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Agency Schedule Detail

Authorization Number :  50750041
Agency Series No. :  OHP-PS-01
Status :  Active
Agency Web Link : 
Agency :  ODM
Confidential Description :   This record series contains PHI (Protected Health Information) protected by HIPPA.
Division :  ODMOPER
Vital Description : 
Section :  ODMOPERCLOP
Record Title :  OHP Unprocessed Refunds
Revision :  1
Record Description :  Unprocessed ODJFS 6766/6767 Adjustment Request for unprocessed provider refund checks and corresponding documentation prior to the implementation of the Medicaid Information Technology System (MITS) on August 2, 2011. Information contained in these documents remained unprocessed at the closure of Medicaid Management Information System (MMIS). New business processes precluded them from being entered in MITS at "Go Live". Check information spans 7/2008 through 12/2010.
Retention Period Retention Justification Media Code Method of Disposal
Retain 90 days after hard copy is imaged and then destroy provided all pending audit findings/lawsuits have been released and resolved. All paper forms received are now scanned and digitized. If a lawsuit is pending, destruction of documents will be extended until all pending audit findings/lawsuits have been released and resolved. Paper Shred
Retain digital image for 7 years after hard copy is imaged and then destroy provided all pending audit findings/lawsuits have been released and resolved. If a lawsuit is pending, destruction of documents will be extended until all pending audit findings/lawsuits have been released and resolved. Electronic Erase

Approvals

Status Name Title Date
Approved Dennis Hawk Records Coordinator 4/25/2019 9:53:00 AM
Approved Lisa Stafford Records Officer 4/25/2019 2:49:00 PM
Approved Terri Dittmar Record Administrator 4/26/2019 2:17:00 PM
Approved Martin Meeks State Auditor 4/29/2019 12:44:00 PM
Approved Fred Previts State Archivist 5/1/2019 10:23:00 AM

Notes

Date Reason User

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