AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Eligibility Policy

SERIES: 7970
TITLE: Utah State Hospital admission review case files
DATES: i 1984-
ARRANGEMENT: None

DESCRIPTION: This record is a review of admissions to the Utah State Hospital as required by the Code of Federal Regulations. This review documents the necessity of services as required by a patient.

Included in this record are the patient's name, date of birth, admission date, medicaid identification number, the criteria which must be met to justify hospitalization and treatment of the patient, reviewer's decision as to justifiable admission, and the signature and dates of signature of the reviewing registered nurse or physician.

RETENTION

Retain for 5 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years and then transfer to State Records Center. Retain in State Records Center for 3 years and then destroy.

APPRAISAL

Administrative Fiscal

This record is required by 42 Code of Federal Regulations 456.160 (a), but no retention has been established. The staff has disclosed that payment is often made after an admission has been denied, provided the bureau pursues reimbursement. This procedure requires this record to have a longer retention period than similar records.

PRIMARY DESIGNATION

Private

SECONDARY DESIGNATION

Controlled

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