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

SERIES: 8153
TITLE: Medicaid Management Information System operational report
DATES: 1981-
ARRANGEMENT: None

DESCRIPTION: This is a COM report that shows which clients have paid premiums. It includes report date, client's name, case number, medicare number, assistance category, date of birth, district number, amount of the premium payment, accrete code, and date.

RETENTION

Retain for 1 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Computer output microfiche master: Retain in Office for 1 year and then destroy.

APPRAISAL

Administrative

In addition to these bureau copies, one other copy and one master are produced. Therefore, there is no need for these to be kept past their administrative value.

PRIMARY DESIGNATION

Private

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