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Agency Schedule Detail

Authorization Number :  50750031
Agency Series No. :  402-54-08
Status :  Active
Agency Web Link : 
Agency :  ODM
Confidential Description :  OAC 5101: 1-1-03 Records may contain Protected Health Information and/or Confidential Personal Information. Such records are protected by federal HIPAA and Ohio privacy laws.
Division :  ODMOPER
Vital Description : 
Section :  ODMOPERCLOP
Record Title :  Third Party Insurance and Accident Recovery Files
Revision :  2
Record Description :  Case files containing legal and claims documentation from Medicaid recipients involved in health insurance and accident (TORT)suits involving another party to recover eligible benefits. Files include case and claim numbers, recipient personal data and medical history, provider and benefit information, copies of benefit warrants, and benefit amounts recouped as result of settlements. Unresolved cases are referred to the Attorney General’s Office for disposition.
Retention Period Retention Justification Media Code Method of Disposal
Retain 30 days after hard copy is imaged and quality review is complete, and then destroy. All paper forms received are now scanned and digitized. Hard copies are no longer kept. Paper Shred
Retain in office 1 year after case is closed and 6 years in the records center, then destroy provided state and federal audits have been completed, audit reports are released and all discrepancies have beenPaper resolved. OAC 5101-3-3-26 and 5111.22- B-2 ORC 2914 Electronic Erase

Approvals

Status Name Title Date
Approved Dennis Hawk Records Coordinator 1/29/2024 8:52:28 AM
Approved Katherine DuMond Records Officer 2/2/2024 1:42:07 PM
Approved Terri Dittmar Record Administrator 2/5/2024 3:35:26 PM
Approved Fred Previts State Archivist 2/6/2024 9:45:23 AM
Approved Martin Meeks State Auditor 2/6/2024 10:52:24 AM

Notes

Date Reason User

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