AGENCY: Department of Health. Division of Medicaid and Health Financing. Bureau of Authorization and Community Based Services

SERIES: 15314
TITLE: Mandated Federal Review provider files
DATES: 1980-
ARRANGEMENT: Numerical by case number

DESCRIPTION: These case files document Medicaid providers billing information submitted for payment for services. These reviews are conducted quarterly to review the information submitted by the providers for evidence of Medicaid abuse or fraud, and to insure that the providers are billing correctly and using the correct billing codes. The file contains provider billing information, client information, Medicaid payment records, provider records and client records. The information is collected as per the requirements of 42 CFR 456.23 (1992).

RETENTION

Retain for 6 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

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

APPROVED: 12/1997

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then transfer to State Records Center. Retain in State Records Center for 6 years and then destroy.

APPRAISAL

Administrative Fiscal Legal

This disposition is based on the administrative needs expressed by the agency for conducting audits. Required as per 42 CFR 456.23 (1992).

PRIMARY DESIGNATION

Private

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