AGENCY: Department of Health and Human Services. Division of Services for People with Disabilities
SERIES: 80125
TITLE: Provider files
DATES: 1985-
ARRANGEMENT: Alphabetical by provider's name
DESCRIPTION: This is a record kept on providers for the Division of Services for People with Disabilities. The records include: registration application and Affidavit of Standard Compliance, license, copies of contracts, contractor evaluations, qualifications of staff members, confidentiality agreement, provider Code of Conduct, insurance, Medicaid application, contract budget (if applicable), problem correction plan, fact finding reports and results, and related memos and correspondence.
RETENTION
Retain for 5 year(s) after expiration of contractual agreement
DISPOSITION
Destroy.
RETENTION AND DISPOSITION AUTHORIZATION
Retention and disposition for this series were specifically approved by the State Records Committee.
APPROVED: 12/1988
FORMAT MANAGEMENT
Paper: Retain in Office for 1 year after contract has been cancelled or terminated and then transfer to State Records Center. Retain in State Records Center for 4 years and then destroy.
APPRAISAL
Administrative Fiscal Legal
Retention is based on 42 CFR 431.17.
PRIMARY DESIGNATION
Public
SECONDARY DESIGNATION
Private. name, address, and telephone number of the facility