversight of Security Expenses in Single Adult and Adult Family Homeless Shelters (Report 2016-N-6 … an administrative unit of the New York City Department of Social Services, is responsible for shelter system management …
https://www.osc.ny.gov/state-agencies/audits/2019/12/10/oversight-security-expenses-single-adult-and-adult-family-homeless-shelters-followTown of Chesterfield – Internal Controls Over Selected Financial Operations (2014M-331)
… Purpose of Audit The purpose of our audit was to review the financial operations of the Port Kent Water District 1 and internal controls over …
https://www.osc.ny.gov/local-government/audits/town/2015/03/06/town-chesterfield-internal-controls-over-selected-financial-operations-2014m-331Town of East Fishkill –Financial Condition (2014M-139)
… to present accurate and reliable financial information on a regular basis. As a result, the sewer fund’s financial … Town officials did not adopt realistic budgets based on historical or known trends for the Town’s three sewer …
https://www.osc.ny.gov/local-government/audits/town/2014/08/08/town-east-fishkill-financial-condition-2014m-139Administration of the Contract With the Postgraduate Center for Mental Health (Follow-Up)
… of the Contract With the Postgraduate Center for Mental Health ( 2015-S-88 ). About the Program Our initial report, …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/administration-contract-postgraduate-center-mental-health-followTown of Ogden – Financial Management and Justice Court (2014M-234)
… the Town’s internal controls over the Town’s financial and Court operations for the period January 1, 2012 through June 5, 2014. Background The Town of Ogden is … the Board can inform the Supervising Judge of the Judicial District, the Office of Court Administration, or the …
https://www.osc.ny.gov/local-government/audits/justice-court/2014/10/31/town-ogden-financial-management-and-justice-court-2014m-234Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage (Follow-Up)
… coverage. The Essential Plan should be the primary payer and Medicaid, as secondary payer, should pay any remaining liabilities, such as … as a liable third-party health insurance (i.e., primary payer). Key Findings DOH officials made some progress in …
https://www.osc.ny.gov/state-agencies/audits/2025/06/04/improper-medicaid-payments-during-permissible-overlapping-medicaid-and-essential-planDiNapoli: Former Hempstead School District Official Pleads Guilty to Credit Card Fraud
… District, pleaded guilty today at the federal courthouse in Central Islip to access device fraud in connection with his misuse of a school district credit card. The plea was entered before United States District …
https://www.osc.ny.gov/press/releases/2019/09/dinapoli-former-hempstead-school-district-official-pleads-guilty-credit-card-fraudAnnual Assessment of Market Orders for 2015 and 2016
… the period July 1, 2014 through June 30, 2016 for the Apple and Sour Cherry Market Orders and the period April 1, 2014 through March 31, 2016 for the Apple, Cabbage, and Onion Research and Development Programs. … and research. These market orders include: the Apple Marketing Order, the Sour Cherry Marketing Order, the …
https://www.osc.ny.gov/state-agencies/audits/2019/05/16/annual-assessment-market-orders-2015-and-2016