Agency Schedule Detail

Authorization Number : 50000056

Agency Series No. : 038-0025

Status : Obsolete

Agency Web Link :

Agency : ADA

Confidential Description :

Division : ADALEGL

Vital Description :

Section : ADALEGLNONE

Record Title : Medicaid Related Documents & Records

Revision : 3

Record Description : These are records generated by the community Medicaid program administered by ODADAS for ODJFS. ODADAS-certified AoD treatment programs provide services to consumers and bill the comunity Medicaid program for the services rendered. These records include billing information, computerized rate documentation, ODJFS remittance statements, MACSIS electronic remittance advice, agency reimbursement accounting reports, ODJFS reject reports, dollars by service code reports, contracts, correspondence and other miscellaneous information.

Retention Period	Media Code	Method of Disposal
Pursuant to the Interagency Agreement with ODJFS, ODADAS shall retain and made available by ODADAS for audit by State of Ohio (including, but not limited to ODJFS, the Auditor of State of Ohio, Inspector General or duly authorized law enforcement officials) and agencies of the United States government for a minimum of the length of time covered in the interagency agreement. If an audit is initiated during this time period, ODADAS shall retain such records until the audit is concluded and all issues resolved and the audit findings are resolved. If appropriate, ODADAS must meet the requirements of the federal Office of Management (OMB) Circular A-87, A-110, A-122 or A-133.	Paper	Shred
Pursuant to the Interagency Agreement with ODJFS, ODADAS shall retain and made available by ODADAS for audit by State of Ohio (including, but not limited to ODJFS, the Auditor of State of Ohio, Inspector General or duly authorized law enforcement officials) and agencies of the United States government for a minimum of the length of time covered in the interagency agreement. If an audit is initiated during this time period, ODADAS shall retain such records until the audit is concluded and all issues resolved and the audit findings are resolved. If appropriate, ODADAS must meet the requirements of the federal Office of Management (OMB) Circular A-87, A-110, A-122 or A-133.	Electronic	Delete
Pursuant to the Interagency Agreement with ODJFS, ODADAS shall retain and made available by ODADAS for audit by State of Ohio (including, but not limited to ODJFS, the Auditor of State of Ohio, Inspector General or duly authorized law enforcement officials) and agencies of the United States government for a minimum of the length of time covered in the interagency agreement. If an audit is initiated during this time period, ODADAS shall retain such records until the audit is concluded and all issues resolved and the audit findings are resolved. If appropriate, ODADAS must meet the requirements of the federal Office of Management (OMB) Circular A-87, A-110, A-122 or A-133.	Microform	Shred

Approvals

Status	Name	Title	Date
Blank	Lisa Winland	Records Officer	10/5/2011 9:15:00 AM
Blank	Michael Hardenbrook	Record Administrator	10/6/2011 7:42:00 AM
Blank	Martin Meeks	State Auditor	10/6/2011 11:37:00 AM
Blank	Fred Previts	State Archivist	10/6/2011 3:12:00 PM
Blank	Gregory Allison	Records Officer	8/25/2025 10:49:52 AM

Notes

Date	Reason	User
8/25/2025 10:49:52 AM	Aboloshing ADA: creating new agency DBH	Gregory Allison