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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 2045
Database ID: 548
Record Series Title: LEGAL APPEAL FILES
Record Series Abstract: These records include appeals files for various Division of TennCare departments. The records series includes but is not limited to all documents filed from the start of the appeal including anything filed with the notice of hearing, pleadings, exhibits, opinions and correspondence connected with the appeal. These records include appeals for Medical Records and or Services, Eligibility appeals, Pre-Admission Evaluation appeals, Nursing facility discharge appeals, Financial Receipts, Correspondence, ETC., regarding TennCare Enrollee appeals.
Record Series Active: Yes
Cut Off at End of: Other
If Other, Explain: Calendar year in which appeal is closed
Total Retention: 10 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Records are cut off at the end of the calendar year in which the appeal is closed. Records may be maintained in either paper or electronic format as long as the electronic file has been verified for completeness and accuracy. Records maintained in paper format will be stored for 5 years on site or as room allows, then sent to State Records Center for the remainder of their retention. Paper copies that are routinely scanned into an electronic database will be destroyed after scan quality is verified. All electronic information will be deleted from the respective system at the end of the retention period.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 548
Record Location: Division of TennCare will store these records at 227 French Landing and 310 Great Circle Road Nashville, TN.37243. Files may be stored at State approved Records storage vendor. North and South Data Centers, Iron Mountain
File Arrangement: Case Number
Media Format Generated: Both
Media Format Stored: Paper/Electronic
Date Range: 1988 - current
Annual Accumulation: 60 cu. ft. 180 MB
Current Volume: 300 cu. ft. 900 MB
Record Value: Administrative, Legal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 20
Past Year: 80
2 - 5 Years: 120
Over 5 Years: 220
Data Update Frequency: Daily
Information Shared Outside of State: Yes
If Shared, List Agencies: court system and advocacy groups
Essential Record: Yes - Original
Essential Record Stored: 310 Great Circle Road. 227 French Landing Richards and Richards North and South Data Centers
Essential Record Media Type: Paper
Confidential: Yes
Confidential Legal Citation: 45 CFR 164.502
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention: 10 year
Agency Retention - Years Active:
Agency Retention - Years Inactive: 5 years
Records Center Retention Period: 5 years
Final Disposition after Retention Expires: Destroy
Legal Citation: TCA 4-5-319, 45 CFR 15.1210
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: VMWARE server. Virtual Server. Physical Server
IT-ABC Number:
Hardware Description: (TPAS) LTSS on a VMWARE server in the North Data Center. (TEDS)Production hardware in the South Data Center. The environment is a combination of virtual and physical hardware. (ProLaw)Physical Server in the TennCare Data Center
Software Description: (TPAS)LTSS installed on a virtual server in the North Data Center (TEDS)A combination of virtual and physical hardware in the North Data Center (ProLaw)software installed on the desktop and Database server
System Location: (TPAS) nothing on a shared drive on a physical server virtual server in the North Data Center. (TEDS)Nothing on a shared drive. All data is stored on a G400 Hitachi SAN. (ProLaw) Located on a physical server in the TennCare Data Center
Backup Procedures: (TPAS) STS maintains all backup plans for this hardware (contact is David Beachboard at STS) (TEDS) All data is replicated between two G400 Hitachi in the South Data Center. (ProLaw)DXC performs all backups and tapes are sent to Iron Mountain on a weekly basis
Disaster Recovery: (TPAS) plan is just to restore from tape to a new virtual server. (TEDS)All data is replicated between 2 G400 Hitachi SANA.in South Data Center: failover in the North Data Center with dedicated hardware. (ProLaw) Included in the Member Services Plan under Don Sharp
Data Migration Description: Data is migrated as needed to the appropriate data repository
Metadata Description: (TPAS) Metadata format is really not applicable for this application. (TEDS)Metadata for the Oracle databases stored on a server in the Cosco ACI environment on the servers in the North Data Center and a copy in the South Data Center (ProLaw)Not applicable for this application.
Contact Information
Contact Name: Thomas K Grones
Job Title: Administrative Services Assistant 4
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: Don Sharp
Allotment Code: 31865
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 06-28-2018 No recommended changes.
Tennessee State Libary and Archives: 06-28-2018 No recommended changes.
Comptroller Audit Review: 2018-07-02 We have reviewed RDA 1045 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 07-11-2018 Agency Concurs
RMD Director Recomendations: 08-10-2018 RDA 2045 is a request to revise an RDA. The retention period will change from one year and destroy to ten years and destroy. The format will be paper/electronic. The Title, Abstract, Cut Off, Disposition Notes, and Worksheet have been updated. Recommend approval of request to revise RDA 2045.
Signed Form Received: 2018-08-01
PRC Meeting Date: 10-30-2018
PRC Comments: PRC approves RDA 2045.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
548 2045 2018-10-30 Approved