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Agency Schedule Detail

Authorization Number :  50750264
Agency Series No. :  500-00-17
Status :  Active
Agency Web Link : 
Agency :  ODM
Confidential Description :   Documents contain protected health information of Medicaid recipients in treatment for breast or cervical cancer, including pre-cancerous conditions.
Division :  ODMOPER
Vital Description : 
Section :  ODMOPER
Record Title :  (BCCP) BREAST
Revision :  1
Record Description :  The Ohio Department of Medicaid (ODM) provides optional Medicaid coverage to certain women in need of treatment for breast or cervical cancer, including pre-cancerous conditions in accordance with the Breast and Cervical Cancer Prevention and Treatment Act of 2000. ODM is responsible for retaining eligibility applications and treatment plans until case concludes , and then destruction after one (1) year.
Retention Period Retention Justification Media Code Method of Disposal
Retain in office until case concludes; then destroy after 1 year. Electronic Erase

Approvals

Status Name Title Date
Approved Dennis Hawk Records Coordinator 2/4/2019 2:30:00 PM
Approved Lisa Stafford Records Officer 2/6/2019 3:40:00 PM
Approved Terri Dittmar Record Administrator 2/7/2019 7:34:00 AM
Approved Fred Previts State Archivist 2/8/2019 2:24:00 PM
Approved Martin Meeks State Auditor 2/15/2019 3:15:00 PM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio