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Agency Schedule Detail

Authorization Number :  50750286
Agency Series No. :  2020-00-02
Status :  Active
Agency Web Link : 
Agency :  ODM
Confidential Description :  Records may contain individual protected health information (PHI), confidential personal information (CPI), personally identifiable information (PII), or state sensitive information (SSI).
Division :  ODMOPER
Vital Description : 
Section :  ODMOPERNETM
Record Title :  Provider Network Management - records data
Revision :  0
Record Description :  The Provider Network Management (PNM) module will store and process data associated with provider management, screening, credentialing, and enrollment. Project records will be available in paper and machine readable formats.
Retention Period Retention Justification Media Code Method of Disposal
Retain paper copies of all project deliverables, artifacts, training materials and other non-system records until scanned into a machine readable format. Paper copies not scanned shall be kept for 7 years and then destroyed. Paper Shred
Three historical versions and one current version of machine readable formats of all project deliverables, artifacts, training materials, and other non-system records should be maintained at any point of time, or 7 years after the contract terminates. Electronic Erase

Approvals

Status Name Title Date
Approved Dennis Hawk Records Coordinator 12/22/2023 9:22:16 AM
Approved Katherine DuMond Records Officer 12/22/2023 9:49:48 AM
Approved Terri Dittmar Record Administrator 12/27/2023 9:28:12 AM
Approved Martin Meeks State Auditor 12/27/2023 12:33:32 PM
Approved Fred Previts State Archivist 12/28/2023 2:13:30 PM

Notes

Date Reason User

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