Agency Schedule Detail

Authorization Number : 50750147

Agency Series No. : 402-55-04

Status : Active

Agency Web Link :

Agency : ODM

Confidential Description : May contain Medicaid recipient personal medical information.

Division : ODMOPER

Vital Description :

Section : ODMOPERNETM

Record Title : Provider Production Summary Reports

Revision : 1

Record Description : Internal production reports and system generated reports from the Medicaid Management Information System (MMIS) that detail provider activity, the number of providers, the number of applications and enrollment registrations, provider assistance call summaries, number of claims reviewed, and the ombudsman training and meeting assignments that are held with provider groups.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain in office 2 years and 3 years in the records center, then destroy provided audits are complete, reports released and all discrepancies are resolved.		Paper	Shred
Retain in office 2 years and 3 years in the records center, then destroy provided audits are complete, reports released and all discrepancies are resolved.		Electronic	Erase

Approvals

Status	Name	Title	Date
Approved	Dennis Hawk	Records Coordinator	2/5/2019 9:42:00 AM
Approved	Lisa Stafford	Records Officer	2/6/2019 3:34:00 PM
Approved	Terri Dittmar	Record Administrator	2/7/2019 7:39:00 AM
Approved	Fred Previts	State Archivist	2/8/2019 2:30:00 PM
Approved	Martin Meeks	State Auditor	2/11/2019 11:17:00 AM

Notes

Date	Reason	User