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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 11078
Database ID: 1984
Record Series Title: Division of TennCare Hearings and Appeals
Record Series Abstract: These records contain the hearings/appeals files for actions heard by various Commissioner designees in the Division of TennCare on such matters as eligibility appeals, medical services appeals, Pre-Admission Evaluation appeals and nursing facility involuntary discharge appeals.
Record Series Active: Yes
Cut Off at End of: Other
If Other, Explain: Calendar year in which final decision was rendered.
Total Retention: 10 Years 0 Months
Retention End Action: Destroy
Disposition Notes: records will be maintained in either paper or electronic format. Paper records will be stored as space allows on site and then sent to Richards and Richards for storage. For records kept electronically, the paper copies will be scanned into an electronic database and then the paper copy will be destroyed after the scan is verified for completeness and accuracy. The electronic information will then be treated as the official record and kept for the life of the retention.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 1985
Record Location: Division of TennCare will store these records at 227 French Landing and 310 Great Circle Road Nashville, TN.37243 as space allows and then moved to Richards and Richards
File Arrangement: Case Number
Media Format Generated: Both
Media Format Stored: Paper/Electronic
Date Range: 2006-Current
Annual Accumulation: 150 cu.ft. paper 1 gigabytes
Current Volume: 500 cu.ft. paper 4 gigabytes
Record Value: Administrative, Legal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 5
Past Year: 60
2 - 5 Years: 50
Over 5 Years: 60
Data Update Frequency: Weekly
Information Shared Outside of State: Yes
If Shared, List Agencies: Centers for Medicare and Medicaid Services, advocacy groups, court system
Essential Record: Yes - Original
Essential Record Stored: Division of TennCare will store these records at 227 French Landing and 310 Great Circle Road Nashville, TN.37243 as space allows and then moved to Richards and Richards
Essential Record Media Type: Paper
Confidential: Yes
Confidential Legal Citation: Because they contain Protected Health Information and Federal Tax Information they should be treated as confidential.45CFR 164.502
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention: 10 years
Agency Retention - Years Active: 3 years
Agency Retention - Years Inactive: 7 years
Records Center Retention Period: until end of retention period
Final Disposition after Retention Expires: Destroy
Legal Citation: TCA 4-5-319
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: STS Windows File Share ( Shared Partition)
IT-ABC Number: N/A
Hardware Description: STS VM 2012 server
Software Description: (OGC Commissioner Designee) Windows 2012 (Medical Services and Eligibility Commissioner's Designee) Microsoft SQL Server, MS Word documents and pdf files
System Location: (OGC Commissioner Designee) STS Date Center South (Medical Services and Eligibility Commissioner's Designee) TennCare Data Center
Backup Procedures: (OGC Commissioner Designee) daily incremental, weekly, monthly (off-site; meaning the tape is located at Iron Mountain and not the data center) (Medical Services and Eligibility Commissioner's Designee) Nightly incremental, weekly full backup
Disaster Recovery: On file with TennCare-Member Services
Data Migration Description: These records will be migrated as part of our normal server migration process.
Metadata Description: date, file type, name
Contact Information
Contact Name: Thomas K Grones
Job Title: Administrative Services Assistant 4
Address 1: 310 Great Circle Road
Address 2: 227 French Landing
City: Nashville
Zip: 37228
Phone: 615-687-7971
Email: thomas.k.grones@tn.gov
Agency: Division of TennCare
Agency Head: Wendy Long
Director: Gabe Roberts
Allotment Code: 31865
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 03-01-2018 No recommended changes.
Tennessee State Libary and Archives: 03-01-2018 No recommended changes.
Comptroller Audit Review: 2017-03-07 We have reviewed RDA 11078 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 03-07-2018 Agency Concurs
RMD Director Recomendations: 03-09-2018 RDA 11078 is a request for a new RDA. The retention period will be ten years and destroy. The format will be paper/electronic. Recommend approval of request to create RDA 11078.
Signed Form Received: 2018-03-09
PRC Meeting Date: 04-25-2018
PRC Comments: PRC approves RDA 11078.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
1984 11078 2018-04-25 Approved