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

SERIES: 7940
TITLE: Cumulative year to date update proof
DATES: 1977-
ARRANGEMENT: None

DESCRIPTION: This is a computer output microfiche number 21115F summarizing the divisions's claim processing activities for the year. It includes the report date, the document control number, the type of claim (pharmacy invoice, prior authorization record, etc.), the claim status (adjudicated), the line number, the action taken code number, a description of the action taken on this record (i.e., change), the date the action was taken, the code number of the change, and an index by code number.

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 2 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 Fiscal

This is an audit report and does not need to be kept longer than the period for review by the federal government. Discussion with the office staff indicates that they need these records in the office for only two years.

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