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Agency Schedule Detail

Authorization Number :  490-0197
Agency Series No. :  10000002
Status :  Active
Agency Web Link : 
Agency :  AGE
Confidential Description :  Medical history, SS#s, financial information
Division :  AGEDCL
Vital Description : 
Section : 
Record Title :  PACE (Program of All-Inclusive Care for the Elderly) Program
Revision :  1
Record Description :  Client medical records and fiscal information for PACE.
Retention Period Retention Justification Media Code Method of Disposal
3 yrs. after federal audits have been finalized. Requirement of federal government. 45 CFR 92.42 (b)(1)(2) Paper Shred

Approvals

Status Name Title Date
Approved Cindy Brickner Records Officer 2/16/2022 9:36:21 AM
Approved Terri Dittmar Record Administrator 2/16/2022 10:04:16 AM
Approved Fred Previts State Archivist 2/16/2022 11:02:04 AM
Approved Martin Meeks State Auditor 2/18/2022 9:12:16 AM

Notes

Date Reason User

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