AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Medicaid Operations.

SERIES: 7945
TITLE: Preliminary payment summary
DATES: 1977-
ARRANGEMENT: None

DESCRIPTION: This is a computer output microfiche number 68015F produced weekly that lists the payments made to health care providers under the medicaid system. This is used as an audit tool. It includes the run and report dates, the provider's identification number, the payee's name and address, the amount of the warrant, the warrant number, the low organizational and account numbers, the activity code, and the amount charged.

RETENTION

Retain for 9 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Computer output microfiche master: For records beginning in 1977 through 2002. Retain in Office for 2 years and then transfer to State Records Center. Retain in State Records Center for 7 years and then destroy.

CD-ROM: For records beginning in 2002 and continuing to the present. Retain in Office for 9 years and then destroy.

Computer data files: Retain in Office for 9 years and then delete.

APPRAISAL

Administrative Fiscal

The maximum amount of time for which to take action against a health care provider for filing a false claim is 9 years. This information could be of value in pursuing such an action. Discussion with the staff indicates that this record has an administrative value of two years.

PRIMARY DESIGNATION

Private