AGENCY: Department of Health. Bureau of Health Promotion

SERIES: 81938
TITLE: Dental health post treatment review case file
DATES: 1986-
ARRANGEMENT: Alphabetical by name

DESCRIPTION: This is a review of treatment given patients done on a sampling basis. This review is designed to ensure that treatments given patients under the medicaid program are necessary and justified. These are required under 42 CFR 456.23. The file includes the review date, the name and address of the provider, the provider identification number, the case number, the classification, the nature of the complaint, the amount charged for the services, the patient's name and address, the patient's identification number, the investigator's name, and the results of the review. The file also contains copies of treatment records.

RETENTION

Retain for 4 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 2 years and then transfer to State Records Center. Retain in State Records Center for 2 years and then destroy.

APPRAISAL

Administrative

A four year retention is needed because each provider may be reviewed every four years. The previous review is used as background information by the staff. Once a follow-up review has been completed, the prior records can be destroyed.

PRIMARY DESIGNATION

Private

SECONDARY DESIGNATION

Protected. Investigative information