Agency Schedule Detail

Authorization Number : 50750032

Agency Series No. : 404-63-18

Status : Active

Agency Web Link :

Agency : ODM

Confidential Description : May contain personal medical information under Medicaid.

Division : ODMOPER

Vital Description :

Section : ODMOPERBUOP

Record Title : Disability Determination Decisions

Revision : 2

Record Description : This record contains documentation of medical/mental disability determination eligibility decisions. File includes, but is not limited to, decisions for approvals, denials, or referrals for Medicaid and Disability Assistance Programs. Form number (JFS) 3600 documents the decision. The Client Registry Information System-Enhanced (CRIS-E) tracks the determination decisions and informs the originating county of the case status.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain master and duplicate film 7 years, then destroy. Microfilming was discontinued in 2006.	Retention period is established by Social Security Administration Procedures and Operations Manual.	Microform	Shred
Retain 60 days after hard copy is prepped, scanned and indexed (imaged) and quality control iscompleted, and then destroy.	Retention period is established by Social Security Administration Procedures and Operations Manual.	Paper	Shred
Retain in MIS on optical disk for 7 years, then erase.	Retention period is established by Social Security Administration Procedures and Operations Manual.	Electronic	Erase

Approvals

Status	Name	Title	Date
Approved	Dennis Hawk	Records Coordinator	1/29/2024 9:04:58 AM
Approved	Katherine DuMond	Records Officer	12/2/2024 3:35:47 PM
Approved	Terri Dittmar	Record Administrator	12/3/2024 8:23:03 AM
Approved	Fred Previts	State Archivist	12/3/2024 10:58:07 AM
Approved	Martin Meeks	State Auditor	12/4/2024 8:16:18 AM

Notes

Date	Reason	User