On December 13, 2023, New York State Comptroller Thomas P. DiNapoli announced audits of
the following State and other entities were issued.
Click
on the text highlighted in color to
access both the summary and the complete audit report
Department of Motor Vehicles – Language Access Services
(2022-S-38)
A statewide language access policy to assist Limited English
Proficiency individuals and provide equal access to government
programs and services requires State agencies that provide direct
public services, including the Department of Motor Vehicles (DMV),
to provide interpretation services and to translate vital documents
into the most common non-English languages in the State based on
census data. Auditors determined that due to gaps in the Executive
Law, DMV does not have sufficient authority to enforce its language
access policies at office locations operated by County Clerks,
despite these offices accounting for over 75% of the total
customer-facing DMV offices. In addition, auditors determined that
DMV’s contracted interpretation vendor was not providing on-demand
interpretation services for all languages and dialects needed, and
calls for 20 different languages had an average hold time of over
30 minutes. Further, office locations operated by DMV cited issues
with dialects and disconnected calls as well as a lack of
interpreters.
Department of Health – Medicaid Claims Processing Activity
October 1, 2022 Through March 31, 2023
(2022-S-36) During the six-month period ended March 31, 2023, eMedNY processed
over 233 million claims, resulting in payments to providers of
nearly $45 billion. OSC’s audit of Medicaid claims processing
activity identified over $20.6 million in improper Medicaid
payments for claims that were not processed in accordance with
Medicaid requirements. The audit also identified three providers in
the Medicaid program who were charged with or found guilty of
crimes that violated laws or regulations governing certain health
care programs. The Department of Health removed two of the
providers from the Medicaid program; the remaining provider was
under the Office of the Medicaid Inspector General’s review.
City University of New York – Course Offerings (Follow-Up)
(2023-F-7)
Based on City University of New York (CUNY) data, many full-time
students studying toward a bachelor’s degree do not graduate within
four to six years of first-time enrollment. A prior audit, issued
in September 2020, found that CUNY was not effectively matching
course offerings to student demands, comprehensively tracking
students’ use of financial aid, monitoring their graduation rates,
or formally surveying students to consider their feedback when
preparing course schedules. The follow-up found that, while CUNY
deployed new applications to facilitate course scheduling and
registration; offered more online, hybrid, weekend, and off-hour
courses; and implemented a new communication system between
students and department advisors; it did not formally survey
students for their feedback. Of the initial report’s seven
recommendations, two were implemented, three were partially
implemented, and two were not implemented.
Office of Addiction Services and Supports – Oversight of
Chemical Dependence Residential Services (Follow-Up)
(2023-F-17) The Office of Addiction Services and Supports (OASAS) oversees
prevention, treatment, and recovery programs, including community
residential programs, which provide supervised services to
individuals transitioning into abstinent living, and supportive
living programs intended for those who have completed treatment and
are transitioning to independent living but do not require on-site
staff on a 24-hour basis. A prior report, issued in December 2021,
found OASAS did not adequately monitor the programs, did not meet
the recertification review requirements, and did not always conduct
appropriate follow-up of programs to verify that all deficiencies
had been addressed. The follow-up found that OASAS made progress
addressing the issues identified during the initial audit: of the
three recommendations, two were implemented and one was no longer
applicable.
Department of Environmental Conservation – Oversight of New
York State Forest Tax Programs (Follow-Up)
(2023-F-18) To encourage the long-term management of privately owned woodlands
to sustainably produce forest crops and increase the likelihood of
both healthy forests and a stable forest economy, New York enacted
Real Property Tax Law 480a – a tax incentive program for qualifying
private forest landowners. The Department of Environmental
Conservation (DEC) has general oversight responsibility for the
program. A prior report, issued in April 2022, found monitoring and
enforcement weaknesses in DEC’s oversight of the program that
undermined its ability to ensure program forest lands continue to
be protected and that only eligible properties receive local tax
exemptions. Additionally, for the 795 properties spanning 260,669
acres under the program, landowners had been benefiting from local
tax reductions for over 45 years, but the properties were largely
unmonitored by DEC or localities. The follow-up found that DEC made
progress in addressing the issues identified during the initial
audit, partially implementing both of the initial report’s
recommendations.
Metropolitan Transportation Authority—Long Island Rail Road
– Rolling Stock Programs Department – Selected Aspects of the M9
Rail Car Project Management (Follow-Up)
(2023-F-10) In 2013, the Long Island Rail Road (LIRR) awarded a contract to
procure new M9 rail cars to replace its M3 cars and expand its
fleet in preparation for service into Grand Central Terminal,
budgeting $355.9 million for an initial base order of 92 cars. A
prior report, issued in March 2022, found that LIRR was over budget
by $8.9 million and the contractor was behind schedule for the
delivery of all 92 base cars by nearly three years—the first cars
weren’t delivered until September 2019 and, as of July 2020, only
64 cars had been delivered. Furthermore, LIRR did not assess the
contractor for the allowed liquidated damages, which totaled $5.5
million as of September 2020, and all 64 cars were delivered with
defects and deficiencies, but LIRR conditionally accepted them
(allowed as long as the deficiencies do not affect safety or
function) and put them into service. The follow-up found that LIRR
assessed $4.9 million of the liquidated damages by withholding
payment but, to date, no repairs have been completed, and no date
has been set to start the repairs. Of the initial 12
recommendations, three were implemented, three were partially
implemented, and six were not implemented.
State Education Department (Preschool Special Education
Audit Initiative) – Handicapped Children’s Association of Southern
New York, Inc. – Compliance With the Reimbursable Cost Manual
(2022-S-49) Handicapped Children’s Association of Southern New York, Inc.
(HCA), a Johnson City-based not-for-profit organization, is
approved by the State Education Department (SED) to provide
preschool special education itinerant teacher services to children
with disabilities who are between the ages of three and four years.
For the fiscal year ended June 30, 2018, HCA reported approximately
$1.9 million in reimbursable costs for the SED preschool cost-based
program. Auditors identified $66,009 in reported costs that did not
comply with requirements.
Department of Health – Improper Managed Care Payments for
Misclassified Patient Discharges (2023-F-26) Many of the State’s Medicaid recipients receive their services
through managed care, whereby the Department of Health (DOH) pays
managed care organizations (MCOs) a monthly premium for each
enrolled recipient and, in turn, MCOs pay for services their
members require. When billing an MCO for an inpatient stay, the
codes the hospital uses are important because payments may vary
significantly depending on whether a patient is transferred or
discharged. An initial report, issued in August 2022, identified
from a judgmental sample of 166 claims totaling $2,474,162, that 47
claims were overpaid $323,531 because they were incorrectly coded
as discharges when the patients were actually transferred to
another facility. Further, 13 claims, totaling $101,447, were
incorrectly billed as inpatient claims when outpatient services
were actually provided. The follow-up found DOH made minimal
progress in addressing the issues identified in the initial audit
report, implementing none of the five recommendations.
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