AGENCY: Attorney General's Office. Medicaid Fraud Control Unit

SERIES: 83746
TITLE: Medicaid Fraud Control Unit master case files
DATES: 1980-
ARRANGEMENT: Chronological by year, thereunder alphabetical.

DESCRIPTION: The Medicaid Fraud Control Unit investigates and prosecutes violations of state laws relating to fraud in connection with the Medicaid program (Utah Code 67-5-1(18)(2017)). These records document the investigation and prosecution (when applicable) of complaints made against institutions or individual providers (both medical and non-medical) suspected of committing fraud against the Medicaid program, or for abusing, neglecting, or exploiting vulnerable adults on Medicaid or in a facility that accepts Medicaid. Information may include the original complaint; investigative reports and notes; medical records from providers such as hospitals, nursing homes, physicians, etc.; records about medical providers; witness statements; video and audio interviews of accused, witnesses, or others involved; legal records such as subpoenas, hearings, court orders, etc.; and financial records, such as bank statements and processed checks. Any document or record found in these files may be the original record or may be a copy of the original.

RETENTION

Retain for 30 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 12/1992

FORMAT MANAGEMENT

Paper: Retain in Office for 5 years after case is closed and then transfer to State Records Center. Retain in State Records Center for 25 years and then destroy.

APPRAISAL

Administrative Legal

PRIMARY DESIGNATION

Protected. Utah Code 63G-2-305(10) and (17)(2017)

SECONDARY DESIGNATION

Exempt. 45 CFR 164 (2016) HIPAA