Agency Schedule Detail

Authorization Number : 400-0754

Agency Series No. : DCY- Med

Status : Active

Agency Web Link :

Agency : JFS

Confidential Description : Adoption decrees, social security numbers, birth certificates, tax forms

Division : JFSOFCS

Vital Description :

Section :

Record Title : Medicaid Request Files (in-State and Out-of-State)

Revision : 3

Record Description : Case name of children and individual including: adoption decrees, social security numbers, birth certificates, tax forms information regarding youth in placement.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain in office 1 year.		Paper	Shred
Retain in office permanently.		Electronic	Permanent

Approvals

Status	Name	Title	Date
Approved	Shelia Robinson	Records Officer	12/15/2023 9:38:35 AM
Approved	Terri Dittmar	Record Administrator	12/18/2023 10:00:53 AM
Approved	Fred Previts	State Archivist	12/18/2023 1:45:36 PM
Approved	Martin Meeks	State Auditor	12/20/2023 7:48:22 AM

Notes

Date	Reason	User