Agency Schedule Detail

Authorization Number : 50750047

Agency Series No. : 405-86-61

Status : Active

Agency Web Link :

Agency : ODM

Confidential Description : May contain consumer specific personal and health related information.

Division : ODMPOLI

Vital Description :

Section : ODMPOLILTSS

Record Title : Long Term Care Facility Communication

Revision : 1

Record Description : Long Term Care Facility Verification Documentation for Case Mix, Franchise Fee, and Rate Tables Bureau/section toll statements and logs of telephone calls with provider, attorneys, accountants, consultants, and other involved in the health care field to conduct the business of Long Term Care (LTC) facilities.

Retention Period	Retention Justification	Media Code	Method of Disposal
P/E Retain 3 year in office, then destroy.		Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Dennis Hawk	Records Coordinator	2/1/2024 3:13:21 PM
Approved	Katherine DuMond	Records Officer	2/2/2024 1:47:18 PM
Approved	Terri Dittmar	Record Administrator	2/5/2024 3:36:36 PM
Approved	Fred Previts	State Archivist	2/6/2024 9:42:22 AM
Approved	Martin Meeks	State Auditor	2/6/2024 3:51:59 PM

Notes

Date	Reason	User