Collection and Retention of Information. PROVIDER shall maintain an accurate and timely record system through which all pertinent information relating to the medical management of Enrollees is documented, accumulated, and made available to appropriate health professionals. PROVIDER shall retain and make available to the State and CMS all records related to Enrollees for the current calendar year plus a period of ten (10) years after the date of the provision of Covered Services or for such longer period as required by applicable state or federal law or regulation.
Records to be retained include but are not limited to, medical, claims, Care Management, and Prior Authorization records.
As applicable by law to the Covered Services provided, the PROVIDER shall ensure that the inpatient medical record of Enrollees under its care contains documentation of whether the Enrollee has completed an Advance Directive or documentation regarding an Advance Directive discussion for Enrollees who choose not to complete a directive. The PROVIDER shall obtain and document such information if no such documentation is present in the record.