AGENCY: Department of Health. Office of Finance

SERIES: 81865
TITLE: Health maintenance organization recipient certification file
DATES: 1977-
ARRANGEMENT: Chronological

DESCRIPTION: This is the basis for making payments to individuals receiving medical assistance. The bureau uses this to process warrant requests. The file includes recipient certified list, recipient re-instated list, recipient pending list, and recipient deleted list. Information includes the family name; case number; recipient identification number; the recipient's name, sex, age, and date of birth; and the date the case was opened.

RETENTION

Retain for 5 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 06/1987

FORMAT MANAGEMENT

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

Computer output microfiche master: Retain in Office for 5 years and then destroy.

APPRAISAL

Administrative Fiscal

This record is subject to federal audit and should be retained for a five year period. A paper copy is received because it arrives sooner than the COM and can be used to issue payments more promptly. Once the COM is received, the paper copy becomes expendable.

PRIMARY DESIGNATION

Private

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