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Medicaid Program - Medicaid Managed Care Organization Fraud and Abuse Detection
… required to have effective compliance programs, including full-time Special Investigation Units (SIUs) dedicated solely … our initial testing, we were unable to determine the full extent of MCO payments attributable to excluded … UHC’s and Amerigroup’s SIUs had only 1.74 and 2.58 full-time equivalent staff, respectively, dedicated to New …
https://www.osc.ny.gov/state-agencies/audits/2016/07/15/medicaid-program-medicaid-managed-care-organization-fraud-and-abuse-detectionMedicaid Program – Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician
… policies and whether Dr. Ahmad’s medical records support the services he billed and the prescriptions he wrote. The audit covered the period January 1, 2007 through December … policies and whether Dr Ahmads medical records support the services he billed and the prescriptions he wrote …
https://www.osc.ny.gov/state-agencies/audits/2015/09/18/medicaid-program-questionable-payments-practitioner-services-and-pharmacy-claims-pertainingOverlap, Duplication, Gaps, and/or Fragmentation in Workforce Development Programs and Services
… Workforce Development Dashboard Objectives To determine what workforce development programs and services State … agencies and public authorities offer, who they serve, and what their eligibility requirements are; and to determine whether there is overlap, duplication, gaps, and/or fragmentation among …
https://www.osc.ny.gov/state-agencies/audits/2022/05/19/overlap-duplication-gaps-andor-fragmentation-workforce-development-programs-and-servicesNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members
… claims for Empire Plan members who were not eligible. The audit covered the period from January 1, 2014 through … about 1.1 million members. Since 2014, the Department of Civil Service (Civil Service) has contracted with CVS … the error, identify responsibility, and recover payments as warranted. Continue to perform periodic reconciliations, …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleHomeless Outreach Program at the Metro-North Railroad
… Terminal) distributed in seven counties in New York State (Bronx, Dutchess, New York [Manhattan], Orange, Putnam, … of Interest Homeless Shelters and Homelessness in New York State – An Overview, Exclusive of New York City ( 2016-D-3 ) …
https://www.osc.ny.gov/state-agencies/audits/2019/02/21/homeless-outreach-program-metro-north-railroadState Agencies Bulletin No. 1909
… Affected Employees All Arbitration eligible employees in Bargaining Unit 01 represented by NYSCOPBA are affected. … for employees who have at least one year of service credit in either BU01 or BU21. Please note, there is no 2021 increase in the Hazardous Duty Pay payment amount for Non-Arbitration …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1909-april-2021-increase-hazardous-duty-pay-arbitration-eligible-bu01State Comptroller DiNapoli Releases State Audits
… York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued: State Education Department (SED): Selected Aspects of the Migrant Education Program (Follow-Up) (2016-F-9) An audit report issued in May 2015 determined that the Migrant Education Program did not meet certain program …
https://www.osc.ny.gov/press/releases/2016/10/state-comptroller-dinapoli-releases-state-auditsState Agencies Bulletin No. 962
… Enter “7W” in the *Plan Type field. Enter the current payroll period begin date or Hire Date, whichever is later in … Questions regarding this bulletin may be directed to the Payroll Deduction mailbox. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/962-new-tier-5-benefit-structure-new-york-state-police-and-fire-retirementWhitney Point Central School District – Extra-Classroom Activities (2016M-282)
… receipts and disbursements for the period July 1, 2014 through January 31, 2016. Background The Whitney Point Central School District is located in the Towns of Barker, Chenango, Lisle, Maine, Nanticoke and … during the 2014-15 school year. Key Findings The Board did not establish adequate policies and procedures to ensure …
https://www.osc.ny.gov/local-government/audits/school-district/2016/12/09/whitney-point-central-school-district-extra-classroom-activities-2016mOlean City School District – Financial Management (2016M-210)
… 2016. Background The Olean City School District is located in the City of Olean and the Towns of Olean and Portville in Cattaraugus County. The District, which operates four … balance was not needed in the annual budgets for the past three years because District officials overestimated …
https://www.osc.ny.gov/local-government/audits/school-district/2016/10/28/olean-city-school-district-financial-management-2016m-210Watertown City School District – Financial Condition (2016M-85)
… District’s financial condition for the period July 1, 2014 through October 31, 2015. Background The Watertown City School District is located in the City of Watertown and the Towns of Le Ray, Pamelia, … percent legal limit during the same period. The Board has not developed a written policy that states the optimal …
https://www.osc.ny.gov/local-government/audits/school-district/2016/06/10/watertown-city-school-district-financial-condition-2016m-85Rochester Academy Charter School – Purchasing (2013M-144)
… Purpose of Audit The purpose of our audit was to review the School’s purchasing practices … requirements to support purchasing decisions and payments. As a result of this weakness we reviewed 76 disbursements …
https://www.osc.ny.gov/local-government/audits/charter-school/2013/07/26/rochester-academy-charter-school-purchasing-2013m-144Willsboro Fire District – Financial Controls (2014M-156)
… Purpose of Audit The purpose of our audit was to determine whether the District’s controls … of Fire Commissioners, and an appointed Treasurer acts as the chief fiscal officer. Budgeted appropriations for the …
https://www.osc.ny.gov/local-government/audits/fire-district/2014/07/25/willsboro-fire-district-financial-controls-2014m-156LaGrange Fire District – Board Oversight (2014M-127)
… Purpose of Audit The purpose of our audit was to examine the District’s financial … policy. District financials records were not audited, as required by law, for 2011 and 2012. The District …
https://www.osc.ny.gov/local-government/audits/fire-district/2014/08/14/lagrange-fire-district-board-oversight-2014m-127Ballston Area Recreation Commission – Board Oversight (2015M-269)
… January 1, 2012 through April 30, 2015. Background The Ballston Area Recreation Commission is a joint activity … to children residing in the Towns of Milton, Malta and Ballston, the Village of Ballston Spa and the Ballston Spa Central School District, in … Ballston Area Recreation Commission Board Oversight 2015M269 …
https://www.osc.ny.gov/local-government/audits/school-district/2016/02/05/ballston-area-recreation-commission-board-oversight-2015m-269McGraw Central School District – Fund Balances (2017M-248)
… 575 students. Budgeted appropriations for the 2017-18 fiscal year total approximately $12.1 million. Key …
https://www.osc.ny.gov/local-government/audits/school-district/2018/02/23/mcgraw-central-school-district-fund-balances-2017m-248Friendship Central School District –Procurement (2016M-175)
… Purpose of Audit The objective of our audit was to examine the District’s procurement … policy including retaining required documentation such as quotes. The Board should require the purchasing agent and …
https://www.osc.ny.gov/local-government/audits/school-district/2016/09/02/friendship-central-school-district-procurement-2016m-175Indian River Central School District – Financial Condition (2016M-287)
… and Theresa in Jefferson County and the Town of Rossie in St. Lawrence County. The District, which operates eight …
https://www.osc.ny.gov/local-government/audits/school-district/2016/11/10/indian-river-central-school-district-financial-condition-2016m-287Sayville Union Free School District – Financial Condition and Cellular Telephones (2015M-86)
… telephone purchases and use for the period July 1, 2013 through August 31, 2014. Background The Sayville Union Free School District is located in the Town of Islip, Suffolk County. The District, which is … budgets, experienced large operating surpluses and did not use the appropriated fund balance included in its …
https://www.osc.ny.gov/local-government/audits/school-district/2015/08/14/sayville-union-free-school-district-financial-condition-and-cellularAlexandria Central School District – Financial Condition (2016M-5)
… Purpose of Audit The purpose of our audit was to review the District’s financial condition for the period July 1, 2014 through September 30, 2015. … Board of Education. Budgeted general fund appropriations for the 2015-16 fiscal year total approximately $12.4 …
https://www.osc.ny.gov/local-government/audits/school-district/2014/03/25/alexandria-central-school-district-financial-condition-2016m-5