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Kansas Records Retention Schedules

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Agency Code: 039 (Department for Aging and Disability Services)

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Agency Number: 039-000
Department for Aging and Disability Services
All Divisions

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0003-039 
TITLE Area Agencies on Aging - Permanent Files 
DESCRIPTION Copies of documents maintained by the Dept. on Aging that establish policies for area agencies on aging: articles of incorporation, by-laws, policy manuals, affirmative action plans, sample contracts. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0004-039 
TITLE Area Plans 
DESCRIPTION Plans submitted by area agencies on aging, used as the basis for grant funding decisions, that contain information on aging program characteristics, objectives, coordination, and service levels. 
RETENTION See Comments 
COMMENTS Retain in office 2 fiscal years after the end of the grant period, transfer to the records center for 3 fiscal years, then transfer to the archives for purging. Supersedes general schedule retention requirements for "Grant Files." 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0005-039 
TITLE Assessment Reports - Federal Administration on Aging 
DESCRIPTION Reports and correspondence related to the Dept. of Health and Human Services' Administration on Aging's evaluations of the services provided by the Kansas Department on Aging. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0006-039 
TITLE Assessments - Area Agencies on Aging 
DESCRIPTION Assessment reports, correspondence, and other documents relating to the Department on Aging's periodic evaluations of the effectiveness of each area agency on aging. 
RETENTION 003 fisc yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0008-039 
TITLE Audit Reports - Area Agencies on Aging 
DESCRIPTION Results of audits of area agencies on aging or other contractors conducted by independent auditors. 
RETENTION 005 fisc yrs 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0036-039 
TITLE Correspondence - Constituent Concerns 
DESCRIPTION Correspondence and other documents pertaining to concerns expressed by individuals on aging related issues and the agency's responses to the complaints. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. Supersedes general schedule retention requirements for "Correspondence." Such correspondence may be filed with program or grant records; if so, it should not be purged but should be transferred to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(14) 
APPROVED 2011-10-13 
K.A.R. NUMBER 53-2-169 

SERIES ID 0019-039 
TITLE Governor's Conference on Aging Files 
DESCRIPTION Variety of documents pertaining to the planning of a biennial educational conference held for Kansas seniors and professionals involved in the field of aging. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0026-039 
TITLE Program Reports - Older Americans Act Grants 
DESCRIPTION Interim and final reports submitted to the Department on Aging by area agencies on aging used to monitor the progress of federally funded grant projects to provide services for the elderly. 
RETENTION See Comments 
COMMENTS Retain in office 2 fiscal years after the end of the grant period, transfer to the records center for 3 fiscal years, then transfer to the archives for purging. Supersedes general schedule retention requirements for "Grant Files." 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0001-039 
TITLE Rules and Regulations Working files 
DESCRIPTION Notes, staff suggestions, copies of regulations, and other documents relating to the process of revising the agency's administrative regulations.  
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2011-10-13 
K.A.R. NUMBER 53-2-169 

SERIES ID 0029-039 
TITLE State Plan on Aging Files 
DESCRIPTION Documents relating to the formulation of the State Plan on Aging submitted to the federal Administration on Aging as required by Title III of the Older Americans Act. 
RETENTION See Comments 
COMMENTS Retain in office 2 fiscal years, transfer to the records center for 3 fiscal years, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0030-039 
TITLE State Program Reports - Title III Older Americans Act 
DESCRIPTION Annual report submitted by the Dept. on Aging to the federal Administration on Aging providing aggregate statistical data on services provided to older Kansans under OAA Title III. 
RETENTION See comments 
COMMENTS Retain working files for five calendar years, then destroy. Send copy of final State Plan to archives. 
DISPOSITION See comments 
RESTRICTIONS None 
APPROVED 2011-10-13 
K.A.R. NUMBER 53-2-168 

SERIES ID 0035-039 
TITLE Training/Meeting/Field Reports 
DESCRIPTION Reports prepared by staff members summarizing the content of meetings attended, training sessions conducted, or field work performed and maintained to monitor staff activities. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

Agency Number: 039-001
Department for Aging and Disability Services
Office of the Secretary

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0154-039 
TITLE Assessments - Working Files 
DESCRIPTION Correspondence, notes, drafts, etc. relating to the preparation of the reports on the periodic evaluation of the effectiveness of each agency on aging. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2000-01-13 
K.A.R. NUMBER 53-2-122 

SERIES ID 0350-629 
TITLE Cost Report Data 
DESCRIPTION Statistical and financial data accumulated by the staff and used to prepare the annual Cost Reports. 
RETENTION 001 cldr yr 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) & 39-709(b) 
APPROVED 2015-09-24  ; Revised 2015-09-24
K.A.R. NUMBER 53-2-099 

SERIES ID 0037-039 
TITLE Employee Grievance Files 
DESCRIPTION Variety of documents related to grievances filed by employees against the agency under state civil service and civil rights protection statutes. These are not EEO grievance files. 
RETENTION See Comments 
COMMENTS Retain 5 years after grievance is settled, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(11)(25) 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0042-039 
TITLE Subject Files - Administrative Assistant to the Secretary 
DESCRIPTION Correspondence, reports, notes, publications, and other documents relating to the activities and interests of the agency secretary. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0043-039 
TITLE Subject Files - Secretary 
DESCRIPTION Variety of documents relating to the administration and operation of the agency. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS Portions per KSA 45-221(a)(4) 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0044-039 
TITLE Working Files - Personnel 
DESCRIPTION Variety of documents relating to personnel administration in the Department on Aging. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

Agency Number: 039-001
Department for Aging and Disability Services
Office of the Secretary
Accounting Unit

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0157-039 
TITLE Cost Allocations - Health and Human Services 
DESCRIPTION Applications and supporting documentation submitted to state or federal grantor agencies to support the department's plan for allocating costs for administering its programs. 
RETENTION 007 fisc yrs 
COMMENTS Retain in office 2 fiscal years, transfer to the records center for 5 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2002-01-10 
K.A.R. NUMBER 53-2-129 

Agency Number: 039-001
Department for Aging and Disability Services
Office of the Secretary
Nursing Facility Program

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0046-039 
TITLE Nursing Facility Program Files 
DESCRIPTION Application, correspondence, provider agreement, certification and transmittals, etc. relating to nursing care facilities' eligibility to participate in the Medicare & Medicaid reimbursement program. 
RETENTION 010 cldr yrs 
COMMENTS Retain in office 3 calendar years, transfer to the records center for 7 calendar years, then destroy. The provider agreement is the only original document, the remainder are copies received from KDHE. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

Agency Number: 039-003
Department for Aging and Disability Services
Operations

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0049-039 
TITLE Grant Administration Files 
DESCRIPTION Notices of grant awards, financial status reports, correspondence, and other documents relating to the administration of grant funds distributed by the agency to area agencies on aging. 
RETENTION See Comments 
COMMENTS Retain in office 2 fiscal years after the end of the grant period, transfer to the records center for 3 fiscal years, then transfer to the archives for purging. Supersedes general schedule retention requirements for "Grant Files." 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0051-039 
TITLE Grant Payment Vouchers 
DESCRIPTION Documents relating to agency disbursement of grant funds to area agencies on aging including DA 120 forms and advance cash request forms. 
RETENTION See Comments 
COMMENTS Retain in office 2 fiscal years after the end of the grant period, transfer to the records center for 3 fiscal years, then destroy. Supersedes general schedule retention requirements for "Grant Files." 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0059-039 
TITLE Purchasing Records 
DESCRIPTION Documents related to the purchase of goods and services: correspondence, vouchers, invoices, ledger books and cards, requisitions, etc. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0065-039 
TITLE Vehicle Operation Records 
DESCRIPTION Documents related to the use of state-owned motor vehicles: MP forms 1a, 2c, 3a, 3b, 10, 20, and internal agency forms. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

Agency Number: 039-003
Department for Aging and Disability Services
Operations
Community Based Services

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0159-039 
TITLE Home and Community Based Cost Cap Exception Files 
DESCRIPTION Application and supporting documentation relating to older Kansans applying for Medicaid assistance above the normal cost of regular planning care. 
RETENTION See Comments 
COMMENTS Retain in office until case is closed, transfer to the records center for 5 years, then destroy 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 2001-04-12 
K.A.R. NUMBER 53-2-126 

Agency Number: 039-004
Department for Aging and Disability Services
Advocacy and Legislation

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0172-039 
TITLE Correspondence - Partnership Loan Program 
DESCRIPTION Incoming and outgoing letters and memoranda relating to the Partnership Loan Program. 
RETENTION 005 cldr yrs 
COMMENTS Retain in office 2 years, transfer to the records center for 3 years, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

SERIES ID 0170-039 
TITLE Partnership Loan Program Application Files - Denied 
DESCRIPTION Application and supporting documentation relating to the denial of loans to submitting nursing facilities. 
RETENTION See Comments 
COMMENTS Retain in office for 2 years after the date of final disposition, transfer to the records center for 3 years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

SERIES ID 0169-039 
TITLE Partnership Loan Program Files - Approved 
DESCRIPTION Application and supporting documentation relating to nursing facilities applying and receiving loans to support expansion of services and housing alternatives for senior Kansans. 
RETENTION See Comments 
COMMENTS Retain in office for 3 years, transfer to the records center until 7 years after the end date of the loan, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

SERIES ID 0168-039 
TITLE Program for All-inclusive Care for the Elderly (PACE) Files 
DESCRIPTION Registration form, monthly financial statements, service utilization reports, outcome based efficiency reports, payment reports, etc. relating to a program designed to provide comprehensive medical and social services managed care benefits for the frail elderly. 
RETENTION 005 fisc yrs 
COMMENTS Retain in office 2 fiscal years, transfer to the records center for 3 fiscal years, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS 42 CFR Part 460 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

SERIES ID 0070-039 
TITLE Silver Haired Legislature Files 
DESCRIPTION Correspondence, copies of testimony, copies of proceedings, and other documents related to the Silver Haired Legislature which offers recommendations to the legislature and governor on aging issues. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

Agency Number: 039-004
Department for Aging and Disability Services
Advocacy and Legislation
Home and Community Based Services

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0166-039 
TITLE Home and Community Based Services Resident Status Review Files 
DESCRIPTION Level of care score reviews conducted upon residents in nursing facilities to determine whether their needs could be served within the community. 
RETENTION 005 fisc yrs 
COMMENTS Retain in office 1 fiscal year, transfer to the records center for 4 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

SERIES ID 0165-039 
TITLE Home and Community Based Services Resident Status Review Training Materials 
DESCRIPTION Manuals, forms, handouts, etc. relating to the preparation of Resident Status Review training. 
RETENTION See Comments 
COMMENTS Retain until training program is obsolete, then transfer one copy of each manual, syllabus, textbook and/or handouts to the archives. Destroy the remainder. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2003-01-09 
K.A.R. NUMBER 53-2-133 

Agency Number: 039-004
Department for Aging and Disability Services
Advocacy and Legislation
Public Health Educator

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0099-039 
TITLE Publications - Public Health Education 
DESCRIPTION Publications produced and distributed by the Department on Aging on health issues affecting older Kansans. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer two copies of each publication to the archives, destroy the remainder. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

Agency Number: 039-004
Department for Aging and Disability Services
Advocacy and Legislation
Senior Care Act Coordinator

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0106-039 
TITLE Senior Care Act Program Evaluations 
DESCRIPTION Independent studies of the Senior Care Act program produced to evaluate the effectiveness of the program that provides state grant funds for in-home services for older Kansans. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

SERIES ID 0107-039 
TITLE Senior Care Act Program Files 
DESCRIPTION Variety of documents related to the establishment and implementation of the Senior Care Act program that provides in-house assistance to the elderly. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

Agency Number: 039-005
Department for Aging and Disability Services
Client, Assessment and Referral Program

Starting at the beginning of FY2013, the Department on Aging changed its name under governor executive order to the Department for Aging and Disability Services (KDADS). The KDOA had been formed in 1977 out of the Services for Aging Section of the Kansas Department of Social and Rehabilitation Services (SRS).


SERIES ID 0111-039 
TITLE Annual Report Drafts 
DESCRIPTION Working files compiled and used to produce the agency annual report. 
RETENTION 002 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1999-01-13 
K.A.R. NUMBER 53-2-118 

SERIES ID 0114-039 
TITLE CARE Level I Monthly Billing and CARE Reports 
DESCRIPTION Monthly billing reports submitted by Area Agencies on Aging to the Department on Aging for reimbursement to nursing home facilities operating at CARE Level I. 
RETENTION 007 fisc yrs 
COMMENTS Retain in office 2 fiscal years, transfer to the records center for 5 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2000-04-13 
K.A.R. NUMBER 53-2-123 

SERIES ID 0116-039 
TITLE CARE Level II Monthly Billing and CARE Reports 
DESCRIPTION Monthly billing reports submitted by Area Agencies on Aging to the Department on Aging for reimbursement to nursing home facilities operating at CARE Level II. 
RETENTION 007 fisc yrs 
COMMENTS Retain in office 2 fiscal years, transfer to the records center for 5 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2000-04-13 
K.A.R. NUMBER 53-2-123 

SERIES ID 0119-039 
TITLE End of Year Data 
DESCRIPTION Statistical data compiled as required for Health Care Finance Administration reporting. 
RETENTION 007 fisc yrs 
COMMENTS Retain in office 2 fiscal years, transfer to the records center for 5 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1999-01-13 
K.A.R. NUMBER 53-2-118 

SERIES ID 0123-039 
TITLE Preadmission Screenings and Annual Resident Reviews (PASARR) 
DESCRIPTION Correspondence, medical records, assessments, etc. made on individuals diagnosed with either a mental illness or mental retardation to determine the level of care. 
RETENTION 80 fisc yrs 
COMMENTS Retain in office 10 fiscal years, transfer to the records center for 70 years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 1999-04-15 
K.A.R. NUMBER 53-2-119 

SERIES ID 0153-039 
TITLE Procedures Manuals 
DESCRIPTION Original copies of agency procedures issued in a collective manual. 
RETENTION See Comments 
COMMENTS Retain until superseded or no longer in effect, then transfer 1 copy to the archives, destroy the remainder. 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1999-01-13 
K.A.R. NUMBER 53-2-118 

Agency Number: 039-006
Department for Aging and Disability Services
Budget, Finance, and Analysis

SERIES ID 0128-039 
TITLE Payments for Frail and Elderly Services 
DESCRIPTION Documents relating to the reconciliation of Blue Cross, STARS, and SRS payments made under the Frail and Elderly Waiver. 
RETENTION 007 fisc yrs 
COMMENTS Retain in office 1 fiscal year, transfer to the records center for 6 fiscal years, then destroy. Meets Health Care Finance Administration requirements. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1999-01-13 
K.A.R. NUMBER 53-2-118 

SERIES ID 0129-039 
TITLE Population Statistics 
DESCRIPTION Census statistics gathered to determine minority population percentages in each planning and service area and used to calculate target minority participation rates for aging programs. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-04-14 
K.A.R. NUMBER 53-2-100 

Agency Number: 039-006
Department for Aging and Disability Services
Budget, Finance, and Analysis
Accounting and Financial Management

SERIES ID 0163-039 
TITLE Revisions of Financial Reports 
DESCRIPTION Correspondence, reports, work papers, etc. relating to the carryover of state and federal funds as computed by the agency based upon corrections of errors in calculating the Project Income Match. 
RETENTION 007 fisc yrs 
COMMENTS Retain in office 1 fiscal year, transfer to the records center for 6 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 2001-04-12 
K.A.R. NUMBER 53-2-126 

Agency Number: 039-006
Department for Aging and Disability Services
Budget, Finance, and Analysis
Audit

SERIES ID 0132-039 
TITLE Nursing Facilities Central Office Files 
DESCRIPTION Documents relating to the distribution of costs among multiple nursing care facilities owned by a corporation as calculated by its central office. 
RETENTION 005 fisc yrs 
COMMENTS Retain in office 2 fiscal years, transfer to the records center for 3 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0133-039 
TITLE Nursing Facility Audit Reports 
DESCRIPTION Audit reports, supporting documentation and copies of nursing facility program files reviewed both within the agency and by the Health Care Finance Administration to ensure accountability. 
RETENTION See Comments 
COMMENTS Retain in office 2 years, purge files and transfer audit reports and supporting documentation to the records center for 3 years, then destroy. Retain ownership papers until closure plus 5 years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

Agency Number: 039-006
Department for Aging and Disability Services
Budget, Finance, and Analysis
Reimbursement

SERIES ID 0134-039 
TITLE Appeals Files 
DESCRIPTION Documents relating to nursing care providers that appeal reimbursement actions established by the Department on Aging. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. SRS Fair Hearings Section retains the originals. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(25) 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0137-039 
TITLE Case Mix Project Files 
DESCRIPTION Documents relating to the reimbursement proportion established for nursing care providers based upon the case mix. 
RETENTION 005 fisc yrs 
COMMENTS Retain in office 2 fiscal years, transfer to the records center for 3 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0140-039 
TITLE Litigation Case Files - Reimbursement 
DESCRIPTION Copies of documents relating to lawsuits filed in state and federal courts which usually involve but are not limited to reimbursement and audit actions. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(29) 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0141-039 
TITLE Nursing Facility Finding Files 
DESCRIPTION Documents used to establish reimbursement rates allowed by the Health Care Finance Administration to nursing care providers. 
RETENTION 006 fisc yrs 
COMMENTS Retain in office 3 fiscal years, transfer to the records center for 3 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0142-039 
TITLE Nursing Facility Reimbursement Files 
DESCRIPTION Cost reports and copies of the nursing facility program file which the reimbursement division reviews and uses to establish reimbursement rates for nursing care providers. 
RETENTION 010 fisc yrs 
COMMENTS Retain in office 3 fiscal years, transfer to the records center for 7 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0144-039 
TITLE Post-Payment Reports 
DESCRIPTION Monthly computer printouts generated by EDS or Blue Cross listing claim payment data from nursing care providers. 
RETENTION 007 fisc yrs 
COMMENTS Retain in office 2 fiscal years, transfer to the records center for 5 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0146-039 
TITLE Quality Indicator Profile Reports 
DESCRIPTION Computer report detailing the aggregate data on case distribution in each nursing facility which is used to determine reimbursement rates. 
RETENTION 005 fisc yrs 
COMMENTS Retain in office 1 fiscal year, transfer to the records center for 4 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0147-039 
TITLE Rate Schedules - Book Copy 
DESCRIPTION Compilation of computer printouts generated summarizing cost report data which is used to determine reimbursement rates for nursing care providers and maintained for convenience of reference. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0149-039 
TITLE Resident Listing Report 
DESCRIPTION Quarterly computer printout listing the residents living in each nursing facility. 
RETENTION 005 fisc yrs 
COMMENTS Retain in office 1 fiscal year, transfer to the records center for 4 fiscal years, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

SERIES ID 0150-039 
TITLE State Plan Files 
DESCRIPTION Comprehensive plan developed in conjunction with the Health Care Finance Administration to establish methods, standards, and reimbursement rates for nursing care providers. 
RETENTION 013 cldr yrs 
COMMENTS Retain in office 10 calendar years, transfer to the records center for 3 calendar years, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1998-07-14 
K.A.R. NUMBER 53-2-116 

Agency Number: 039-007
Department for Aging and Disability Services
Senior Health Insurance Counseling for Kansas

SERIES ID 0174-039 
TITLE Senior Health Insurance Counseling (SHICK) Files 
DESCRIPTION Documents relating to assistance provided by community volunteers to seniors regarding Medicare and other health care insurance issues. 
RETENTION 002 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS K.S.A. 45-221(a)(3) 
APPROVED 2006-10-12 
K.A.R. NUMBER 53-2-149 

Agency Number: 039-008
Department for Aging and Disability Services
State Hospitals and Institutions

Operation and oversight of state hospitals and related facilities was transferred to KDADS at the beginning of FY2012.


SERIES ID 0583-629 
TITLE AWOL/Missing Persons Reports 
DESCRIPTION Copies of forms completed by Security Department officers indicating that a patient's location is unknown and used to notify the proper authorities and personnel to begin search procedures. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 
APPROVED 1997-04-10  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-111 

SERIES ID 0309-629 
TITLE Accountable Medication Records 
DESCRIPTION Documents used to maintain inventories of controlled substances in the residential units - indicates all issuances, to whom issued, and running balances. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) 
APPROVED 1988-10-13  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-074 

SERIES ID 0382-629 
TITLE Accounts Receivable Ledgers - Patients 
DESCRIPTION Documents related to the collection of payments due the facility for Medicare, Medicaid, and insurance billing purposes. 
RETENTION 003 fisc yrs 
COMMENTS See also Vouchers - Receipts. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-099 

SERIES ID 0360-629 
TITLE Accounts Receivable Records 
DESCRIPTION Documents related to the collection of payments due the agency: copies of invoices, correspondence, DA forms 32, etc. 
RETENTION 003 fisc yrs 
COMMENTS See also Vouchers - Receipts. 
DISPOSITION Destroy 
RESTRICTIONS Portions may be restricted per KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-099 

SERIES ID 0216-629 
TITLE Activity Descriptions 
DESCRIPTION Descriptions made and reviewed by the staff of various recreational activities planned for the residents which are used to determine the feasibility of such activities. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0359-629 
TITLE Activity Therapy Monthly Reports 
DESCRIPTION Monthly reports monitoring patient participation in scheduled activities. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-099 

SERIES ID 0358-629 
TITLE Activity Therapy Patient Program Files 
DESCRIPTION Wide variety of documents relating to the activity therapy programs offered to patients to help with their progress. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-099 

SERIES ID 0357-629 
TITLE Activity Therapy Quality Assurance Monitors Files 
DESCRIPTION Semi-annual staff performance evaluations produced to ensure the quality and appropriateness of activity therapy programs and activities. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-099 

SERIES ID 0148-629 
TITLE Admission Application Files - Not Accepted 
DESCRIPTION Documents regarding applications for admission to the Institute which were not approved: correspondence, reports, application forms, and supporting materials. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 76-12b11 & 45-221(a)(3) 
APPROVED 1989-04-27  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-079 

SERIES ID 0356-629 
TITLE Admissions Log 
DESCRIPTION Log compiled on all patients admitted to the state hospitals which is used for reimbursement purposes. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-15
K.A.R. NUMBER 53-2-099 

SERIES ID 0222-629 
TITLE Agency Financial Reports 
DESCRIPTION Daily, monthly, and annual computer printouts listing by object code all funds budgeted, expended, encumbered, and the balance. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. These are not CASK or STARS reports. Previously titled "Agency Monthly Reports." 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1993-04-15  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-096 

SERIES ID 0187-629 
TITLE Agency Monthly Reports 
DESCRIPTION Monthly computer reports listing by object code all funds budgeted, expended, encumbered, and the balance. 
RETENTION See Comments 
COMMENTS These are not CASK or STARS reports. Previously titled "Summary of Expenditures by Object Code Reports." 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0435-629 
TITLE Antibiotic Daily Reports 
DESCRIPTION Reports of antibiotics issued on a daily basis to patients. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0472-629 
TITLE Applicants Register 
DESCRIPTION Computer reports listing names and addresses of applicants for employment. 
RETENTION 003 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-075 

SERIES ID 0755-629 
TITLE Asbestos Removal Reports 
DESCRIPTION Documents relating to the removal of asbestos from buildings on the state hospital grounds. 
RETENTION 005 cldr yrs 
COMMENTS Retain in office 5 calendar years, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 2003-01-09  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-133 

SERIES ID 0444-629 
TITLE Audiometric Screening Test Results 
DESCRIPTION Requisitions for hearing tests and test results for patients. 
RETENTION See Comments 
COMMENTS Retain for 10 years after the date of last discharge or one year beyond the date that patients who are minors reach their majority, whichever is longer. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0179-629 
TITLE Augmentative Files 
DESCRIPTION Documents concerning the use and operation of the augmentative equipment which provides alternative ways to communicate with residents. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0395-629 
TITLE Authorized Purchase Order Listings 
DESCRIPTION Handwritten journals of expenditures encumbered and allowed by funding codes. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-075 

SERIES ID 0452-629 
TITLE Bank Statements and Cancelled Checks 
DESCRIPTION Banking documents related to a variety of fund accounts. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0384-629 
TITLE Banking Records 
DESCRIPTION Bank statements, deposit books and slips, check registers, and canceled checks. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-099 

SERIES ID 0125-629 
TITLE Biennial Reports 
DESCRIPTION Biennial reports containing information relating to the activities of the state hospitals. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer one copy to the archives and destroy the remainder. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1993-04-15  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-096 

SERIES ID 0524-629 
TITLE Boiler Operation Log 
DESCRIPTION Record of essential data on power plant boiler operation: temperature, pressure, etc. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-075 

SERIES ID 0523-629 
TITLE Budget Preparation Files - Annual 
DESCRIPTION Documents used in the preparation of annual agency budget: correspondence, draft budget requests, computer reports, notes, and other miscellaneous materials. 
RETENTION 005 fisc yrs 
COMMENTS Portions and/or duplicates of this series is also maintained in the business office - duplicate materials may be discarded prior to transfer to the archive or purged once transferred. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-075 

SERIES ID 0521-629 
TITLE Building Construction Files 
DESCRIPTION Records related to building construction projects: correspondence, drawings, contracts, specifications, bid information and awards, etc. 
RETENTION Permanent 
COMMENTS Retain permanently in office or transfer to archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-075 

SERIES ID 0520-629 
TITLE Building Maintenance Files 
DESCRIPTION Records related to building maintenance projects: correspondence, drawings, bids, publications, notes, etc. 
RETENTION 010 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14 
K.A.R. NUMBER 53-2-075 

SERIES ID 0597-629 
TITLE Building Security Violation Report 
DESCRIPTION Form completed by Security Department officers during their assigned routine inspections to ensure that any lapses in security procedures are corrected. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1997-04-10  ; Revised 2013-05-20
K.A.R. NUMBER 53-2-111 

SERIES ID 0405-629 
TITLE Bylaws 
DESCRIPTION Formal policy statements regarding the administrative and organizational structure of the hospital and the responsibilities of individuals and committees. 
RETENTION See Comments 
COMMENTS Retain until superseded or no longer in effect, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0166-629 
TITLE CETA Files 
DESCRIPTION Records concerning work performance and training of individuals employed under the CETA program: copies of certificates and diplomas, applications, transcripts, time sheets, agreements, etc. 
RETENTION 005 cldr yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(9) 
APPROVED 1988-10-13  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-076 

SERIES ID 0250-629 
TITLE Cancelled Forms List 
DESCRIPTION List of all the cancelled forms which is kept for reference in the event a discontinued form needs to be used again. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-01-30
K.A.R. NUMBER 53-2-093 

SERIES ID 0389-629 
TITLE Canteen Fund Records 
DESCRIPTION Documents concerning the financial accounting of the canteen fund: ledgers, receipts, bank statements, invoices, check ledgers. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-099 

SERIES ID 0518-629 
TITLE Capital Improvement Projects Cost Statistics 
DESCRIPTION Documents related to building construction costs: vouchers, ledger sheets, correspondence, etc. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 

SERIES ID 0451-629 
TITLE Card File of Patients 
DESCRIPTION Documents relating to patients' medical history and current status. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer one copy to the archives, the remainder destroy. 
DISPOSITION See Comments 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0387-629 
TITLE Carpet Care Records 
DESCRIPTION Documents recording the frequency of carpet care to ensure proper maintenance. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-099 

SERIES ID 0397-629 
TITLE Case Files of Employees 
DESCRIPTION Documents relating to investigations of employee conduct including: court orders, reports to courts, correspondence and personal notes of attorneys, investigative reports, and grievances. 
RETENTION See Comments 
COMMENTS Retain 5 years after case is closed, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(4) 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0460-629 
TITLE Case Files of Patients 
DESCRIPTION Documents relating to investigations of patient conduct including: court orders, reports to courts, correspondence and personal notes of attorneys, investigative reports, grievances. 
RETENTION See Comments 
COMMENTS Retain 5 years after case is closed, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0425-629 
TITLE Caseload Sampling 
DESCRIPTION Samplings made of case loads to compare against certain standards and how the patient was being supported. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0465-629 
TITLE Cemetery Records - Patients and Stillborn Infants 
DESCRIPTION Documents related to the graves in the hospital cemetery. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives. 
DISPOSITION Archives 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-087 

SERIES ID 0386-629 
TITLE Census Reports 
DESCRIPTION Electronic and manual census reports of patients compiled to monitor the patient population and used for billing purposes. 
RETENTION 005 cldr yrs 
COMMENTS Formerly titled Computer Census Reports. 
DISPOSITION Destroy 
RESTRICTIONS KSA 65-5602 & 45-221(a)(3) 
APPROVED 1994-01-13  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-099 

SERIES ID 0241-629 
TITLE Center Forms List 
DESCRIPTION List of all the forms created for the facilities which is used to keep track of any revisions, cancellations, or new forms. 
RETENTION See Comments 
COMMENTS Retain until superseded, then place in "Cancelled Forms List." 
DISPOSITION See Comments 
RESTRICTIONS None 
APPROVED 1992-07-09  ; Revised 2013-05-14
K.A.R. NUMBER 53-2-093 

SERIES ID 0394-629 
TITLE Central Nursing Daily Reports 
DESCRIPTION Daily reports of nursing concerns related to patient care or medical conditions including illnesses and behaviors that required special control. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then destroy. 
DISPOSITION Destroy 
RESTRICTIONS KSA 45-221(a)(3) & 65-5602 
APPROVED 1991-01-17  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-087 

SERIES ID 0374-629 
TITLE Chaplainry Services Monthly Reports 
DESCRIPTION Monthly reports relating to the various types of chaplainry services provided for the patients. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-099 

SERIES ID 0385-629 
TITLE Chaplainry Services Quality Assurance Monitors Files 
DESCRIPTION Documents used to monitor the quality and appropriateness of chaplainry services to ensure quality assurance standards are met. 
RETENTION See Comments 
COMMENTS Retain until no longer useful, then transfer to the archives for purging. 
DISPOSITION Archives 
RESTRICTIONS None 
APPROVED 1994-01-13  ; Revised 2013-05-16
K.A.R. NUMBER 53-2-099 

SERIES ID 0490-629 
TITLE Check Registers and Stubs 
DESCRIPTION Records of bank transactions related to reimbursement operations. 
RETENTION 003 fisc yrs 
DISPOSITION Destroy 
RESTRICTIONS None 
APPROVED 1988-07-14  ; Revised 2013-05-17
K.A.R. NUMBER 53-2-075 
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