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Agency Schedule Detail

Authorization Number :  795-0884
Agency Series No. :  CS-SDUR04
Status :  Active
Agency Web Link : 
Agency :  JFS
Confidential Description :  See ORC 149.43(v), ORC 3125.50, & 45 CFR 303.21
Division :  JFS00CS
Vital Description : 
Section :  JFS00CS
Record Title :  Public Assistance/ Medicaid Refunds and Documentation
Revision :  1
Record Description :  Records document requests from county Child Support Enforcement Agency(CSEA's) for Child Support cases which require a Public Assistance or Medicaid Refund through Payment Analysis Team B. Files include, but are not limited to, PA/Medicaid Refund Request forms housed within the "FC_MC_Requests"(name of email account), PA/Medicaid Access Database information which stores all requests submitted.
Retention Period Retention Justification Media Code Method of Disposal
Retain in the office 5 years after child support case is closed. See 45 CFR 92.42 and ORC 126.301. Electronic Erase
Retain in the office 5 years after child support case is closed. See 45 CFR 92.42 and ORC 126.301. Paper Shred

Approvals

Status Name Title Date
Approved Shelia Robinson Records Officer 6/13/2024 1:08:16 PM
Approved Terri Dittmar Record Administrator 6/14/2024 8:39:11 AM
Approved Martin Meeks State Auditor 6/17/2024 11:17:42 AM
Approved Fred Previts State Archivist 6/18/2024 5:01:26 PM

Notes

Date Reason User

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© 2025 - RIMS, State of Ohio