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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 11348
Database ID: 2552
Record Series Title: Patient Liability Collections
Record Series Abstract: Records includes but is not limited to Correspondence to Rep Payee, eligibility determination forms, copies of checks relating to fiscal/collections.
Record Series Active: Yes
Cut Off at End of: Fiscal Year
If Other, Explain:
Total Retention: 5 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Records are generated and stored in paper and electronic formats. Paper records are stored in file cabinets at 315 Deaderick Street, 8th Floor, UBS Tower, Nashville, TN 37243. Electronic records are stored on DIDD shared drive. Records are to be destroyed by state approved methods at the end of the retention period.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 2746
Record Location: 315 Deaderick Street, 8th Floor, UBS Tower, Nashville, TN 37243
File Arrangement: Apha by last name
Media Format Generated: Both
Media Format Stored: Paper/Electronic
Date Range: 2008-current
Annual Accumulation: 1/2 cubic foot - paper 10 MG Electronic
Current Volume: 10 cubic feet - paper 283 MG Electronic
Record Value: Fiscal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 1
Past Year: 20
2 - 5 Years: 15
Over 5 Years: 10
Data Update Frequency: Monthly
Information Shared Outside of State: No
If Shared, List Agencies:
Essential Record: Yes - Duplicate
Essential Record Stored: Paper records are stored in file cabinets and essential electronic records are stored on DIDD Shared Drive (H Fiscal Group)
Essential Record Media Type: Electronic
Confidential: Yes
Confidential Legal Citation: HIPAA 45 CFR Part 164
Media Recommendation:
Media Recommendation Other:
Agency Retention:
Agency Retention - Years Active:
Agency Retention - Years Inactive:
Records Center Retention Period:
Final Disposition after Retention Expires: Destroy
Legal Citation: HIPAA 45 CFR Part 164
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: Shared Network Storage Records are stored in the State of Tennesse Data Centers
IT-ABC Number: N/A
Hardware Description: Windows Servers 2012 R2
Software Description: MS Applications
System Location: Nashville Data Center, Capitol Complex Services Center (CCSC), 901 5th Avenue North, Nashville, TN 37243
Backup Procedures: Replication across data centers, complete weekly file backup.
Disaster Recovery: 3 months on site, 7 years Stone Mountain
Data Migration Description: Data is stored as combination of PDF and/or Microsoft Word and Excel Files. Data is periodically backed up by STS. Data may be copied and/or extracted in bulk through standard Windows file.
Metadata Description: Standard Metadata is captured when uploaded to the file server and is dependent on the file type (PDF, TXT, ETC.)
Contact Information
Contact Name: Simone N/A Cuarino
Job Title: Director of Records Compliance
Address 1: 315 Deaderick Street
Address 2: 8th Floor UBS Tower
City: Nashville
Zip: 37243
Phone: 615-532-6511
Email: Simone.Cuarino@tn.gov
Agency: Dept. of Intellectual & Developmental Disabilities
Agency Head: Brad Turner, Commissioner
Director: John Webb, Deputy Commissioner
Allotment Code: 344.01
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 04-24-2019 No recommended changes.
Tennessee State Libary and Archives: 04-25-2019 No recommended changes.
Comptroller Audit Review: 2019-04-25 We have reviewed RDA 11348 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 04-29-2019 Thank you!
RMD Director Recomendations: 04-30-2019 RDA 11348 is a request to create an RDA. The retention period will be five years and destroy. The format will be paper/electronic. Recommend approval of request to create RDA 11348.
Signed Form Received: 2019-04-29
PRC Meeting Date: 05-22-2019
PRC Comments: PRC approves RDA 11348
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
2552 11348 2019-05-22 Approved