AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations.

SERIES: 7896
TITLE: Aged prior authorization
DATES: 1977-
ARRANGEMENT: None

DESCRIPTION: This is a list of expired prior authorizations. This is part of COM number 68015E, MMIS Claims Exceptions Reports. It includes the run and report dates, the prior authorization number, the transaction control number, the recipient's name and identification number, the provider's identification number, and the authorization procedure giving the beginning and ending dates, the supply/diagnosis/drug code, the number of units authorized and used, and the dollar amount authorized and used. The fiche includes an index.

RETENTION

Retain for 9 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Computer output microfiche master: For records beginning in 1977 through 2002. Retain in Office for 2 years and then transfer to State Records Center. Retain in State Records Center for 7 years and then destroy.

CD-ROM: For records beginning in 2002 and continuing to the present. Retain in Office for 9 years and then destroy.

Computer data files: Retain in Office for 9 years and then delete.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Private