AI- 45399
Executive Office 5.B.
CC CONSENT
- Meeting Date:
- 07/15/2014
- Submitted For:
- Roy Quintanilha
- Submitted By:
- Rosie Luna, SAFETY DIVISION
- Department:
- SAFETY DIVISION
Information
CAPTION
Discussion, consideration and approval to make changes to the current profile for the Section III Mandatory Reporting Profile RRE# 43879 for Medicare, Medicaid and SCHIP for liability claims.
BACKGROUND
Refer to action taken on 6/26/2012 (AI-32831) changes are to be as follows:
A) Authorized Representative currently Judge Ramon Garcia to be changed to Executive Officer Valde Guerra.
B) Account Manager/Technical Contact currently Roy Quintanilha to be changed to Dale Kennan.
C) Address currently Hidalgo County, 2818 S. Business Hwy 281, Edinburg, TX 78539 to be changed to Hidalgo County c/o Safety Division, 9805 N. 10th, McAllen, TX 78504.
D) Authorize Valde Guerra as signature authority for documents related to Section III Mandatory Reporting for RRE# 43879.
Fiscal Impact
Attachments
No file(s) attached.
Form Review
| Inbox | Reviewed By | Date |
|---|---|---|
| Budget and Management | Debbie Tamez | 07/09/2014 04:32 PM |
| Auditor's Office | Monica Salinas | 07/11/2014 05:25 PM |
- Form Started By:
- Rosie Luna
- Started On:
- 07/08/2014 02:32 PM
- Final Approval Date:
- 07/11/2014