AGENCY: Box Elder County (Utah). Pioneer Care Center

SERIES: 4344
TITLE: Health care provider contracts
DATES: 1994.
ARRANGEMENT: Chronological

DESCRIPTION: These are agreements between the state of Utah and Pioneer Care Center by which the care center agrees to abide by the requirements of the Medicare program in order to receive Medicare funding. As a condition of participation in certification or recertification, these agreements are required by 42 Code of Federal Regulations (CFR) 431.107 (1989), and are renewed annually.

The files include correspondence from the Division of Health Care Financing, signed and approved contracts, and ownership disclosure forms. The ownership disclosure form is required to be part of the certification process for all facilities participating in the Medicare program by 42 CFR 442 (1989).__It includes the following information:__name and address of the facility, provider number, vendor number, contract number, city, state and zip code, phone number, indication of whether the care center is government operated or a chain affiliation, type of facility, and names and addresses of individuals having direct or indirect ownership of facility.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 06/1991

FORMAT MANAGEMENT

Paper: Retain in Office for 5 years and then destroy.

APPRAISAL

Administrative Legal

This retention is based on the needs expressed by the administrator and the provisions of 42 CFR 405.1101-405.1137_ (1989) which indicates that "in the absence of a state statute records should be maintained for 5 years." The State maintains its copies for 6 years.