| Worksheet ID: |
2383 |
| Record Location: |
310 Great Circle
Nashville, TN 37243 |
| File Arrangement: |
Alpha/Numeric |
| Media Format Generated: |
Both |
| Media Format Stored: |
Paper/Electronic |
| Date Range: |
1990 to current |
| Annual Accumulation: |
30 cu ft.
.5 GB |
| Current Volume: |
300 cu ft.
2 GB |
| Record Value: |
Administrative, Fiscal, Legal |
| Audit Requirements: |
Both |
| Reference Frequency: |
| Current Year per Month: |
30 |
| Past Year: |
360 |
| 2 - 5 Years: |
1000 |
| Over 5 Years:
|
2000 |
|
| Data Update Frequency: |
Daily |
| Information Shared Outside of State: |
Yes |
| If Shared, List Agencies: |
center for medicare and medicaid services |
| Essential Record: |
No |
| Essential Record Stored: |
|
| Essential Record Media Type: |
|
| Confidential: |
Yes |
| Confidential Legal Citation: |
45 CFR §155.1210, 45 CFR § 164.502 |
| Media Recommendation: |
Current Format |
| Media Recommendation Other: |
|
| Agency Retention: |
10 years |
| Agency Retention - Years Active: |
5 |
| Agency Retention - Years Inactive: |
5 |
| Records Center Retention Period: |
|
| Final Disposition after Retention Expires: |
Destroy |
| Legal Citation: |
45 CFR §155.1210, 45 CFR § 164.502 |
| Record Sample: |
No Sample |
| Legal Documentation: |
No Legal Documentation |
| Electronic Records Plan Inventory |
| System Name: |
TennCare Prior Admission Evaluation System- Applicant/Enroll & Eligibility Apps on ATP(today) TEDS(future) Service Requests -ServiceNow |
| IT-ABC Number: |
|
| Hardware Description: |
Shared server environment at STS's Data Center South. |
| Software Description: |
SQL Database |
| System Location: |
STS Data Center South, Smyrna, TN |
| Backup Procedures: |
Standard STS Data Center back up procedures are in place. Backups are taken nightly and stored on-site until weekly back up is taken to Iron Mountain back up storage facility. |
| Disaster Recovery: |
The application resides at the Data Center and is backed up nightly. Backups are stored off-site weekly. Recovery in a disaster could take between one (1) to three (3) weeks. |
| Data Migration Description: |
The data resides in an SQL database located at the Data Center. If there were a need for migration, it could be done by STS database administrators.
|
| Metadata Description: |
Date, File Type, File Name |
