AGENCY: Department of Health. Bureau of Information Technology

SERIES: 8244
TITLE: Medicaid Management Information Subsystem report treatment and analysis item exception log
DATES: 1985-2006.
ARRANGEMENT: None

DESCRIPTION: This is computer output microfiche 68210T, generated by the Surveillance and Utilization Review Subsystem. This report provides an index to the exception profile report. It includes the report date, the class of treatment and diagnosis, the provider's name and identification number, the period covered by the report, and the page where the profile begins.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Computer output microfiche master: Retain in Office for 1 year and then transfer to State Records Center. Retain in State Records Center for 3 years and then destroy.

APPRAISAL

Administrative Fiscal

This record is part of a series used to produce a comprehensive statistical profile on participants who deviate from pre-defined critera for the purposes of analysis and review. This information is subject to federal audit and must be maintained for three years.

PRIMARY DESIGNATION

Private

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