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

SERIES: 22576
TITLE: Medicaid out of state services files
DATES: 1990-
ARRANGEMENT: Alphabetical by name

DESCRIPTION: This record series consists of requests by Medicaid clients for medical services which are not provided in the State of Utah. Possible medical expenses include transportation, air fare, and the medical services. Information includes name of medicaid client, details of medical condition and type of treatment received, dates of travel and treatment, name and address of the health care provider, details of the expenses, and Medicaid authorization.

RETENTION

Retain for 8 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

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

APPROVED: 04/2000

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then transfer to State Records Center. Retain in State Records Center for 7 years and then destroy.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Private. UCA 63G-2-302 (1)(a)

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