Agency Schedule Detail

Authorization Number : 50740138

Agency Series No. : DDDPOL-16

Status : Active

Agency Web Link :

Agency : DDD

Confidential Description :

Division : DDDPOL

Vital Description :

Section :

Record Title : Adult Day Services Quality Pilot Application Packet

Revision : 0

Record Description : Complete Application Packets for Adult Day Services Quality Pilot Program including staffing plans, job descriptions, provider agreements, disclosures, communications and any other documentation or communications submitted during provider application process.

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain until scanned and saved electronically.		Paper	Shred
Retain for 8 years.	These records pertain to a performance quality pilot program. The intent is to use the information gathered to inform future waiver amendments. Waivers are subject to renewal every five years and it may take more than one cycle to implement necessary changes.	Electronic	Delete

Approvals

Status	Name	Title	Date
Approved	Stephanie Deters	Records Officer	10/21/2024 2:47:26 PM
Approved	Terri Dittmar	Record Administrator	10/22/2024 10:55:34 AM
Approved	Martin Meeks	State Auditor	10/23/2024 11:56:13 AM
Approved	Fred Previts	State Archivist	10/23/2024 4:47:02 PM

Notes

Date	Reason	User