AGENCY: Department of Health and Human Services. Operations. Division of Finance and Administration. Office of Finance.

SERIES: 83631
TITLE: Provider files
DATES: 1984-
ARRANGEMENT: alphabetical by provider's name

DESCRIPTION: This is a variety of materials that pertain to the provider as it relates to services provided to the Department's clients. This series may contain some of the following information: Registration Application and Affidavit of Standard Compliance, License, copies of contracts, floor plans, costs, qualifications of staff members, Confidentiality Agreement, Program Evaluation, Problems Correction Plan, Fact Finding Reports and Results, Provider Payroll Check Register (RPP4), and all related memoranda and correspondence. Reports of accounting information contained in the state accounting system, including budget, grant, payroll, revenue expense, accounting reports, and bank reconciliations.

RETENTION

Retain for 7 year(s) after expiration of contractual agreement

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is authorized by Archives general schedule State government accounts payable and receivable records, GRS-1854

AUTHORIZED: 04/24/2017

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years after contract has been cancelled or is terminated and then transfer to State Records Center. Retain in State Records Center for 5 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.

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