Privacy Act of 1974, as Amended; Alteration to Existing System of Records, 42159-42164 [E6-11782]
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Federal Register / Vol. 71, No. 142 / Tuesday, July 25, 2006 / Notices
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BILLING CODE 8025–01–P
SOCIAL SECURITY ADMINISTRATION
Privacy Act of 1974, as Amended;
Alteration to Existing System of
Records
AGENCY:
Social Security Administration
(SSA).
Altered system of records,
including proposed new routine uses.
ACTION:
sroberts on PROD1PC70 with NOTICES
SUMMARY: In accordance with the
Privacy Act (5 U.S.C. 552a(e)(4) and
(e)(11)), we are issuing public notice of
our intent to alter an existing system of
records entitled Medicare Part D and
Part D Subsidy File, 60–0321. The
proposed alterations will result in the
following changes to the system of
records:
(1) Expansion of the categories of
individuals covered by the system to include
individuals entitled to Medicare Part A, Part
B and Medicare Advantage Part C; and
(2) Proposed new routine uses 17–21
providing for the release of information for
purposes of efficient administration of
Medicare Part A, Part B, Medicare Advantage
Part C, and Medicare Part D.
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We are also changing the name of the
existing Medicare Part D and Part D
Subsidy File system of records. The
proposed new name is the Medicare
Database, hereinafter referred to as the
MDB File. The change reflects the
establishment of a single repository for
all Medicare-related data.
The proposed alterations are
discussed in the SUPPLEMENTARY
INFORMATION section below. We invite
public comments on this proposal.
DATES: We filed a report of the proposed
alteration with the Chairman of the
Senate Committee on Homeland
Security and Governmental Affairs, the
Chairman of the House Committee on
Government Reform, and the Director,
Office of Information and Regulatory
Affairs, Office of Management and
Budget (OMB) on July 18, 2006. The
proposed alteration will become
effective on August 26, 2006 unless we
receive comments that will result in a
contrary determination.
ADDRESSES: Interested individuals may
comment on this publication by writing
to the Executive Director, Office of
Public Disclosure, Office of the General
Counsel, Social Security
Administration, Room 3–A–6
Operations Building, 6401 Security
Boulevard, Baltimore, Maryland 21235–
6401. All comments received will be
available for public inspection at the
above address.
FOR FURTHER INFORMATION CONTACT: Ms.
Christine W. Johnson, Lead Social
Insurance Specialist, Office of Public
Disclosure, Office of the General
Counsel, Social Security
Administration, Room 3–C–1
Operations Building, 6401 Security
Boulevard, Baltimore, Maryland 21235–
6401, telephone at (410) 965–8563, email: mailto:chris.w.johnson@ssa.gov.
SUPPLEMENTARY INFORMATION:
I. Background and Purpose of Proposed
Alteration to the MDB File System of
Records
A. General Background
On December 8, 2003, the Medicare
Prescription Drug, Improvement, and
Modernization Act (also known as the
Medicare Modernization Act or MMA)
of 2003, created a voluntary prescription
drug coverage benefit program under
new Part D of Medicare for all
individuals eligible for Medicare Part A
and/or Part B. The MMA also created a
subsidy program to assist Medicare
beneficiaries with limited means to pay
for prescription drug coverage. The new
Medicare Part D was implemented
January 2006. We published a notice of
system of records in the Federal
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42159
Register to implement the Medicare Part
D coverage on December 28, 2004. The
notice can be found at 70 FR 77816,
December 28, 2004. Additionally,
Section 811 of the MMA established a
premium subsidy reduction which will
result in an income-related adjustment
amount being added to the standard
monthly Medicare Part B premium
amount.
The Medicare Part B premium
subsidy reduction becomes effective
January 2007. Sections 101 and 201 of
the MMA changed some of the terms
and definitions for Medicare Part C
(now Medicare Advantage) and
provided for the implementation of the
Medicare Advantage program.
Medicare Part B is a voluntary
program which provides medical
insurance coverage for medical and
health services such as physician
services, diagnostic services and
medical supplies. Medicare Part B
beneficiaries are responsible for
deductibles, co-insurance and monthly
premiums towards the cost of covered
services. Generally, the Part B premium
covers approximately 25 percent of the
Part B program costs and the remaining
75 percent of the program costs are
subsidized by the Federal Government
by contributions to the Federal
Supplementary Medical Insurance Trust
Fund. Certain Part B beneficiaries may
also pay an increased premium for late
reenrollment or for enrollment after a
period without coverage.
Beginning January 2007, the Medicare
Part B premium subsidy will result in
an income-related adjustment amount
being added to the standard monthly
Medicare Part B premium amount for an
estimated 4 to 5 percent of the
approximately 40 million Part B
beneficiaries who have income above an
income threshold set by the MMA.
Beneficiaries with modified adjusted
gross income above a statutory income
threshold will pay more of the cost of
their Part B premiums through an
income-related monthly adjustment
amount. The income-related monthly
adjustment amount is an additional
amount of premium for Part B coverage
that is added to the Part B standard
monthly premium. The purpose of the
income-related adjustment is to reduce
the Federal subsidy to Medicare Part B
beneficiaries with income above the
statutory threshold.
To implement the Medicare Part B
premium subsidy reduction and
establish eligibility for Part D subsidies,
we must collect and maintain relevant
information that will be used for these
determinations. We will maintain the
information in the MDB File. We
currently maintain information about
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Medicare Part A and Part C applicants
and beneficiaries in other SSA systems
of records (e.g., the Master Beneficiary
Record and the Claims Folders System).
To assist us in the efficient
administration of Medicare Part A, Part
B, Medicare Advantage Part C, and
Medicare Part D programs, we are
consolidating all of the relevant records
into the MDB File. In addition to these
changes, we are also establishing new
routine use disclosures of MDB File
information. To implement these
changes, we must make alterations to
the MDB File. The alterations are
discussed in Section I, Subsections B
and C below.
B. Expansion of the Categories of
Individuals Covered by the MDB File
System of Records
(1.) Expansion of the Categories of
Individuals in the MDB File
Currently, the records in the system
pertain primarily to beneficiaries with
limited means to pay for prescription
drug coverage under Medicare Part D.
The purpose of the proposed alteration
is to expand the categories of
individuals covered by this system to
include beneficiaries who have medical
insurance under Medicare Part A, Part
B, Medicare Advantage Part C, and all
beneficiaries who are covered or who
will be eligible for facilitated enrollment
under Part D plans. See the ‘‘Categories
of individuals covered by the system’’ in
the system notice below for the
inclusion of the additional categories of
individuals and a full description of the
information maintained therein.
(2.) Name Change for the Existing
Medicare Part D and Part D Subsidy File
System of Records
We propose to change the name of the
existing system to t he MDB File system
of records to facilitate and reflect the
formation of a single repository for the
collection and maintenance of all
Medicare-related data.
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C. Proposed New Routine Use
Disclosures of Data Maintained in the
MDB File System of Records
1. Establishment of New Routine Uses
We are proposing to establish five
new routine uses to allow disclosure of
information maintained in the MDB
File. The routine uses will facilitate
disclosures to applicants, claimants,
prospective applicants or claimants
(other than the data subjects and their
authorized representatives); the Centers
for Medicare & Medicaid Services; the
Railroad Retirement Board; the Office of
Personnel Management; the Office of
Medicare Hearings and Appeals; and the
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Medicare Appeals Council in the
Department of Health and Human
Services, in pursuit of Part B premium
reduction based on participation in a
Part C Medicare Advantage Plan;
Medicare Part B and Part C premium
collection; all Medicare enrollment,
premium collection and reduction, and
Part B premium income-related monthly
adjustment amount determinations and
appeals of determinations.
Accordingly, proposed new routine
uses numbered 17–21 that we are
adding to the MDF File provide for the
disclosure of information as follows:
2. Compatibility of Proposed New
Routine Uses
17. ‘‘To applicants, claimants,
prospective applicants or claimants
(other than the data subjects and their
authorized representatives) to the extent
necessary for the purpose of pursuing
Medicare Part B premium reduction
based on participation in certain Part C
Medicare Advantage plans;’’
18. ‘‘To applicants, claimants,
prospective applicants or claimants
(other than the data subjects and their
authorized representatives) to the extent
necessary for the purpose of
administering Medicare Part A, Part B,
Medicare Advantage Part C, and
Medicare Part D, including but not
limited to pursuing Medicare Part B,
Part C and Part D premium collection;’’
19. ‘‘To the Centers for Medicare &
Medicaid Services (CMS), for the
purpose of administering Medicare Part
A, Part B, Medicare Advantage Part C,
and Medicare Part D, including but not
limited to: Medicare Part C enrollment
and premium collection processes; Part
D enrollment and premium collection
processes; Medicare Part B premium
reduction based on participation in a
Part C plan; and Medicare Part B
enrollment and income-related monthly
adjustment amount determinations,
appeals of determinations, and
premium collection;’’
20. ‘‘To CMS, the Railroad Retirement
Board and the Office of Personnel
Management for purposes of
administering Part A, Part B, Medicare
Advantage Part C, and Medicare Part D,
including, but not limited to, collecting
Medicare Part B premiums, which
include an income-related monthly
adjustment amount,’’ and
21. ‘‘To the Office of Medicare
Hearings and Appeals and to the
Medicare Appeals Council in the
Department of Health and Human
Services for purposes of appeals of
determinations of Medicare Part B
income-related monthly adjustment
amount determinations made by SSA.’’
II. Records Storage Medium and
Safeguards for the Proposed MDB File
System of Records
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The Privacy Act (5 U.S.C. 552a(b)(3))
and SSA’s disclosure regulation (20 CFR
Part 401) permit us to disclose
information under a published routine
use for a purpose that is compatible
with the purpose for which we collected
the information. The proposed routine
uses above will ensure efficient
administration of SSA programs
administered through the MDB File.
Therefore, the proposed routine uses are
appropriate and meet the relevant
statutory and regulatory criteria.
The MDB File is a repository of
Medicare applicant and beneficiary
information. Only authorized SSA
personnel who have a need for the
information in the performance of their
official duties will be permitted access
to the information. We will safeguard
the security of the information by
requiring the use of access codes to
enter the computer systems that will
maintain the data and will store
computerized records in secured areas
that are accessible only to employees
who require the information to perform
their official duties. Any manually
maintained records will be kept in
locked cabinets or in otherwise secure
areas. Furthermore, SSA employees
having access to SSA databases
maintaining personal information must
sign a sanction document annually,
acknowledging their accountability for
making unauthorized access to, or
disclosure of, such information.
Contractors generally do not have
access to the MDB File; however, should
this change in the future, contractor
personnel having access to data in the
MDB File will be required to adhere to
SSA rules concerning safeguards, access
and use of the data.
SSA personnel having access to the
data on this system will be informed of
the criminal penalties of the Privacy Act
for unauthorized access to or disclosure
of information maintained in this
system. See 5 U.S.C. 552a(i)(1).
III. Effect of the Proposed MDB File
System of Records on the Rights of
Individuals
The proposed alteration to the MDB
File system of records pertains to SSA’s
responsibilities in expanding the
categories of individuals maintained in
the file to include beneficiaries who are
eligible for Medicare Part A, Part B and
Medicare Advantage Part C. We will
adhere to all applicable statutory
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requirements, including those under the
Social Security Act and the Privacy Act,
in carrying out our responsibilities.
Therefore, we do not anticipate that the
proposed alterations will have any
unwarranted adverse effect on the rights
of individuals.
IV. Change in the Name of the Existing
Medicare Part D and Part D Subsidy
File System of Records
We will change the name of the
existing system of records to the
Medicare Database (MDB) File to reflect
the establishment of a single repository
for all Medicare-related information
needed to efficiently administer the
Medicare Part A, Part B, Medicare
Advantage Part C and Medicare Part D
programs.
Dated: July 18, 2006.
Jo Anne B. Barnhart,
Commissioner.
Social Security Administration (SSA)
Notice of System of Records Required by
the Privacy Act of 1974; as Amended
60–0321
SYSTEM NAME:
Medicare Database (MDB) File, Social
Security Administration, Deputy
Commissioner for Disability and Income
Security Programs.
SECURITY CLASSIFICATION:
None.
SYSTEM LOCATION:
Social Security Administration,
National Computer Center, Office of
Systems, 6401 Security Boulevard,
Baltimore, Maryland 21235.
Other authorized Federal and State
agencies that generally have access to
information in SSA systems will also
have access as needed to the MDB File.
Contact the system manager for address
information.
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:
Claimants, applicants, beneficiaries,
ineligible spouses and potential
claimants for Medicare Part A, Medicare
Part B, Medicare Advantage Part C,
Medicare Part D and for Medicare Part
D prescription drug coverage subsidies.
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CATEGORIES OF RECORDS IN THE SYSTEM:
This file contains the name, Social
Security number (SSN) and income and
resource data of the claimant or
potential claimant for Part D subsidy;
the subsidy application; supporting
evidence and documentation for
eligibility; documentation for income
and resource verification; supporting
evidence and documentation for appeal
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requests; premium payment
documentation; correspondence to and
from claimants and/or personal
representatives; and leads information
from third parties such as social service
agencies and hospitals. Further, separate
files may be maintained of certain
actions which are entered directly into
the MDB file. These relate to reports of
changes of income and resources and
other post-adjudicative reports. Separate
data are also maintained for statistical
purposes (e.g., subsidy denial, and
demographic and statistical information
relating to subsidy decisions).
This file also contains information
about Medicare Part A, Part B, Medicare
Advantage Part C, and non-subsidy
Medicare Part D beneficiaries. The
information maintained in this system
of records is collected from beneficiaries
for Medicare Part A, Part B, Medicare
Advantage Part C, Medicare Part D, and
other source systems maintained by
SSA. The information maintained for
Part B also include: The individual’s
name and SSN; enrollment information;
premium surcharge information;
information from the Internal Revenue
Service about such individual’s
modified adjusted gross income (MAGI)
from his/her Federal tax return,
including adjusted gross income (AGI),
and other tax-exempt income, and tax
filing status for each year that the MAGI
exceeds a statutory income threshold.
Also included is information about
MAGI provided by a claimant or
beneficiary; supporting evidence and
documentation for new initial
determinations and appeal requests;
Medicare Part B income-related monthly
adjustment amount determinations;
reconsiderations and appeals of
Medicare Part B income-related monthly
adjustment amount determinations;
information essential to the deduction
of premiums from Title II monthly
benefits from Railroad Retirement
annuities, Civil Service retirement
benefits and direct billing by the Centers
for Medicare & Medicaid Services; and
data necessary to providing fiscal
accounting of premiums withheld.
The file may also contain data
collected as a result of inquires or
complaints, and evaluation and
measurement studies of the
effectiveness of Medicare Prescription
Drug Improvement and Modernization
Act (MMA) policies.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
Sections 202–205, 223, 226, 228,
1611, 1631, 1818, 1836, 1839, 1840 and
1860D–1–1860D–15 of the Social
Security Act (42 U.S.C. 402–405, 423,
426, 428, 1382, 1383, 1395i–2, 1395o,
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42161
1395r–1, 1395s and 1395w–101–1395w–
115).
PURPOSE(S):
The MDB File is used for the
collection and maintenance of material
related to Medicare Part A, Part B,
Medicare Advantage Part C, and
Medicare Part D, including, but not
limited to: Part D participation and
premium deductions, and where
applicable, subsidized prescription drug
coverage eligibility information;
Medicare Part B enrollment, surcharge
and premium reduction information for
participants in certain Medicare
Advantage plans and for maintaining
information necessary to set incomerelated monthly adjustment amounts to
Part B premiums for certain individuals
who exceed an income threshold; and
Part C premium deduction authorized
by the MMA. The information in this
file is used throughout SSA for the
purposes of collecting, documenting,
organizing and maintaining information
and documents for making
determinations about eligibility for
subsidized benefits, premium
reductions and deduction under the
MMA.
ROUTINE USES OF RECORDS MAINTAINED IN THE
SYSTEM, INCLUDING CATEGORIES OF USERS AND
THE PURPOSES OF SUCH USES:
Disclosures may be made for routine
uses as indicated below. However, any
information defined as ‘‘return or return
information’’ under 26 U.S.C. 6103 of
the Internal Revenue Code (IRC) will not
be disclosed unless authorized by the
IRC, the Internal Revenue Service (IRS),
or IRS regulations.
1. To the Office of the President for
the purpose of responding to an
individual pursuant to an inquiry
received from that individual or from a
third party on his or her behalf.
2. To a congressional office in
response to an inquiry from that office
made at the request of the subject of a
record.
3. To the Department of Justice (DOJ),
a court or other tribunal, or another
party before such tribunal when:
(a) SSA, or any component thereof; or
(b) Any SSA employee in his/her
official capacity; or
(c) Any SSA employee in his/her
individual capacity where DOJ (or SSA
where it is authorized to do so) has
agreed to represent the employee; or
(d) The United States or any agency
thereof where SSA determines that the
litigation is likely to affect the
operations of SSA or any of its
components is party to litigation or has
an interest in such litigation, and SSA
determines that the use of such records
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by DOJ, a court or other tribunal, or
another party before such tribunal, is
relevant and necessary to the litigation,
provided, however, that in each case,
SSA determines that such disclosure is
compatible with the purpose for which
the records were collected.
4. Information may be disclosed to
DOJ for:
(a) Investigating and prosecuting
violations of the Social Security Act to
which criminal penalties attach;
(b) Representing the Commissioner; or
(c) Investigating issues of fraud by
agency officers or employees, or
violation of civil rights.
5. To applicants, claimants,
prospective applicants or claimants
(other than the data subjects and their
authorized representatives) to the extent
necessary for the purpose of pursuing
Medicare Part D and Part D subsidy
entitlement or appeal rights.
6. To Federal, State, or local agencies
(or agents on their behalf) for
administering cash or non-cash income
maintenance or health maintenance
programs (including programs under the
Social Security Act). Such disclosures
include, but are not limited to, release
of information to:
(a) The Railroad Retirement Board for
administering provisions of the Railroad
Retirement and Social Security Acts
relating to railroad employment and for
administering the Railroad
Unemployment Insurance Act;
(b) The Department of Veterans
Affairs (VA) for administering 38 U.S.C.
412, and upon request, information
needed to determine eligibility for, or
amount of, VA benefits or verifying
other information with respect thereto;
(c) The Department of Labor for
administering provisions of Title IV of
the Federal Coal Mine Health and Safety
Act, as amended by the Black Lung
Benefits Act;
(d) State agencies for making
determinations of Medicaid eligibility;
and
(e) State agencies for making
determinations of food stamp eligibility
under the food stamp program;
(f) State audit agencies for auditing
Medicaid eligibility considerations; and
(g) State welfare departments
pursuant to agreements with SSA for
administration of State supplementation
payments; for enrollment of welfare
recipients for medical insurance under
section 1843 of the Act; and for
conducting independent quality
assurance reviews of Supplemental
Security Income recipient records,
provided that the agreement for Federal
administration of the supplementation
provides for such an independent
review.
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7. To the Internal Revenue Service,
Department of the Treasury, for the
purpose of auditing SSA’s compliance
with the safeguard provisions of the
Internal Revenue Code of 1986, as
amended.
8. To the Centers for Medicare &
Medicaid Services (CMS), for the
purpose of administering Medicare Part
D enrollment and premium collection
and Medicare Advantage Part C
premium collections, as well as
Medicare Part B income-related monthly
adjustment amounts.
9. To Federal and State agencies
administering Medicare Part D and Part
D subsidy under the MMA of 2003. For
example, release of information to:
(a) The Bureau of Public Debt,
Department of the Treasury;
(b) The Internal Revenue Service;
(c) The Office of Personnel
Management;
(d) The Railroad Retirement Board;
(e) The Veterans Administration; and
(f) The Office of Child Support
Enforcement for the purpose of assisting
in the verification of eligibility for the
prescription drug subsidy.
10. To a Federal, State, or
congressional support agency (e.g., the
Congressional Budget Office and the
Congressional Research Service in the
Library of Congress) for research,
evaluation, or statistical studies. Such
disclosures include, but are not limited
to, release of information in assessing
the extent to which one can predict
eligibility for Supplemental Security
Income (SSI) payments or Social
Security disability insurance benefits;
examining the distribution of Social
Security benefits by economic and
demographic groups and how these
differences might be affected by possible
changes in policy; analyzing the
interaction of economic and noneconomic variables affecting entry and
exit events and duration in the Title II
Old Age, Survivors, and Disability
Insurance and the Title XVI SSI
disability programs; and analyzing
retirement decisions focusing on the
role of Social Security benefit amounts,
automatic benefit recomputation, the
delayed retirement credit, and the
retirement test, if SSA:
(a) Determines that the routine use
does not violate legal limitations under
which the record was provided,
collected, or obtained;
(b) Determines that the purpose for
which the proposed use is to be made:
(i) Cannot reasonably be
accomplished unless the record is
provided in a form that identifies
individuals;
(ii) Is of sufficient importance to
warrant the effect on, or risk to, the
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privacy of the individual which such
limited additional exposure of the
record might bring;
(iii) Has reasonable probability that
the objective of the use would be
accomplished;
(iv) Is of importance to the Social
Security program or the Social Security
beneficiaries or is for an
epidemiological research project that
relates to the Social Security program or
beneficiaries;
(c) Requires the recipient of
information to:
(i) Establish appropriate
administrative, technical, and physical
safeguards to prevent unauthorized use
or disclosure of the record and agree to
on-site inspection, by SSA’s personnel,
its agents, or by independent agents of
the recipient agency, of those
safeguards;
(ii) Remove or destroy the information
that enables the individual to be
identified at the earliest time at which
removal or destruction can be
accomplished consistent with the
purpose of the project, unless the
recipient receives written authorization
from SSA that it is justified, based on
research objectives, for retaining such
information;
(iii) Make no further use of the
records except
(a) Under emergency circumstances
affecting the health or safety of any
individual following written
authorization from SSA;
(b) For disclosure to an identified
person approved by SSA for the purpose
of auditing the research project;
(iv) Keep the data as a system of
statistical records. A statistical record is
one which is maintained only for
statistical and research purposes and
which is not used to make any
determination about an individual;
(d) Secures a written statement by the
recipient of the information attesting to
the recipient’s understanding of, and
willingness to abide by, the provisions.
11. The Department of Homeland
Security, Bureau of Citizenship and
Immigration Services, upon request, to
identify and locate aliens in the United
States pursuant to section 290(b) of the
Immigration and Nationality Act (8
U.S.C. 1360(b)).
12. To contractors and other Federal
agencies, as necessary, for the purpose
of assisting SSA in the efficient
administration of its programs. We
contemplate disclosing information
under this routine use only in situations
in which SSA may enter a contractual
or similar agreement with a third party
to assist in accomplishing an agency
function relating to this system of
records.
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13. Addresses of beneficiaries who are
obligated on loans held by the Secretary
of Education or a loan made in
accordance with 20 U.S.C. 1071, et seq.
(the Robert T. Stafford Student Loan
Program) may be disclosed to the
Department of Education as authorized
by section 489A of the Higher Education
Act of 1965.
14. To student volunteers and other
workers, who technically do not have
the status of Federal employees, when
they are performing work for SSA as
authorized by law, and who need access
to personally identifiable information in
SSA records in order to perform their
assigned Agency functions.
15. To Federal, State and local law
enforcement agencies and private
security contractors, as appropriate,
information necessary:
• To enable them to protect the safety
of SSA employees and customers, the
security of the SSA workplace and the
operation of SSA facilities; or
• To assist investigations or
prosecutions with respect to activities
that affect such safety and security or
activities that disrupts the operation of
SSA facilities.
16. To the General Services
Administration (GSA) and the National
Archives Records Administration
(NARA) under 44 U.S.C. 2904 and 2906,
as amended by the NARA Act of 1984,
non-tax return information which is not
restricted from disclosure by Federal
law for the use of those agencies in
conducting records management
studies.
17. To applicants, claimants,
prospective applicants or claimants
(other than the data subjects and their
authorized representatives) to the extent
necessary for the purpose of pursuing
Medicare Part B Premium Reduction
based on participation in a Medicare
Advantage Part C Plan.
18. To applicants, claimants,
prospective applicants or claimants
(other than the data subjects and their
authorized representatives) to the extent
necessary for the purpose of
administering Medicare Part A, Part B,
Medicare Advantage Part C, and
Medicare Part D, including, but not
limited to, pursuing Medicare Part B,
Part C and Part D premium collection.
19. To the Centers for Medicare &
Medicaid Services, for the purpose of
administering Medicare Part A, Part B,
Medicare Advantage Part C, and
Medicare Part D, including but not
limited to: Medicare Part C enrollment
and premium collection processes; Part
D enrollment and premium collection
processes; Medicare Part B premium
reduction based on participation in a
Part C plan and Medicare Part B
VerDate Aug<31>2005
18:02 Jul 24, 2006
Jkt 208001
enrollment and income-related monthly
adjustment amount determinations,
appeals of determinations, and premium
collection.
20. To the Centers for Medicare &
Medicaid Services, the Railroad
Retirement Board and the Office of
Personnel Management for the purpose
of administering Medicare Part A, Part
B, Medicare Advantage Part C, and
Medicare Part D, including, but not
limited to, collecting Medicare Part B
premiums, some of which include an
income-related monthly adjustment
amount.
21. To the Office of Medicare
Hearings and Appeals and to the
Medicare Appeals Council in the
Department of Health and Human
Services for purposes of appeals of
determinations of Medicare Part B
income-related monthly adjustment
amount determinations made by SSA.
We will disclose information to the
Office of Medicare Hearings and
Appeals and to the Medicare Appeals
Council under this routine use only for
the purpose of assisting that office with
appeals of Medicare Part B incomerelated monthly adjustment amount
decisions.
DISCLOSURE TO CONSUMER REPORTING
AGENCIES:
Disclosure pursuant to 5 U.S.C.
552a(b)(12) may be made to consumer
reporting agencies as defined in the Fair
Credit Reporting Act (15 U.S.C.
1681a(f)) or the Federal Claims
Collection Act of 1966 (31 U.S.C. 3701,
et seq.), as amended. The disclosure will
be made in accordance with 31 U.S.C.
3711(e) when authorized by sections
204(f), 808(e), or 1631(b)(4) of the Social
Security Act (42 U.S.C. 404(f), 1008(e),
or 1383(b)(4)). The purpose of this
disclosure is to aid in the collection of
outstanding debts owed to the Federal
government, typically, to provide an
incentive for debtors to repay
delinquent Federal government debts by
making these debts part of their credit
records. The information to be disclosed
is limited to the individual’s name,
address, SSN, and other information
necessary to establish the individual’s
identity, the amount, status, and history
of the debt and the agency or program
under which the debt arose.
POLICIES AND PRACTICES FOR STORING,
RETRIEVING, ACCESSING, RETAINING, AND
DISPOSING OF RECORDS IN THE SYSTEM:
STORAGE:
Records are maintained electronically.
Any manually maintained records will
be kept in locked cabinets or in
otherwise secure areas.
PO 00000
Frm 00089
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Sfmt 4703
42163
RETRIEVABILITY:
Records are retrieved electronically by
SSN and alphabetically by name.
SAFEGUARDS:
The MDB File is protected through
limited access to SSA records. Access to
the records is limited to those
employees who require such access in
the performance of their official duties.
All employees are instructed about SSA
confidentiality rules as a part of their
initial orientation training.
Safeguards for automated records
have been established in accordance
with the Systems Security Handbook.
For computerized records, electronically
transmitted between SSA’s central office
and field office locations (including
organizations administering SSA
programs under contractual
agreements), safeguards include a lock/
unlock password system, exclusive use
of leased telephone lines, a terminal
oriented transaction matrix, and an
audit trail.
RETENTION AND DISPOSAL:
Pursuant to 36 CFR 1228.26, SSA will
submit to NARA, for approval, a
schedule for the MDB, no later than one
year from implementation of this new
program. Until a schedule is developed
and approved, records may not be
destroyed.
SYSTEM MANAGER(S) AND ADDRESS:
Deputy Commissioner, Disability and
Income Security Programs, Social
Security Administration, 6401 Security
Boulevard, Baltimore, MD 21235.
NOTIFICATION PROCEDURE:
An individual can determine if this
system contains a record about him/her
by writing to the system manager(s) at
the above address and providing his/her
name, SSN or other information that
may be in the system of records that will
identify him/her. An individual
requesting notification of records in
person should provide the same
information, as well as provide an
identity document, preferably with a
photograph, such as a driver’s license or
some other means of identification. If an
individual does not have any
identification documents sufficient to
establish his/her identity, the individual
must certify in writing that he/she is the
person claimed to be and that he/she
understands that the knowing and
willful request for, or acquisition of, a
record pertaining to another individual
under false pretenses is a criminal
offense.
If notification is requested by
telephone, an individual must verify
his/her identity by providing identifying
E:\FR\FM\25JYN1.SGM
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42164
Federal Register / Vol. 71, No. 142 / Tuesday, July 25, 2006 / Notices
information that parallels information in
the record for which notification is
being requested. If it is determined that
the identifying information provided by
telephone is insufficient, the individual
will be required to submit a request in
writing or in person. If an individual is
requesting information by telephone on
behalf of another individual, the subject
individual must be connected with SSA
and the requesting individual in the
same phone call. SSA will establish the
subject individual’s identity (his/her
name, SSN, address, date of birth and
place of birth along with one other piece
of information such as mother’s maiden
name) and ask for his/her consent to
providing information to the requesting
individual.
If a request for notification is
submitted by mail, an individual must
include a notarized statement to SSA to
verify his/her identity or must certify in
the request that he/she is the person
claimed to be and that he/she
understands that the knowing and
willful request for, or acquisition of, a
record pertaining to another individual
under false pretenses is a criminal
offense. These procedures are in
accordance with SSA regulations (20
CFR 401.40(c)).
RECORD ACCESS PROCEDURES:
Same as Notification procedures.
Requesters should also reasonably
specify the information they are seeking.
These procedures are in accordance
with SSA regulations (20 CFR
401.40(c)).
CONTESTING RECORD PROCEDURES:
Same as Notification procedures.
Requesters should also reasonably
identify the record, specify the
information they are contesting and
state the corrective action sought, and
the reasons for the correction, with
supporting justification showing how
the record is incomplete, untimely,
inaccurate or irrelevant. These
procedures are in accordance with SSA
regulations (20 CFR 401.65(a)).
sroberts on PROD1PC70 with NOTICES
RECORD SOURCE CATEGORIES:
Information in this system is obtained
from claimants, beneficiaries, applicants
and recipients; accumulated by SSA
from reports of employers or selfemployed individuals; various local,
State, and Federal agencies; claimant
representatives and other sources to
support factors of entitlement and
continuing eligibility or to provide leads
information.
VerDate Aug<31>2005
18:02 Jul 24, 2006
Jkt 208001
SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS
OF THE PRIVACY ACT:
None.
[FR Doc. E6–11782 Filed 7–24–06; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
Privacy Act of 1974; as Amended; New
System of Records and New Routine
Use Disclosures
AGENCY:
Social Security Administration
(SSA).
Proposed new system of records
and routine uses.
ACTION:
SUMMARY: In accordance with the
Privacy Act (5 U.S.C. 552a(e)(4) and
(e)(11)), we are issuing public notice of
our intent to establish a new system of
records entitled Attorney and Eligible
Direct Pay Non-Attorney (EDPNA)
1099–MISC File, hereinafter referred to
as the Attorney/EDPNA 1099–MISC File
system of records, and routine uses
applicable to the system of records. We
are also issuing notice that we may
disclose personally identifiable
information from the Attorney/EDPNA
1099–MISC File to consumer reporting
agencies in accordance with 5 U.S.C.
552a(b)(12) and 31 U.S.C. 3711(e).
Further, we give notice that we will
disclose the taxpayer identification
numbers (TIN)/Social Security numbers
(SSN) and other information maintained
in this file to employers for the purpose
of reporting and collecting delinquent
debts that may arise out of
representational fee payments made to
representatives. See 31 U.S.C.
7701(c)(3). We invite public comment
on this proposal.
DATES: We filed a report of the proposed
Attorney/EDPNA 1099–MISC File
system of records and the applicable
routine uses with the Chairman of the
Senate Committee on Homeland
Security and Governmental Affairs, the
Chairman of the House Committee on
Government Reform, and the Director,
Office of Information and Regulatory
Affairs, Office of Management and
Budget (OMB) on July 18, 2006. The
proposed Attorney/EDPNA 1099–MISC
File system of records and the proposed
routine uses will become effective on
August 26, 2006, unless we receive
comments warranting that they not be
effective.
ADDRESSES: Interested individuals may
comment on this publication by writing
to the Deputy Executive Director, Office
of Public Disclosure, Office of the
General Counsel, Social Security
Administration, 3–A–6 Operations
PO 00000
Frm 00090
Fmt 4703
Sfmt 4703
Building, 6401 Security Boulevard,
Baltimore, Maryland 21235–6401. All
comments received will be available for
public inspection at the above address.
FOR FURTHER INFORMATION CONTACT: Ms.
Christine W. Johnson, Lead Social
Insurance Specialist, Strategic Issues
Team, Office of Public Disclosure,
Office of the General Counsel, Social
Security Administration, Room 3–A–6
Operations Building, 6401 Security
Boulevard, Baltimore, Maryland 21235–
6401, telephone: (410) 965–8563, e-mail:
chris.w.johnson@ssa.gov.
SUPPLEMENTARY INFORMATION:
I. Background and Purpose of the
Proposed New Attorney/EDPNA 1099–
MISC File System of Records
A. General Background
Under sections 206(a) and 1631(d)(2)
of the Social Security Act and sections
302 and 303 of the Social Security
Protection Act (SSPA) of 2004 (Pub. L.
108–203), SSA has the authority and
responsibility to determine the
maximum fees that claimants’
representatives may charge and collect
from claimants they represent before
SSA, and to directly pay those fees out
of claimants’ past-due benefits, to
attorney and EDPNA representatives.
SSA is also responsible to directly pay
fees awarded to an attorney by a Federal
court under sections 206(b) and
1631(d)(2) of the Act. Changes in the
Internal Revenue Service Federal
Income Tax Regulations (26 CFR part 1),
promulgated under sections 6041 and
6045 of the Internal Revenue Code (IRC)
require SSA, in the course of its
business, to issue 1099–MISC
information returns for aggregate
payments of $600.00 or more in a
calendar year. The returns must be filed
whether or not the services were
performed for SSA. Therefore,
representatives who meet the
requirements to receive representational
fee payments and do not waive payment
from SSA could meet the reporting
requirement of the IRC. Further, when
the attorney or EDPNA representative
works for an employer (e.g., law firm,
partnership or other business entity)
and we have the employer’s name,
address and EIN information in our file
a 1099–MISC information return will
also be issued to the employer.
Further, the Debt Collection
Improvement Act of 1996, 31 U.S.C.
7701, requires all persons doing
business with a federal agency to
provide TINs/SSNs. A person is
considered to be ‘‘doing business’’ with
an agency if the agency assesses a fee on
the person. Under sections 206(d) and
1631(d)(2)(C) of the Social Security Act
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Agencies
[Federal Register Volume 71, Number 142 (Tuesday, July 25, 2006)]
[Notices]
[Pages 42159-42164]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-11782]
=======================================================================
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SOCIAL SECURITY ADMINISTRATION
Privacy Act of 1974, as Amended; Alteration to Existing System of
Records
AGENCY: Social Security Administration (SSA).
ACTION: Altered system of records, including proposed new routine uses.
-----------------------------------------------------------------------
SUMMARY: In accordance with the Privacy Act (5 U.S.C. 552a(e)(4) and
(e)(11)), we are issuing public notice of our intent to alter an
existing system of records entitled Medicare Part D and Part D Subsidy
File, 60-0321. The proposed alterations will result in the following
changes to the system of records:
(1) Expansion of the categories of individuals covered by the
system to include individuals entitled to Medicare Part A, Part B
and Medicare Advantage Part C; and
(2) Proposed new routine uses 17-21 providing for the release of
information for purposes of efficient administration of Medicare
Part A, Part B, Medicare Advantage Part C, and Medicare Part D.
We are also changing the name of the existing Medicare Part D and Part
D Subsidy File system of records. The proposed new name is the Medicare
Database, hereinafter referred to as the MDB File. The change reflects
the establishment of a single repository for all Medicare-related data.
The proposed alterations are discussed in the SUPPLEMENTARY
INFORMATION section below. We invite public comments on this proposal.
DATES: We filed a report of the proposed alteration with the Chairman
of the Senate Committee on Homeland Security and Governmental Affairs,
the Chairman of the House Committee on Government Reform, and the
Director, Office of Information and Regulatory Affairs, Office of
Management and Budget (OMB) on July 18, 2006. The proposed alteration
will become effective on August 26, 2006 unless we receive comments
that will result in a contrary determination.
ADDRESSES: Interested individuals may comment on this publication by
writing to the Executive Director, Office of Public Disclosure, Office
of the General Counsel, Social Security Administration, Room 3-A-6
Operations Building, 6401 Security Boulevard, Baltimore, Maryland
21235-6401. All comments received will be available for public
inspection at the above address.
FOR FURTHER INFORMATION CONTACT: Ms. Christine W. Johnson, Lead Social
Insurance Specialist, Office of Public Disclosure, Office of the
General Counsel, Social Security Administration, Room 3-C-1 Operations
Building, 6401 Security Boulevard, Baltimore, Maryland 21235-6401,
telephone at (410) 965-8563, e-mail: mailto:chris.w.johnson@ssa.gov.
SUPPLEMENTARY INFORMATION:
I. Background and Purpose of Proposed Alteration to the MDB File System
of Records
A. General Background
On December 8, 2003, the Medicare Prescription Drug, Improvement,
and Modernization Act (also known as the Medicare Modernization Act or
MMA) of 2003, created a voluntary prescription drug coverage benefit
program under new Part D of Medicare for all individuals eligible for
Medicare Part A and/or Part B. The MMA also created a subsidy program
to assist Medicare beneficiaries with limited means to pay for
prescription drug coverage. The new Medicare Part D was implemented
January 2006. We published a notice of system of records in the Federal
Register to implement the Medicare Part D coverage on December 28,
2004. The notice can be found at 70 FR 77816, December 28, 2004.
Additionally, Section 811 of the MMA established a premium subsidy
reduction which will result in an income-related adjustment amount
being added to the standard monthly Medicare Part B premium amount.
The Medicare Part B premium subsidy reduction becomes effective
January 2007. Sections 101 and 201 of the MMA changed some of the terms
and definitions for Medicare Part C (now Medicare Advantage) and
provided for the implementation of the Medicare Advantage program.
Medicare Part B is a voluntary program which provides medical
insurance coverage for medical and health services such as physician
services, diagnostic services and medical supplies. Medicare Part B
beneficiaries are responsible for deductibles, co-insurance and monthly
premiums towards the cost of covered services. Generally, the Part B
premium covers approximately 25 percent of the Part B program costs and
the remaining 75 percent of the program costs are subsidized by the
Federal Government by contributions to the Federal Supplementary
Medical Insurance Trust Fund. Certain Part B beneficiaries may also pay
an increased premium for late reenrollment or for enrollment after a
period without coverage.
Beginning January 2007, the Medicare Part B premium subsidy will
result in an income-related adjustment amount being added to the
standard monthly Medicare Part B premium amount for an estimated 4 to 5
percent of the approximately 40 million Part B beneficiaries who have
income above an income threshold set by the MMA. Beneficiaries with
modified adjusted gross income above a statutory income threshold will
pay more of the cost of their Part B premiums through an income-related
monthly adjustment amount. The income-related monthly adjustment amount
is an additional amount of premium for Part B coverage that is added to
the Part B standard monthly premium. The purpose of the income-related
adjustment is to reduce the Federal subsidy to Medicare Part B
beneficiaries with income above the statutory threshold.
To implement the Medicare Part B premium subsidy reduction and
establish eligibility for Part D subsidies, we must collect and
maintain relevant information that will be used for these
determinations. We will maintain the information in the MDB File. We
currently maintain information about
[[Page 42160]]
Medicare Part A and Part C applicants and beneficiaries in other SSA
systems of records (e.g., the Master Beneficiary Record and the Claims
Folders System). To assist us in the efficient administration of
Medicare Part A, Part B, Medicare Advantage Part C, and Medicare Part D
programs, we are consolidating all of the relevant records into the MDB
File. In addition to these changes, we are also establishing new
routine use disclosures of MDB File information. To implement these
changes, we must make alterations to the MDB File. The alterations are
discussed in Section I, Subsections B and C below.
B. Expansion of the Categories of Individuals Covered by the MDB File
System of Records
(1.) Expansion of the Categories of Individuals in the MDB File
Currently, the records in the system pertain primarily to
beneficiaries with limited means to pay for prescription drug coverage
under Medicare Part D. The purpose of the proposed alteration is to
expand the categories of individuals covered by this system to include
beneficiaries who have medical insurance under Medicare Part A, Part B,
Medicare Advantage Part C, and all beneficiaries who are covered or who
will be eligible for facilitated enrollment under Part D plans. See the
``Categories of individuals covered by the system'' in the system
notice below for the inclusion of the additional categories of
individuals and a full description of the information maintained
therein.
(2.) Name Change for the Existing Medicare Part D and Part D Subsidy
File System of Records
We propose to change the name of the existing system to t he MDB
File system of records to facilitate and reflect the formation of a
single repository for the collection and maintenance of all Medicare-
related data.
C. Proposed New Routine Use Disclosures of Data Maintained in the MDB
File System of Records
1. Establishment of New Routine Uses
We are proposing to establish five new routine uses to allow
disclosure of information maintained in the MDB File. The routine uses
will facilitate disclosures to applicants, claimants, prospective
applicants or claimants (other than the data subjects and their
authorized representatives); the Centers for Medicare & Medicaid
Services; the Railroad Retirement Board; the Office of Personnel
Management; the Office of Medicare Hearings and Appeals; and the
Medicare Appeals Council in the Department of Health and Human
Services, in pursuit of Part B premium reduction based on participation
in a Part C Medicare Advantage Plan; Medicare Part B and Part C premium
collection; all Medicare enrollment, premium collection and reduction,
and Part B premium income-related monthly adjustment amount
determinations and appeals of determinations.
Accordingly, proposed new routine uses numbered 17-21 that we are
adding to the MDF File provide for the disclosure of information as
follows:
17. ``To applicants, claimants, prospective applicants or claimants
(other than the data subjects and their authorized representatives) to
the extent necessary for the purpose of pursuing Medicare Part B
premium reduction based on participation in certain Part C Medicare
Advantage plans;''
18. ``To applicants, claimants, prospective applicants or claimants
(other than the data subjects and their authorized representatives) to
the extent necessary for the purpose of administering Medicare Part A,
Part B, Medicare Advantage Part C, and Medicare Part D, including but
not limited to pursuing Medicare Part B, Part C and Part D premium
collection;''
19. ``To the Centers for Medicare & Medicaid Services (CMS), for
the purpose of administering Medicare Part A, Part B, Medicare
Advantage Part C, and Medicare Part D, including but not limited to:
Medicare Part C enrollment and premium collection processes; Part D
enrollment and premium collection processes; Medicare Part B premium
reduction based on participation in a Part C plan; and Medicare Part B
enrollment and income-related monthly adjustment amount determinations,
appeals of determinations, and premium collection;''
20. ``To CMS, the Railroad Retirement Board and the Office of
Personnel Management for purposes of administering Part A, Part B,
Medicare Advantage Part C, and Medicare Part D, including, but not
limited to, collecting Medicare Part B premiums, which include an
income-related monthly adjustment amount,'' and
21. ``To the Office of Medicare Hearings and Appeals and to the
Medicare Appeals Council in the Department of Health and Human Services
for purposes of appeals of determinations of Medicare Part B income-
related monthly adjustment amount determinations made by SSA.''
2. Compatibility of Proposed New Routine Uses
The Privacy Act (5 U.S.C. 552a(b)(3)) and SSA's disclosure
regulation (20 CFR Part 401) permit us to disclose information under a
published routine use for a purpose that is compatible with the purpose
for which we collected the information. The proposed routine uses above
will ensure efficient administration of SSA programs administered
through the MDB File. Therefore, the proposed routine uses are
appropriate and meet the relevant statutory and regulatory criteria.
II. Records Storage Medium and Safeguards for the Proposed MDB File
System of Records
The MDB File is a repository of Medicare applicant and beneficiary
information. Only authorized SSA personnel who have a need for the
information in the performance of their official duties will be
permitted access to the information. We will safeguard the security of
the information by requiring the use of access codes to enter the
computer systems that will maintain the data and will store
computerized records in secured areas that are accessible only to
employees who require the information to perform their official duties.
Any manually maintained records will be kept in locked cabinets or in
otherwise secure areas. Furthermore, SSA employees having access to SSA
databases maintaining personal information must sign a sanction
document annually, acknowledging their accountability for making
unauthorized access to, or disclosure of, such information.
Contractors generally do not have access to the MDB File; however,
should this change in the future, contractor personnel having access to
data in the MDB File will be required to adhere to SSA rules concerning
safeguards, access and use of the data.
SSA personnel having access to the data on this system will be
informed of the criminal penalties of the Privacy Act for unauthorized
access to or disclosure of information maintained in this system. See 5
U.S.C. 552a(i)(1).
III. Effect of the Proposed MDB File System of Records on the Rights of
Individuals
The proposed alteration to the MDB File system of records pertains
to SSA's responsibilities in expanding the categories of individuals
maintained in the file to include beneficiaries who are eligible for
Medicare Part A, Part B and Medicare Advantage Part C. We will adhere
to all applicable statutory
[[Page 42161]]
requirements, including those under the Social Security Act and the
Privacy Act, in carrying out our responsibilities. Therefore, we do not
anticipate that the proposed alterations will have any unwarranted
adverse effect on the rights of individuals.
IV. Change in the Name of the Existing Medicare Part D and Part D
Subsidy File System of Records
We will change the name of the existing system of records to the
Medicare Database (MDB) File to reflect the establishment of a single
repository for all Medicare-related information needed to efficiently
administer the Medicare Part A, Part B, Medicare Advantage Part C and
Medicare Part D programs.
Dated: July 18, 2006.
Jo Anne B. Barnhart,
Commissioner.
Social Security Administration (SSA)
Notice of System of Records Required by the Privacy Act of 1974; as
Amended
60-0321
System Name:
Medicare Database (MDB) File, Social Security Administration,
Deputy Commissioner for Disability and Income Security Programs.
Security Classification:
None.
System Location:
Social Security Administration, National Computer Center, Office of
Systems, 6401 Security Boulevard, Baltimore, Maryland 21235.
Other authorized Federal and State agencies that generally have
access to information in SSA systems will also have access as needed to
the MDB File. Contact the system manager for address information.
Categories of Individuals Covered by the System:
Claimants, applicants, beneficiaries, ineligible spouses and
potential claimants for Medicare Part A, Medicare Part B, Medicare
Advantage Part C, Medicare Part D and for Medicare Part D prescription
drug coverage subsidies.
Categories of Records in the System:
This file contains the name, Social Security number (SSN) and
income and resource data of the claimant or potential claimant for Part
D subsidy; the subsidy application; supporting evidence and
documentation for eligibility; documentation for income and resource
verification; supporting evidence and documentation for appeal
requests; premium payment documentation; correspondence to and from
claimants and/or personal representatives; and leads information from
third parties such as social service agencies and hospitals. Further,
separate files may be maintained of certain actions which are entered
directly into the MDB file. These relate to reports of changes of
income and resources and other post-adjudicative reports. Separate data
are also maintained for statistical purposes (e.g., subsidy denial, and
demographic and statistical information relating to subsidy decisions).
This file also contains information about Medicare Part A, Part B,
Medicare Advantage Part C, and non-subsidy Medicare Part D
beneficiaries. The information maintained in this system of records is
collected from beneficiaries for Medicare Part A, Part B, Medicare
Advantage Part C, Medicare Part D, and other source systems maintained
by SSA. The information maintained for Part B also include: The
individual's name and SSN; enrollment information; premium surcharge
information; information from the Internal Revenue Service about such
individual's modified adjusted gross income (MAGI) from his/her Federal
tax return, including adjusted gross income (AGI), and other tax-exempt
income, and tax filing status for each year that the MAGI exceeds a
statutory income threshold. Also included is information about MAGI
provided by a claimant or beneficiary; supporting evidence and
documentation for new initial determinations and appeal requests;
Medicare Part B income-related monthly adjustment amount
determinations; reconsiderations and appeals of Medicare Part B income-
related monthly adjustment amount determinations; information essential
to the deduction of premiums from Title II monthly benefits from
Railroad Retirement annuities, Civil Service retirement benefits and
direct billing by the Centers for Medicare & Medicaid Services; and
data necessary to providing fiscal accounting of premiums withheld.
The file may also contain data collected as a result of inquires or
complaints, and evaluation and measurement studies of the effectiveness
of Medicare Prescription Drug Improvement and Modernization Act (MMA)
policies.
Authority for Maintenance of the System:
Sections 202-205, 223, 226, 228, 1611, 1631, 1818, 1836, 1839, 1840
and 1860D-1-1860D-15 of the Social Security Act (42 U.S.C. 402-405,
423, 426, 428, 1382, 1383, 1395i-2, 1395o, 1395r-1, 1395s and 1395w-
101-1395w-115).
Purpose(s):
The MDB File is used for the collection and maintenance of material
related to Medicare Part A, Part B, Medicare Advantage Part C, and
Medicare Part D, including, but not limited to: Part D participation
and premium deductions, and where applicable, subsidized prescription
drug coverage eligibility information; Medicare Part B enrollment,
surcharge and premium reduction information for participants in certain
Medicare Advantage plans and for maintaining information necessary to
set income-related monthly adjustment amounts to Part B premiums for
certain individuals who exceed an income threshold; and Part C premium
deduction authorized by the MMA. The information in this file is used
throughout SSA for the purposes of collecting, documenting, organizing
and maintaining information and documents for making determinations
about eligibility for subsidized benefits, premium reductions and
deduction under the MMA.
Routine uses of records maintained in the system, including categories
of users and the purposes of such uses:
Disclosures may be made for routine uses as indicated below.
However, any information defined as ``return or return information''
under 26 U.S.C. 6103 of the Internal Revenue Code (IRC) will not be
disclosed unless authorized by the IRC, the Internal Revenue Service
(IRS), or IRS regulations.
1. To the Office of the President for the purpose of responding to
an individual pursuant to an inquiry received from that individual or
from a third party on his or her behalf.
2. To a congressional office in response to an inquiry from that
office made at the request of the subject of a record.
3. To the Department of Justice (DOJ), a court or other tribunal,
or another party before such tribunal when:
(a) SSA, or any component thereof; or
(b) Any SSA employee in his/her official capacity; or
(c) Any SSA employee in his/her individual capacity where DOJ (or
SSA where it is authorized to do so) has agreed to represent the
employee; or
(d) The United States or any agency thereof where SSA determines
that the litigation is likely to affect the operations of SSA or any of
its components is party to litigation or has an interest in such
litigation, and SSA determines that the use of such records
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by DOJ, a court or other tribunal, or another party before such
tribunal, is relevant and necessary to the litigation, provided,
however, that in each case, SSA determines that such disclosure is
compatible with the purpose for which the records were collected.
4. Information may be disclosed to DOJ for:
(a) Investigating and prosecuting violations of the Social Security
Act to which criminal penalties attach;
(b) Representing the Commissioner; or
(c) Investigating issues of fraud by agency officers or employees,
or violation of civil rights.
5. To applicants, claimants, prospective applicants or claimants
(other than the data subjects and their authorized representatives) to
the extent necessary for the purpose of pursuing Medicare Part D and
Part D subsidy entitlement or appeal rights.
6. To Federal, State, or local agencies (or agents on their behalf)
for administering cash or non-cash income maintenance or health
maintenance programs (including programs under the Social Security
Act). Such disclosures include, but are not limited to, release of
information to:
(a) The Railroad Retirement Board for administering provisions of
the Railroad Retirement and Social Security Acts relating to railroad
employment and for administering the Railroad Unemployment Insurance
Act;
(b) The Department of Veterans Affairs (VA) for administering 38
U.S.C. 412, and upon request, information needed to determine
eligibility for, or amount of, VA benefits or verifying other
information with respect thereto;
(c) The Department of Labor for administering provisions of Title
IV of the Federal Coal Mine Health and Safety Act, as amended by the
Black Lung Benefits Act;
(d) State agencies for making determinations of Medicaid
eligibility; and
(e) State agencies for making determinations of food stamp
eligibility under the food stamp program;
(f) State audit agencies for auditing Medicaid eligibility
considerations; and
(g) State welfare departments pursuant to agreements with SSA for
administration of State supplementation payments; for enrollment of
welfare recipients for medical insurance under section 1843 of the Act;
and for conducting independent quality assurance reviews of
Supplemental Security Income recipient records, provided that the
agreement for Federal administration of the supplementation provides
for such an independent review.
7. To the Internal Revenue Service, Department of the Treasury, for
the purpose of auditing SSA's compliance with the safeguard provisions
of the Internal Revenue Code of 1986, as amended.
8. To the Centers for Medicare & Medicaid Services (CMS), for the
purpose of administering Medicare Part D enrollment and premium
collection and Medicare Advantage Part C premium collections, as well
as Medicare Part B income-related monthly adjustment amounts.
9. To Federal and State agencies administering Medicare Part D and
Part D subsidy under the MMA of 2003. For example, release of
information to:
(a) The Bureau of Public Debt, Department of the Treasury;
(b) The Internal Revenue Service;
(c) The Office of Personnel Management;
(d) The Railroad Retirement Board;
(e) The Veterans Administration; and
(f) The Office of Child Support Enforcement for the purpose of
assisting in the verification of eligibility for the prescription drug
subsidy.
10. To a Federal, State, or congressional support agency (e.g., the
Congressional Budget Office and the Congressional Research Service in
the Library of Congress) for research, evaluation, or statistical
studies. Such disclosures include, but are not limited to, release of
information in assessing the extent to which one can predict
eligibility for Supplemental Security Income (SSI) payments or Social
Security disability insurance benefits; examining the distribution of
Social Security benefits by economic and demographic groups and how
these differences might be affected by possible changes in policy;
analyzing the interaction of economic and non-economic variables
affecting entry and exit events and duration in the Title II Old Age,
Survivors, and Disability Insurance and the Title XVI SSI disability
programs; and analyzing retirement decisions focusing on the role of
Social Security benefit amounts, automatic benefit recomputation, the
delayed retirement credit, and the retirement test, if SSA:
(a) Determines that the routine use does not violate legal
limitations under which the record was provided, collected, or
obtained;
(b) Determines that the purpose for which the proposed use is to be
made:
(i) Cannot reasonably be accomplished unless the record is provided
in a form that identifies individuals;
(ii) Is of sufficient importance to warrant the effect on, or risk
to, the privacy of the individual which such limited additional
exposure of the record might bring;
(iii) Has reasonable probability that the objective of the use
would be accomplished;
(iv) Is of importance to the Social Security program or the Social
Security beneficiaries or is for an epidemiological research project
that relates to the Social Security program or beneficiaries;
(c) Requires the recipient of information to:
(i) Establish appropriate administrative, technical, and physical
safeguards to prevent unauthorized use or disclosure of the record and
agree to on-site inspection, by SSA's personnel, its agents, or by
independent agents of the recipient agency, of those safeguards;
(ii) Remove or destroy the information that enables the individual
to be identified at the earliest time at which removal or destruction
can be accomplished consistent with the purpose of the project, unless
the recipient receives written authorization from SSA that it is
justified, based on research objectives, for retaining such
information;
(iii) Make no further use of the records except
(a) Under emergency circumstances affecting the health or safety of
any individual following written authorization from SSA;
(b) For disclosure to an identified person approved by SSA for the
purpose of auditing the research project;
(iv) Keep the data as a system of statistical records. A
statistical record is one which is maintained only for statistical and
research purposes and which is not used to make any determination about
an individual;
(d) Secures a written statement by the recipient of the information
attesting to the recipient's understanding of, and willingness to abide
by, the provisions.
11. The Department of Homeland Security, Bureau of Citizenship and
Immigration Services, upon request, to identify and locate aliens in
the United States pursuant to section 290(b) of the Immigration and
Nationality Act (8 U.S.C. 1360(b)).
12. To contractors and other Federal agencies, as necessary, for
the purpose of assisting SSA in the efficient administration of its
programs. We contemplate disclosing information under this routine use
only in situations in which SSA may enter a contractual or similar
agreement with a third party to assist in accomplishing an agency
function relating to this system of records.
[[Page 42163]]
13. Addresses of beneficiaries who are obligated on loans held by
the Secretary of Education or a loan made in accordance with 20 U.S.C.
1071, et seq. (the Robert T. Stafford Student Loan Program) may be
disclosed to the Department of Education as authorized by section 489A
of the Higher Education Act of 1965.
14. To student volunteers and other workers, who technically do not
have the status of Federal employees, when they are performing work for
SSA as authorized by law, and who need access to personally
identifiable information in SSA records in order to perform their
assigned Agency functions.
15. To Federal, State and local law enforcement agencies and
private security contractors, as appropriate, information necessary:
To enable them to protect the safety of SSA employees and
customers, the security of the SSA workplace and the operation of SSA
facilities; or
To assist investigations or prosecutions with respect to
activities that affect such safety and security or activities that
disrupts the operation of SSA facilities.
16. To the General Services Administration (GSA) and the National
Archives Records Administration (NARA) under 44 U.S.C. 2904 and 2906,
as amended by the NARA Act of 1984, non-tax return information which is
not restricted from disclosure by Federal law for the use of those
agencies in conducting records management studies.
17. To applicants, claimants, prospective applicants or claimants
(other than the data subjects and their authorized representatives) to
the extent necessary for the purpose of pursuing Medicare Part B
Premium Reduction based on participation in a Medicare Advantage Part C
Plan.
18. To applicants, claimants, prospective applicants or claimants
(other than the data subjects and their authorized representatives) to
the extent necessary for the purpose of administering Medicare Part A,
Part B, Medicare Advantage Part C, and Medicare Part D, including, but
not limited to, pursuing Medicare Part B, Part C and Part D premium
collection.
19. To the Centers for Medicare & Medicaid Services, for the
purpose of administering Medicare Part A, Part B, Medicare Advantage
Part C, and Medicare Part D, including but not limited to: Medicare
Part C enrollment and premium collection processes; Part D enrollment
and premium collection processes; Medicare Part B premium reduction
based on participation in a Part C plan and Medicare Part B enrollment
and income-related monthly adjustment amount determinations, appeals of
determinations, and premium collection.
20. To the Centers for Medicare & Medicaid Services, the Railroad
Retirement Board and the Office of Personnel Management for the purpose
of administering Medicare Part A, Part B, Medicare Advantage Part C,
and Medicare Part D, including, but not limited to, collecting Medicare
Part B premiums, some of which include an income-related monthly
adjustment amount.
21. To the Office of Medicare Hearings and Appeals and to the
Medicare Appeals Council in the Department of Health and Human Services
for purposes of appeals of determinations of Medicare Part B income-
related monthly adjustment amount determinations made by SSA.
We will disclose information to the Office of Medicare Hearings and
Appeals and to the Medicare Appeals Council under this routine use only
for the purpose of assisting that office with appeals of Medicare Part
B income-related monthly adjustment amount decisions.
Disclosure to Consumer Reporting Agencies:
Disclosure pursuant to 5 U.S.C. 552a(b)(12) may be made to consumer
reporting agencies as defined in the Fair Credit Reporting Act (15
U.S.C. 1681a(f)) or the Federal Claims Collection Act of 1966 (31
U.S.C. 3701, et seq.), as amended. The disclosure will be made in
accordance with 31 U.S.C. 3711(e) when authorized by sections 204(f),
808(e), or 1631(b)(4) of the Social Security Act (42 U.S.C. 404(f),
1008(e), or 1383(b)(4)). The purpose of this disclosure is to aid in
the collection of outstanding debts owed to the Federal government,
typically, to provide an incentive for debtors to repay delinquent
Federal government debts by making these debts part of their credit
records. The information to be disclosed is limited to the individual's
name, address, SSN, and other information necessary to establish the
individual's identity, the amount, status, and history of the debt and
the agency or program under which the debt arose.
Policies and Practices for Storing, Retrieving, Accessing, Retaining,
and Disposing of Records in the System:
Storage:
Records are maintained electronically. Any manually maintained
records will be kept in locked cabinets or in otherwise secure areas.
Retrievability:
Records are retrieved electronically by SSN and alphabetically by
name.
Safeguards:
The MDB File is protected through limited access to SSA records.
Access to the records is limited to those employees who require such
access in the performance of their official duties. All employees are
instructed about SSA confidentiality rules as a part of their initial
orientation training.
Safeguards for automated records have been established in
accordance with the Systems Security Handbook. For computerized
records, electronically transmitted between SSA's central office and
field office locations (including organizations administering SSA
programs under contractual agreements), safeguards include a lock/
unlock password system, exclusive use of leased telephone lines, a
terminal oriented transaction matrix, and an audit trail.
Retention and Disposal:
Pursuant to 36 CFR 1228.26, SSA will submit to NARA, for approval,
a schedule for the MDB, no later than one year from implementation of
this new program. Until a schedule is developed and approved, records
may not be destroyed.
System Manager(s) and Address:
Deputy Commissioner, Disability and Income Security Programs,
Social Security Administration, 6401 Security Boulevard, Baltimore, MD
21235.
Notification Procedure:
An individual can determine if this system contains a record about
him/her by writing to the system manager(s) at the above address and
providing his/her name, SSN or other information that may be in the
system of records that will identify him/her. An individual requesting
notification of records in person should provide the same information,
as well as provide an identity document, preferably with a photograph,
such as a driver's license or some other means of identification. If an
individual does not have any identification documents sufficient to
establish his/her identity, the individual must certify in writing that
he/she is the person claimed to be and that he/she understands that the
knowing and willful request for, or acquisition of, a record pertaining
to another individual under false pretenses is a criminal offense.
If notification is requested by telephone, an individual must
verify his/her identity by providing identifying
[[Page 42164]]
information that parallels information in the record for which
notification is being requested. If it is determined that the
identifying information provided by telephone is insufficient, the
individual will be required to submit a request in writing or in
person. If an individual is requesting information by telephone on
behalf of another individual, the subject individual must be connected
with SSA and the requesting individual in the same phone call. SSA will
establish the subject individual's identity (his/her name, SSN,
address, date of birth and place of birth along with one other piece of
information such as mother's maiden name) and ask for his/her consent
to providing information to the requesting individual.
If a request for notification is submitted by mail, an individual
must include a notarized statement to SSA to verify his/her identity or
must certify in the request that he/she is the person claimed to be and
that he/she understands that the knowing and willful request for, or
acquisition of, a record pertaining to another individual under false
pretenses is a criminal offense. These procedures are in accordance
with SSA regulations (20 CFR 401.40(c)).
Record Access Procedures:
Same as Notification procedures. Requesters should also reasonably
specify the information they are seeking. These procedures are in
accordance with SSA regulations (20 CFR 401.40(c)).
Contesting Record Procedures:
Same as Notification procedures. Requesters should also reasonably
identify the record, specify the information they are contesting and
state the corrective action sought, and the reasons for the correction,
with supporting justification showing how the record is incomplete,
untimely, inaccurate or irrelevant. These procedures are in accordance
with SSA regulations (20 CFR 401.65(a)).
Record Source Categories:
Information in this system is obtained from claimants,
beneficiaries, applicants and recipients; accumulated by SSA from
reports of employers or self-employed individuals; various local,
State, and Federal agencies; claimant representatives and other sources
to support factors of entitlement and continuing eligibility or to
provide leads information.
Systems Exempted From Certain Provisions of the Privacy Act:
None.
[FR Doc. E6-11782 Filed 7-24-06; 8:45 am]
BILLING CODE 4191-02-P