AGENCY: Department of Human Services. Office of Fiscal Operations
SERIES: 4621
TITLE: Medicaid management information system remittance statements
DATES: 1987-2020.
ARRANGEMENT: Chronological, thereunder numerical by social security number.
DESCRIPTION: The Health Department creates these remittance statements involving client Medicaid payments and sends that information to the Department of Human Services, Handicapped Services. Handicapped Services compiles and uses this information to acquire federal reimbursement. The purpose is to track, monitor, and solve errors so that Handicapped Services can capture monies for providers from the federal government. These statements include claims in process, denied claims, claims paid, eligibles, ineligibles, and eligibles undetermined. There are no diagnostic codes listed. Information contained in these claims encompass medical information, name, physical disabilities, psychiatric information, and social security number. Duplicate copies of these records are retained by the Department of Health, Health Care Financing.
RETENTION
Retain for 5 year(s)
DISPOSITION
Destroy.
RETENTION AND DISPOSITION AUTHORIZATION
These records are in Archives' permanent custody.
FORMAT MANAGEMENT
Paper: Retain in Office for 1 year and then transfer to State Records Center. Retain in State Records Center for 4 years and then destroy.
APPRAISAL
Administrative
This disposition is based on the needs expressed by the agency.
PRIMARY DESIGNATION
Private
SECONDARY DESIGNATION
Controlled. Psychiatric information