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

SERIES: 8055
TITLE: Medicaid Management Information System lockin recipients
DATES: 1985-
ARRANGEMENT: Alphabetical by doctor, recipient and district.

DESCRIPTION: This is a computer output listing of medicaid recipients used by the bureau to verify that the recipients are qualified to receive benefits. It includes the date of the report, the recipient's name and identification number, the physician's name and identification number, the case name and identification number, the pharmacy name and identification number, and the beginning and ending dates of treatment.

RETENTION

Retain for 1 month(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Paper: Retain in Office for 1 month and then destroy.

APPRAISAL

Administrative

This information is used as a reference tool by the bureau and is updated once a month. Once a new report is received, they have no use for the old one.

PRIMARY DESIGNATION

Private