AGENCY: Department of Health and Human Services. Operations. Division of Licensing and Background Checks.

SERIES: 3493
TITLE: Medicare/Medicaid provider certifications
DATES: i 1970-
ARRANGEMENT: Chronologic by survey exit date

DESCRIPTION: Certifications for health care providers who wish to receive medicare/medicaid payments. The certification process is mandated by 42 CFR Section 442(1994) and is designed to ensure quality care and safety for recipients. Series information includes copies of the facility license, license applications, provider medicaid agreements, fire safety survey reports, medicare/medicaid certification and transmittal forms, statements of deficiencies and correction plans, post certification revisit reports, summaries of deficiencies not corrected, requests for certification, disclosures of ownership, control interest statements, facility survey notes and reports, and laboratory personnel qualification appraisals.

RETENTION

Retain for 7 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

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

APPROVED: 08/1996

FORMAT MANAGEMENT

Paper: Retain in Office for 6 months and then transfer to State Records Center. Retain in State Records Center for 78 months and then destroy.

Digital image: Retain in Office for 7 years and then delete.

APPRAISAL

Administrative Legal

This disposition is based on the administrative and legal needs expressed by the agency. According to 42 CFR 442.15 and 42 CFR 442.110 (1994) the provider agreement and certification are both good for only 12 months. The federal government requires this information, they do not specify the retention period. This information may be needed if legal action were to be taken against a health care provider.

PRIMARY DESIGNATION

Public

SECONDARY DESIGNATION

Private. UCA 26-3-7(2008)

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