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Agency Schedule Detail

Authorization Number :  580-0961
Agency Series No. :  REIMB-06C
Status :  Active
Agency Web Link : 
Agency :  DMH
Confidential Description :  Client Identifying financial information
Division :  DMHCOff
Vital Description : 
Section :  DMHCOff
Record Title :  National Government Services and Palmetto
Revision :  1
Record Description :  Listing of paid claims received from CMIC. Report includes patient name and no., type of claim, period billed, amount paid, etc.
Retention Period Retention Justification Media Code Method of Disposal
Retain in office 2 years then transfer to the SRC. Retain records until audited by Auditor of State and the audit report released and all discrepancies resolbed and 6 years after medicare and medicaid audit reports are adjudicated then destroy. P.L. 3334 ODHS Medicaid. Paper Shred

Approvals

Status Name Title Date
Approved Sue Slaughter Records Officer 3/14/2008 2:16:00 PM
Approved Michael Hardenbrook Record Administrator 3/17/2008 9:40:00 AM
Approved Martin Meeks State Auditor 3/24/2008 2:29:00 PM
Approved Fred Previts State Archivist 4/7/2008 3:11:00 PM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio