AGENCY: Davis County (Utah). Health Department. Nursing Division

SERIES: 10944
TITLE: Medicaid notification reports
DATES: 1990-2012.
ARRANGEMENT: None

DESCRIPTION: This report lists all individuals or families in the county on medicaid including high risk individuals. It is used to ensure that all individuals eligible to enroll in Medicaid programs are notified and to determine individual eligibility. The report includes the service patient referral card, case number, recipient name, address, telephone number, and identification number, birth date, whether they have seen a doctor or dentist, date of eligibility, and mother's name.

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is proposed and has not yet been approved.

FORMAT MANAGEMENT

Paper: Retain in Office for 3 years and then destroy.

APPRAISAL

PRIMARY DESIGNATION

Private

SECONDARY DESIGNATION

Controlled. mental health information

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