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Agency Schedule Detail

Authorization Number :  50750042
Agency Series No. :  415-01-11
Status :  Active
Agency Web Link : 
Agency :  ODM
Confidential Description :   Contains personal Medicaid eligibility information.
Division :  ODMPOLI
Vital Description : 
Section :  ODMPOLI
Record Title :  Hospital Care Assurance Program (HCAP)
Revision :  1
Record Description :  Record contains documentation supporting Ohio’s Hospital Care Assurance Program (HCAP) which compensates hospitals who provide a disproportionate share of care to indigent patients (Medicaid consumers, recipients below the poverty level, and those without health insurance). File includes, but is not limited to, itemized cost records supporting hospital claims; itemized description of services provided; patient medical and eligibility information; financial, medical reviews and claims validation audits to determine if hospitals are in compliance with policy.
Retention Period Retention Justification Media Code Method of Disposal
Retain until audits are completed, reports released and all discrepancies are resolved. OAC 5160 Electronic Erase
Retain in office 1 year after internal review is completed and 4 years in records center, then destroy provided audits are completed, reports released and all discrepancies are resolved. OAC 5160 Paper Shred

Approvals

Status Name Title Date
Approved Dennis Hawk Records Coordinator 2/5/2019 3:03:00 PM
Approved Lisa Stafford Records Officer 2/5/2019 3:38:00 PM
Approved Terri Dittmar Record Administrator 2/6/2019 7:46:00 AM
Approved Fred Previts State Archivist 2/6/2019 11:33:00 AM
Approved Martin Meeks State Auditor 2/15/2019 2:32:00 PM

Notes

Date Reason User

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