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

SERIES: 11378
TITLE: Surveillance utilization review subsystem quarterly control reports
DATES: 1985-
ARRANGEMENT: Chronological

DESCRIPTION: These control files are used to designate the categories of provider services, and designate class groupings to determine cost factor and payable amounts for provider, provider services, and treatment analysis, for recipients on medicaid. Information defines matrix, line item index of data collected for reporting, what information will be collected from the claims and how the claim information is to be collected for Surveillance Utilization Review System (SURS) reporting. The reports outlines statistics of the control file at the end of each quarter.

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

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

APPROVED: 11/1996

FORMAT MANAGEMENT

Paper: Retain in Office for 1 year and then transfer to State Records Center. Retain in State Records Center for 2 years and then destroy.

APPRAISAL

Administrative

This disposition is based on the administrative needs expressed by the agency. Even though the reports are updated quarterly, the previous reports are retained for reference.

PRIMARY DESIGNATION

Private