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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 2047
Database ID: 2389
Record Series Title: TENNCARE PROVIDER APPLICATIONS AND RELATED INFORMATION
Record Series Abstract: Record series includes but is not limited to information submitted to the Division of TennCare by providers to be registered for TennCare Health Care Programs. Examples include provider application, Disclosures of ownership, National Provider Identifier collection form, Provider Participation agreement and other supporting documentation as required.
Record Series Active: Yes
Cut Off at End of: Other
If Other, Explain: When the Provider contract terminates
Total Retention: 10 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Record series remains active until the provider contract terminates. Records in paper format will be retained for 10 years. Paper records will be maintained at the agency for 1 year, then transferred to State Records Center for a period of 9 years, then destroyed by State approved methods. Records received via the web based portal are stored in the Provider Data Management System,then transmitted to InterChange will be retained for 10 years. The 10 year period will begin on the date that the Provider's record is terminated. The 10 year time period is required by the MARS-E requirement for Data Retention and Disposal as described in the Marketplace regulations.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 2389
Record Location: Tenncare, 310 Great Cr. Rd. Nashville, Tn. Provider Services 2 West. And Richards and Richards
File Arrangement: Alpha
Media Format Generated: Both
Media Format Stored: Paper/Electronic
Date Range: 1992-2013 (file kept in paper format) as of 2013-current (new files are electronic and some paper)
Annual Accumulation: 100 cu. ft. 54 GB
Current Volume: 816 cu. ft 2TB
Record Value: Administrative, Legal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 20
Past Year: 20
2 - 5 Years: 20
Over 5 Years: 20
Data Update Frequency: Daily
Information Shared Outside of State: No
If Shared, List Agencies:
Essential Record: TRUE
Essential Record Stored: 310 Great Circle Road Nashville TN 37228 Richards and Richards
Essential Record Media Type: Paper
Confidential: FALSE
Confidential Legal Citation:
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention: After cut off, maintain paper records in agency 1 year. Then transfer to the Records Center for 9 years and destroy by State approved methods. Electronic records will be maintained on State servers.
Agency Retention - Years Active: 1 years
Agency Retention - Years Inactive: 9 years
Records Center Retention Period: 9 years
Final Disposition after Retention Expires: Keep as Electronic
Legal Citation: § 71-5-184
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: Interchange
IT-ABC Number: DC57-2007-LP-001
Hardware Description: The System platform consist of two Oracle/SUN M8000 servers divided into multiple domains that support the Interchange environment. The system is a client/server application running an Oracle database. The data is stored on a Hitachi SAN in the Oracle Database
Software Description: The software is a custom application written by HP utilizing an Oracle database to store the data
System Location: The physical location of the system is at the State North Data Center operated by the Office of Strategic Technology Solutions.
Backup Procedures: The data is stored on two Data Domain DDR appliances. In addition to the DDR storage the data is also written daily to LTO4 data tapes on an L700 Sun Tape Library. The tapes are moved off site daily to an Iron Mountain facility
Disaster Recovery: During normal operations the system would be restored utilizing the Netbackup catalog and tape. The last full backup would be restored and then RMAN would read in the redo logs to bring the database up to the last point in time. If the location was breached the system would be recovered at the companion State Data Center via block level replication at the SAN level between the two facilities
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: Records Officer
Address 1: 310 Great Circle Rd.
Address 2: 227 French Landing
City: Nashville
Zip: 37228
Phone: 615-687-7971
Email: thomas.k.grones2@tn.gov
Agency: Division of TennCare
Agency Head: Wendy Long
Director: Dennis Elliott
Allotment Code: 31865
Status
Action Requested: Revision
Comments
  Date Comments
Records Management Division (RMD): 03-29-2018 No recommended changes.
Tennessee State Libary and Archives: 03-29-2018 No recommended changes.
Comptroller Audit Review: 2018-03-29 We have reviewed RDA 2047 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 03-29-2018 Agency concurs
RMD Director Recomendations: 04-04-2018 RDA 2047 is a request to revise an RDA. The retention period will change from six years and destroy to ten years and destroy. The Abstract, Disposition Notes, and Worksheet have been updated. Recommend approval of request to revise RDA 2047.
Signed Form Received: 2018-04-04
PRC Meeting Date: 04-25-2018
PRC Comments: PRC approves RDA 2047.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
550 2047 2016-11-03 Approved
2389 2047 2018-04-25 Approved