Agency Schedule Detail

Authorization Number : 580-0839

Agency Series No. : FIS-022H

Status : Obsolete

Agency Web Link :

Agency : DMH

Confidential Description : N/A-Load

Division :

Vital Description :

Section :

Record Title : MEDICARE/MEDICAID COST REPORTS

Revision : 0

Record Description : Patient records concerning medicare/medicaid dollars. Includes printouts of expense reports, space utilization, asset depreciation, medicare billing statements, cost reports, medicare part B costs and worksheets, indirect cost plan worksheets, etc.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain 3 years after final medicare and medicaid audit reports are adjudicated, then destroy.	P.L. 3334 ODHS Medicaid MH hospitals have copies of medicare/medicaid cost report records. Central Office has the originals. Federal audits take place at the hospital and Central Office. However, the federal auditors have given the department permission to destroy the hospital records 3 years after the final audit reports are adjudicated.	Paper	Shred

Approvals

Status	Name	Title	Date
Blank	Transfer User	Records Viewer	12/21/1990 12:00:00 AM
Blank	Gregory Allison	Records Officer	8/26/2025 10:41:35 AM

Notes

Date	Reason	User
8/26/2025 10:41:35 AM	Abolishing DMH: creating new agency DBH	Gregory Allison