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Agency Schedule Detail

Authorization Number :  50740027
Agency Series No. :  DDDRESR-4
Status :  Active
Agency Web Link : 
Agency :  DDD
Confidential Description :  Contains protected health information.
Division :  DDDRESR
Vital Description : 
Section : 
Record Title :  Individual Assessment Form
Revision :  0
Record Description :  Assessments utilized for rate setting prior to the DDP-ICF.
Retention Period Retention Justification Media Code Method of Disposal
Retain for 10 years. Used in rate setting. Electronic Delete

Approvals

Status Name Title Date
Approved Stephanie Deters Records Officer 2/17/2022 4:32:13 PM
Approved Terri Dittmar Record Administrator 2/18/2022 8:31:51 AM
Approved Fred Previts State Archivist 2/22/2022 4:09:04 PM
Approved Martin Meeks State Auditor 2/24/2022 8:48:08 AM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio