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Agency Schedule Detail

Authorization Number :  50750070
Agency Series No. :  405-86-47
Status :  Active
Agency Web Link : 
Agency :  ODM
Confidential Description :   May contain medical information.
Division :  ODMHINQ
Vital Description : 
Section :  ODMHINQ
Record Title :  Waiver Program Administrative Files
Revision :  1
Record Description :  Files of Medicaid provider and consumer case records for federally approved ODJFS administered wavier, Success, and State Plan Home Care Programs. Record includes, but is not limited to, consumer enrollment and intake, service plans, assessment and referral, level of care, administrative approvals and maintenance documenting consumer medical history (diagnosis and treatment) and provider services to recipients. Records are processed and maintained at the Case Management Agency and shipped to the records center when the cases are closed and become inactive. Records are maintained electronically.
Retention Period Retention Justification Media Code Method of Disposal
Retain in office at case management agency until case is closed and convert to electronic. Retain in office for 60 days after scanning. Destroy if material is released after the scanned material is reviewed. Paper Shred
CD/DVD Retain in warehouse for 7 years and then destroy provided audits are complete and released and all discrepancies are resolved. QAC 5101:3-3-26 42 CFR 431.305 Microform Shred

Approvals

Status Name Title Date
Approved Dennis Hawk Records Coordinator 2/13/2019 3:22:00 PM
Approved Lisa Stafford Records Officer 2/14/2019 9:54:00 AM
Approved Terri Dittmar Record Administrator 2/15/2019 1:25:00 PM
Approved Fred Previts State Archivist 2/20/2019 11:01:00 AM
Approved Martin Meeks State Auditor 2/28/2019 10:26:00 AM

Notes

Date Reason User

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