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Agency Schedule Detail

Authorization Number :  580-1187
Agency Series No. :  QA-04C
Status :  Active
Agency Web Link : 
Agency :  DMH
Confidential Description :  N/A-Load
Division :  DMH0330
Vital Description : 
Section : 
Record Title :  Medical Review Files
Revision :  0
Record Description :  Forms used to support the completion of on-site medical reviews of medical records of patients receiving medicaid dollars. Includes the following forms: Physician/Reviewer Activity Summary (QA-002), Medicaid Census (QA-005), and Summary of Findings to De
Retention Period Retention Justification Media Code Method of Disposal
Retain in office 1 year, then transfer to storage and retain for 6 years after medicare and medicaid audit reports are adjudicated, then destroy. P.L. 3334 ODHS Medicaid. Paper Shred

Approvals

Status Name Title Date
Approved Transfer User Records Viewer 6/28/1995 12:00:00 AM

Notes

Date Reason User

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