AGENCY: Department of Human Services

SERIES: 81749
TITLE: Medicaid management information systems
DATES: undated.
ARRANGEMENT: Numerical by case number.

DESCRIPTION: This series contains records relating to medicaid and includes files and forms used by Social Services to administer medicaid services. Some of the records in this series are: Periodic Screening Invoices, Clinic Invoices, SSA-1490 Coding Form (Physician), SSA-1491 Coding Form (Ambulance), Vision Care Invoice, billing invoices and forms, claims, and x-ray and outpatient care forms. This series also includes computer generated reports tracking client names, provider numbers, effective dates of care, expiration dates of care, cost estimates, Title V amounts, fiscal year encumbrances, lists of suspended claims, claims in process (arranged by the type of service provided), medicare deductibles, and co-pays. Information relating to system errors generated while processing each report is located at the end of the report.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is authorized by Archives general schedule Medicaid files, GRS-2524

AUTHORIZED: 06/15/2011

FORMAT MANAGEMENT

Microfilm master: Retain in Archives for 10 years and then destroy.

Microfilm duplicate: Retain in Archives for 10 years and then destroy.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Public

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