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

SERIES: 8056
TITLE: Restricted client review log
DATES: 1982-
ARRANGEMENT: None

DESCRIPTION: This is a record of medicaid users who have been identified as abusing their benefits and have been restricted to using only one doctor and one pharmacy. The form serves the double purpose of inputting data onto the terminal and acting as an index to the case file. It includes the name, address, and identification number of the recipient, the social service district and case file numbers, and the status of the restriction.

RETENTION

Retain for 2 year(s) or for 0

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

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

Computer data files: Retain in Office until the client is taken off the restricted list and then delete.

APPRAISAL

Administrative

PRIMARY DESIGNATION

Private

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