AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Eligibility Policy
SERIES: 7965
TITLE: Patient assessment section log
DATES: i 1982-
ARRANGEMENT: Chronological
DESCRIPTION: This record monitors the inflow of medicaid documents which helps ensure that responses are prompt.
Included in this record are the date that the Patient Care Transmittal Form (10A) is received; date an incomplete form is returned to person submitting the form; document log number; transaction control number; name of patient, dates telephone approval is given; date approval becomes effective; date information was sent to data entry; date written approval is sent to facility; dates of interim, 30, 90, and 180 day reviews; and date case is closed.
RETENTION
Retain for 1 year(s)
DISPOSITION
Destroy.
RETENTION AND DISPOSITION AUTHORIZATION
These records are in Archives' permanent custody.
APPROVED: 08/1986
FORMAT MANAGEMENT
Paper: Retain in Office for 1 year and then destroy.
APPRAISAL
Administrative
This record has administrative and fiscal values, but because it is an internal control document, it has no long-term value and should be disposed of promptly.
PRIMARY DESIGNATION
Private