Agency Schedule Detail

Authorization Number : 50750057

Agency Series No. : 415-01-09

Status : Active

Agency Web Link :

Agency : ODM

Confidential Description :

Division : ODMPOLI

Vital Description :

Section : ODMPOLI

Record Title : Hospital Inpatient/Outpatient payment System

Revision : 1

Record Description : Record supports existing inpatient/outpatient hospital payment system policy under the Medicaid Program. File contains, but is not limited to, printouts documenting payment policy rationale; financial statements; hospital cost data; third party data (Medicare supporting data); statistical analyses; and related reports that are the basis for existing hospital payments.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain in office until claims are paid under the policy, then transfer to the records center to retain until the policy is superseded and audits are completed, reports are released and all discrepancies are resolved, then destroy.	OAC 5160	Paper	Recycle
Retain in office until the policy is superseded and audits are completed, reports are released and all discrepancies are resolved, then destroy.	OAC 5160	Electronic	Erase

Approvals

Status	Name	Title	Date
Approved	Dennis Hawk	Records Coordinator	2/5/2019 3:00:00 PM
Approved	Lisa Stafford	Records Officer	2/5/2019 3:37:00 PM
Approved	Terri Dittmar	Record Administrator	2/6/2019 7:46:00 AM
Approved	Fred Previts	State Archivist	2/6/2019 11:32:00 AM
Approved	Martin Meeks	State Auditor	2/14/2019 1:38:00 PM

Notes

Date	Reason	User