AGENCY: Department of Health and Human Services. Community Health and Well-Being. Division of Population Health. Office of Health Promotion and Prevention

SERIES: 81931
TITLE: Report file
DATES: undated
ARRANGEMENT: none

DESCRIPTION: This is a file used to generate reports from the EPSDT automated system. It includes case identification number and name; recipient's name, identification number, age, sex, date of birth, and EPSDT status; treatment claim data; immunization information; dates of certification and of services; and the types of services given the recipients. This is a file of automated data system, file key: EPSDT.

RETENTION

Retain for 4 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 06/1987

FORMAT MANAGEMENT

Computer magnetic storage media: Retain in Office for 4 years and then erase.

APPRAISAL

Administrative Fiscal

This file is used to produce reports. As the office does not retain all copies of reports, the file should be retained to have the information available in case of federal audit.

PRIMARY DESIGNATION

Private

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