Agency Schedule Detail

Authorization Number : 10700108

Agency Series No. : 070-DA-06

Status : Active

Agency Web Link :

Agency : AUD

Confidential Description : contains medical records

Division :

Vital Description :

Section :

Record Title : Medicaid Audit Workpapers

Revision : 1

Record Description : Contain Medicaid recipient information with protected health information as defined by the Health Insurance Portability and Accountability Act (HIPAA) OF 1996. Protected information includes patient name, diagnosis, recipient number, birthdate and social security number. The workpapers also include schedules, analysis, transcripts, memoranda and other documents prepared by or for the Auditor of State during the examination of Medicaid cases.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain 6 years from the release date	45CFR164.530(j)(iii)(2)	Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Marty Meeks	Records Officer	7/27/2004 2:34:00 PM
Approved	Michael Hardenbrook	Record Administrator	8/5/2004 10:50:00 AM
Approved	Martin Meeks	State Auditor	8/7/2004 10:28:00 AM
Approved	Laurie Gemmill	State Archivist	8/7/2004 10:28:00 AM

Notes

Date	Reason	User