AGENCY: Department of Health and Human Services. Healthcare Administration. Division of Integrated Healthcare. Office of Eligibility Policy
SERIES: 7971
TITLE: Budget reports
DATES: 1975-
ARRANGEMENT: Chronological
DESCRIPTION: These budget reports are submitted to the federal government to request medicaid funds and to document the spending of medicaid funds.
Included in this record are State Survey Agency Certification Budget/Expenditure Report Form, State Agency Budget List of Positions, State Survey Agency Budget Request-Long Term Care Facility Workload Form, State Survey Agency Budget Request Form
and State Agency Schedule for Equipment Purchases. Information contained within this record includes: department name and address; period covered by form; description of equipment purchased and cost; breakdown of expenses for salaries and other expenses; listing of positions, or groups of positions and funding requested for each; and breakdowns of funds needed and funds requested.
RETENTION
Retain for 3 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 3 years after the date of submission of expenditure report and then destroy.
APPRAISAL
Administrative Fiscal
This record has administrative and fiscal values. Retention of this record is based on 42 Code of Federal Regulations 433.32.