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Medicaid Program – Maximizing Drug Rebates for Health and Recovery Plans
… drugs, to Medicaid recipients age 21 or older with serious mental illness and/or substance use disorders. Beginning on October …
https://www.osc.ny.gov/state-agencies/audits/2018/06/22/medicaid-program-maximizing-drug-rebates-health-and-recovery-plansControls Over CUNY Fully Integrated Resources and Services Tool (Follow-Up)
… that were necessary to meet their needs. For example, CUNY Central Office granted 60 roles to Application Security …
https://www.osc.ny.gov/state-agencies/audits/2018/09/25/controls-over-cuny-fully-integrated-resources-and-services-tool-followMedicaid Program - Medicaid Managed Care Organization Fraud and Abuse Detection
… and Amerigroup made payments to ineligible health care providers and whether these managed care organizations established and implemented adequate … December 31, 2014. Background Through its Medicaid managed care program, the Department contracts with managed care …
https://www.osc.ny.gov/state-agencies/audits/2016/07/15/medicaid-program-medicaid-managed-care-organization-fraud-and-abuse-detectionSchool of Professional Studies – Procurement Card and Travel Card Purchases
… Purpose To determine if the City University of New York (CUNY) School of Professional Studies complied with the pertinent New York … through March 28, 2014. Background The City University of New York School of Professional Studies (CUNY SPS or SPS) … To determine if the City University of New York CUNY School of Professional Studies complied with …
https://www.osc.ny.gov/state-agencies/audits/2015/02/25/school-professional-studies-procurement-card-and-travel-card-purchasesYork College – Time and Attendance Practices for Public Safety Staff
… (York) is a senior CUNY college located in Jamaica, Queens. York enrolls over 8,242 students in liberal arts, … shift, either to junior staff or to a contracted security officer, at straight pay rather than overtime rates. Video … he did not actually work. Per the video footage, another officer (not the sergeant) actually worked a fire watch post …
https://www.osc.ny.gov/state-agencies/audits/2015/04/06/york-college-time-and-attendance-practices-public-safety-staffSuspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Follow-Up)
… through June 8, 2011, Medicaid paid about $6.9 million for services purportedly performed by the six dentists at the … also found that the dentists routinely certified claims for services that were purportedly provided by another … our findings to the State Attorney General’s Office for further investigation. In August 2012, Lawrence Bruckner …
https://www.osc.ny.gov/state-agencies/audits/2015/12/30/suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentists-followDrug and Alcohol Treatment Program – Provider Claiming of Depreciation Expenses
… monitoring Drug and Alcohol Treatment program contracts to ens …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/drug-and-alcohol-treatment-program-provider-claiming-depreciation-expensesThe Mitchell-Lama Program – Awarding Housing Units and Maintaining Waiting Lists
… The New York City Department of Housing Preservation and Development (HPD) is the nation’s largest municipal housing preservation and development agency. Its mission is to make strategic investments that will improve and strengthen …
https://www.osc.ny.gov/state-agencies/audits/2015/07/29/mitchell-lama-program-awarding-housing-units-and-maintaining-waiting-listsCollection of Special Hauling and Divisible Load Overweight Permit Fees
… and reliability of roads and bridges. A special hauling permit is generally used to move a single piece of equipment … and fees collected, a lack of segregation of duties for permit transactions, and minimal oversight by both the … over all permits, and increasing oversight over permit transactions. Explore additional options for payments …
https://www.osc.ny.gov/state-agencies/audits/2015/04/15/collection-special-hauling-and-divisible-load-overweight-permit-feesAnnual 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, … to a contract with the New York Apple Association, Inc. (NYAA). Key Recommendations Follow up on the …
https://www.osc.ny.gov/state-agencies/audits/2015/05/07/annual-assessment-market-orders-2012-2013-and-2014Health Information Management Department – Selected Procurement and Human Resources Practices
… if the Health Information Management Department at Stony Brook University Hospital complied with applicable … June 1, 2003 through June 12, 2013. Background Stony Brook University Hospital (Hospital), located in Suffolk … center and level 1 trauma center. As part of Stony Brook University, one of the four University Centers of the …
https://www.osc.ny.gov/state-agencies/audits/2014/09/16/health-information-management-department-selected-procurement-and-human-resources-practicesSelected Aspects of the Minority- and Women-Owned Business Enterprises Program
… 2014. Background The Department of Economic Development’s (DED) Division of Minority and Women’s Business Development … an updated directory of certified MWBEs. As of April 2014, DED had certified 7,919 unique businesses as MWBEs. Some … ineligible firms could be certified as MWBEs. In 2013, DED implemented a fully integrated online certification …
https://www.osc.ny.gov/state-agencies/audits/2016/04/04/selected-aspects-minority-and-women-owned-business-enterprises-programCollection and Use of the Motor Vehicle Law Enforcement Fee
… 31, 2012. Background New York State collects the Motor Vehicle Law Enforcement Fee (Fee) on each automobile insured … and district attorney's offices to combat motor vehicle theft and insurance fraud. The State Police uses Fee … its Auto Theft Unit (ATU) and to detect and reduce motor vehicle theft and insurance fraud. Key Findings The …
https://www.osc.ny.gov/state-agencies/audits/2013/07/12/collection-and-use-motor-vehicle-law-enforcement-feeChurchill School and Center – Compliance With the Reimbursable Cost Manual
… the expenses reported on their annual CFRs. To be eligible for reimbursement, reported expenses must comply with Manual …
https://www.osc.ny.gov/state-agencies/audits/2014/05/27/churchill-school-and-center-compliance-reimbursable-cost-manualFiscal Oversight and Monitoring of AIDS Institute Service Provider Contracts
… Purpose To determine if the Department of Health’s AIDS Institute (Institute) has provided effective … consistent with contract requirements. Our audit covered the period April 1, 2014 through February 6, 2017. Background … To determine if the Department of Healths AIDS Institute has provided …
https://www.osc.ny.gov/state-agencies/audits/2017/05/22/fiscal-oversight-and-monitoring-aids-institute-service-provider-contractsDiNapoli: Western Regional OTB Must Strengthen Financial Operations and Oversight
… $6.7 million to participating governments, over $3 million (31%) less than the previous calendar year. … other law firms for general counsel duties and work on a lawsuit without receiving any board approval for their … to participating local governments to increase in 2025, largely as a result of changes to state tax law. Audit …
https://www.osc.ny.gov/press/releases/2026/04/dinapoli-western-regional-otb-must-strengthen-financial-operations-and-oversightOversight of Casino Revenues and Regulatory Oversight Reimbursement Collections (Follow-Up)
… March 31, 2020, the Commission reported that it received $1.34 billion in casino revenues: $1.07 billion from VLT casinos, including $917 million as …
https://www.osc.ny.gov/state-agencies/audits/2021/05/05/oversight-casino-revenues-and-regulatory-oversight-reimbursement-collections-followControls Over Federally Funded Programs and Maximization of Federal Funding
… Human Services (HHS) and must expend and account for WAP awards in accordance with federal statutes, regulations, and the terms and conditions of the awards. State agencies should make every effort to disburse and/or adjust all unspent federal awards as soon as possible and maximize federal funding. The …
https://www.osc.ny.gov/state-agencies/audits/2021/08/18/controls-over-federally-funded-programs-and-maximization-federal-fundingUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… of the Empire Plan. Evaluation and Management (E/M) billing codes are divided into broad categories, such as … consultations. Within each category, there are different billing levels (e.g., level 1, 5-minute visit and level 5, … the level billed, the greater United’s reimbursement. Billing for a higher level of care than the service actually …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesUtilization of the Arch Street Yard and Shop Facility (Follow-Up)
… intended: for the initial acceptance and inspection of M-7 cars. Moreover, except for occasional use of the wheel truing … once to a contractor to perform modifications on MNR rail cars. Key Finding LIRR officials did not address the problems …
https://www.osc.ny.gov/state-agencies/audits/2020/01/28/utilization-arch-street-yard-and-shop-facility-follow