Authorization Number : 50750068
Agency Series No. : 500-00-10
Status : Active
Agency Web Link :
Agency : ODM
Confidential Description : Contains provider personal information and criminal history.
Division : ODMOPER
Vital Description :
Section : ODMOPERNETM
Record Title : JFS Administered Waiver Provider Files
Revision : 1
Record Description : Provider application and personal data, Notices of Operational Deficiency(NODS), certified non-compliance notifications, Proposed Adjudication Orders(PAOs), termination, BCI/FBI background checks.