AGENCY: Department of Health. Office of Finance

SERIES: 81810
TITLE: Quarterly medicaid statement of expenditures for the medical assistance program
DATES: 1975-
ARRANGEMENT: Chronological

DESCRIPTION: This is a report submitted to the federal government accounting for expenditures the state has made for the medicaid program. It includes a summary sheet, report of expenditures for the quarter, prior periods adjustments, third party liability collections and cost avoidance, and expenditures for state and local administration for the medical assistance program.

RETENTION

Permanent. Retain for 5 year(s)

DISPOSITION

Transfer to Archives.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 06/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 5 years after the end of the fiscal year and then transfer to State Archives with authority to weed.

APPRAISAL

Administrative Fiscal

The in office retention is based on 45 CFR Part 74. A permanent retention is recommended as it documents the amount of money spent in the state by the medicaid program.

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