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Agency Schedule Detail

Authorization Number :  580-0817
Agency Series No. :  FIS-076C
Status :  Active
Agency Web Link : 
Agency :  DMH
Confidential Description :   
Division :  DMHCOff
Vital Description : 
Section :  DMHCOff
Record Title :  COMMUNITY MEDICAID FILES
Revision :  2
Record Description :  These records are generated for and by the Community Medicaid Program which is administered by ODMH via an agreement with the Ohio Department of Job and Family Services. Community Mental Health agencies bill for Medicaid covered mental health services provided by their agency. Documents include agreements and rate information; 5101:3-27-06 reviews; special audits; computer reports related to the billing system and payments; request for federal reimbursement from ODJFS; correspondence with provider agencies, other state agencies, etc.; Medicare/Medicaid crossover information and payment; reconciliation documents; other correspondence and meeting information; etc.
Retention Period Retention Justification Media Code Method of Disposal
Retain in the office for 2 years then transfer to storage for and additional 6 years, then destroy if the State Fiscal Year (SFY) has been audited; the audit report(s) received; all discrepancies resolved; and reconciliations completed. Rule: (5101:3-1-172 Electronic Erase
Retain in the office for 2 years then transfer to storage for and additional 6 years, then destroy if the State Fiscal Year (SFY) has been audited; the audit report(s) received; all discrepancies resolved; and reconciliations completed. Rule: (5101:3-1-172 Microform Shred
Retain in the office for 2 years then transfer to storage for and additional 6 years, then destroy if the State Fiscal Year (SFY) has been audited; the audit report(s) received; all discrepancies resolved; and reconciliations completed. Rule: (5101:3-1-172 Paper Shred

Approvals

Status Name Title Date
Approved Sue Slaughter Records Officer 3/13/2008 3:12:00 PM
Approved Michael Hardenbrook Record Administrator 3/17/2008 10:21:00 AM
Approved Martin Meeks State Auditor 3/24/2008 2:29:00 PM
Approved Fred Previts State Archivist 3/24/2008 4:26:00 PM

Notes

Date Reason User

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