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3.2.2 Retention of Records
The provider must maintain and retain all necessary records and claims to fully document the services and supplies provided to a client, for full disclosure to the CSHCN Services Program or its designee. These records and claims must be retained for a period of five years from the date of service, until the client's 21st birthday, or until all audit questions, appeal hearings, investigations, or court cases are resolved, whichever occurs last.
Upon request, these records must be made available promptly to TMHP and representatives of the Office of Inspector General (OIG), HHSC, or DSHS. Upon request, the provider must submit copies of such records, at no cost, to representatives of these organizations.
If the provider places the required information in records that are in the custody of another legal entity, such as a hospital, the provider is responsible for obtaining a copy of such records at no cost, for use by TMHP or DSHS, as requested by one of these entities, during any investigation or study of the appropriateness of the claims submitted by the provider.
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