AGENCY: Department of Health. Bureau of Health Promotion
SERIES: 81931
TITLE: Report file
DATES: undated
ARRANGEMENT: none
DESCRIPTION: This is a file used to generate reports from the EPSDT automated system. It includes case identification number and name; recipient's name, identification number, age, sex, date of birth, and EPSDT status; treatment claim data; immunization information; dates of certification and of services; and the types of services given the recipients. This is a file of automated data system, file key: EPSDT.
RETENTION
Retain for 4 year(s)
DISPOSITION
Destroy.
RETENTION AND DISPOSITION AUTHORIZATION
These records are in Archives' permanent custody.
APPROVED: 06/1987
FORMAT MANAGEMENT
Computer magnetic storage media: Retain in Office for 4 years and then erase.
APPRAISAL
Administrative Fiscal
This file is used to produce reports. As the office does not retain all copies of reports, the file should be retained to have the information available in case of federal audit.
PRIMARY DESIGNATION
Private