Privacy Act of 1974; Report of an Altered CMS System of Records Notice, 32256-32257 [2013-12691]
Download as PDF
<![CDATA[
32256
Federal Register / Vol. 78, No. 103 / Wednesday, May 29, 2013 / Notices
tkelley on DSK3SPTVN1PROD with NOTICES
risk adjustment data validation process.
The stakeholder meeting will focus on
topics including, but not limited to, data
validation audit standards, sampling,
initial and second validation audits,
appeals, and error rates. The meeting is
open to the public, but attendance is
limited to the space available. There are
capabilities for remote access. Persons
wishing to attend this meeting must
register by the date listed in the
‘‘Registration’’ section above, and by
visiting www.REGTAP.info.
III. Security, Building, and Parking
Guidelines
The meeting will be held within the
CMS Complex, which is not open to the
general public. Visitors to the complex
are required to show a valid U.S.
Government issued photo identification,
preferably a driver’s license, at the time
of entry. Participants will also be subject
to a vehicular search before access to the
complex is granted. Participants not in
possession of a valid identification or
who are in possession of prohibited
items will be denied access to the
complex. Prohibited items on Federal
property include, but are not limited to,
alcoholic beverages, illegal narcotics,
explosives, firearms or other dangerous
weapons (including pocket knives), and
dogs or other animals (except service
animals). Once cleared for entry to the
complex, participants will be directed to
parking by a security officer.
To ensure expedited entry into the
building, it is recommended that
participants have their ID and a copy of
their written meeting registration
confirmation readily available and that
they do not bring laptops or large/bulky
items into the building. Participants are
reminded that photography on the CMS
complex is prohibited. CMS has also
been declared a tobacco free campus
and violators are subject to legal action.
In planning arrival time, we recommend
allowing additional time to clear
security. Individuals who are not
registered in advance will not be
permitted to enter the building and will
be unable to attend the meeting. The
public may not enter the building earlier
than 45 minutes before the meeting
convenes. Guest access to the CMS
complex is limited to the meeting area,
the main lobby, and the cafeteria. If a
visitor is found outside of those areas
without proper escort, they may be
escorted by a security officer out of the
complex.
Please be mindful that, at the meeting,
and subject to the constraints of the
meeting agenda and allotted meeting
time, there will be an opportunity for
individuals to speak, and we request
that individuals wait for the appropriate
VerDate Mar<15>2010
18:07 May 28, 2013
Jkt 229001
time to present their questions or
comments. Disruptive behavior will not
be tolerated, and may result in removal
from the meeting and/or escort from the
complex. Visitors may not attach USB
cables, flash/thumb drives, or any other
equipment to any CMS information
technology (IT) system or hardware for
any purpose at anytime. Additionally,
CMS staff is prohibited from taking such
actions on behalf of a visitor, or utilizing
any removable media provided by a
visitor.
We cannot assume responsibility for
coordinating the receipt, transfer,
transport, storage, set-up, safety, or
timely arrival of any personal
belongings or items used for
demonstration or to support a
presentation. Special accommodations,
arrangements, and approvals to bring
pieces of equipment or medical devices
are required by June 19, 2013, 5:00 p.m.,
e.d.t. These arrangements need to be
made with the registrar@REGTAP.info.
It is possible that certain requests made
in advance of the public meeting may be
denied because of unique safety,
security or handling issues related to the
equipment.
CMS policy requires that every
foreign national (as defined by the
Department of Homeland Security is
‘‘an individual who is a citizen of any
country other than the United States’’)
is assigned a host (in accordance with
the Department Foreign Visitor
Management Policy, Appendix C,
Guidelines for Hosts and Escorts). The
host/hosting official is required to
inform the Division of Critical
Infrastructure Protection (DCIP) at least
12 business days in advance of any visit
by a foreign national. Foreign nationals
will be required to produce a valid
passport at the time of entry.
Attendees that are foreign nationals
need to identify themselves as such, and
provide the following information for
security clearance to the
registrar@REGTAP.info by the date
specified in the ‘‘REGISTRATION’’
section of this notice:
• Visitor’s full name (as it appears on
passport).
• Gender.
• Country of origin and citizenship.
• Biographical data and related
information.
• Date of birth.
• Place of birth.
• Passport number.
• Passport issue date.
• Passport expiration date.
• Dates of visits.
• Company Name.
• Position/Title.
PO 00000
Frm 00031
Fmt 4703
Sfmt 4703
Dated: May 23, 2013.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2013–12856 Filed 5–28–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Privacy Act of 1974; Report of an
Altered CMS System of Records Notice
Centers for Medicare &
Medicaid Services (CMS), Department
of Health and Human Services (HHS).
ACTION: Altered System of Records
Notice (SORN).
AGENCY:
In accordance with the
requirements of the Privacy Act of 1974
(5 USC 552a), CMS proposes the
following alterations to existing system
of records (SOR) number 09–70–0560
‘‘Health Insurance Exchanges (HIX)
Program,’’ published at 78 Federal
Register (FR) 8538 (February 6, 2013):
1. Add ‘‘Relevant Individual(s)’’ as a
new category of individuals;
2. Add personally identifiable
information (PII) pertaining to ‘‘Relevant
Individual(s)’’ as a new category of
records;
3. Add new purposes to describe the
reason for the above additions; and
4. Revise existing routine uses to
authorize the agency to disclose PII of
‘‘Relevant Individual(s)’’ to parties
outside the agency.
DATES: Effective Dates: Effective 30 days
after publication of this notice in the
Federal Register unless comments
received on or before that date result in
revisions to this notice.
ADDRESSES: The public should send
comments to: CMS Privacy Officer,
Division of Privacy Policy, Privacy
Policy and Compliance Group, Office of
E-Health Standards & Services, Offices
of Enterprise Management, CMS, Room
S2–24–25, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
Comments received will be available for
review at this location, by appointment,
during regular business hours, Monday
through Friday from 9:00 a.m.–3:00
p.m., Eastern Time zone.
FOR FURTHER INFORMATION CONTACT:
Karen Mandelbaum, JD, MHA, Office of
Health Insurance Exchanges, Consumer
Information and Insurance Systems
Group, Center for Consumer Information
and Insurance Oversight, 7210
Ambassador Road, Baltimore, MD
21244, Office Phone: (410) 786–1762,
SUMMARY:
E:\FR\FM\29MYN1.SGM
29MYN1
Federal Register / Vol. 78, No. 103 / Wednesday, May 29, 2013 / Notices
Facsimile: (301) 492–4353, Email:
karen.mandelbaum@cms.hhs.gov.
CMS
proposes to alter the SOR to add
‘‘Relevant Individual(s)’’ as a category of
individuals whose PII is necessary for
determining the eligibility of applicants
for insurance affordability programs or a
certification of exemption under
provisions of the Patient Protection and
Affordable Care Act (Pub. L. 111–148),
as amended by the Health Care and
Education Reconciliation Act of 2010
(Pub. L. 111–152) (collectively referred
to as the Affordable Care Act) and CMS’
implementation of the Affordable Care
Act.
For the purpose of this SORN,
‘‘Relevant Individual(s)’’ means any
individual listed on an application for
an insurance affordability program or
certification of exemption whose PII
may bear upon the eligibility of an
individual for an insurance affordability
program (as defined in 42 CFR 435.4
and 45 CFR 155.20),1 or certification of
exemption. These individuals include
non-applicant household members/
family members, certain non-applicant
tax payers or tax filers, and spouses and
parents of applicants. Due to the
potential impact of the Relevant
Individuals’ PII on an individual’s
eligibility determination this category of
individuals is added to the SOR.
Additionally, Routine Use #3 is
proposed to be modified to permit CMS
to disclose information about Relevant
Individual(s), in addition to applicants,
in order to obtain information from
other Federal and State agencies and
third party data sources that provide
information to CMS, pursuant to
agreements with CMS, for purposes of
determining eligibility of applicants to
enroll in qualified health plans (QHP)
through an Exchange, in insurance
affordability programs, or for a
certification of exemption from the
individual responsibility requirement.
Routine Use #8 is proposed to be
modified to enable CMS to provide
information about Relevant
Individual(s), in addition to applicants,
to application filers who are filing on
behalf of those applicants for whom an
eligibility determination will require
information about the Relevant
Individual(s).
The proposed changes require the
following alterations to sections of the
notice.
1. Categories of Individuals Covered
by the System: Remove the ‘‘and’’ before
‘‘(7)’’ and add the following at the end
of this section:
tkelley on DSK3SPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
1 See
also 78 FR 8539, 8540.
VerDate Mar<15>2010
18:07 May 28, 2013
Jkt 229001
‘‘and (8) Individuals, including nonapplicant household members/family
members, non-applicant tax payers or
tax filers, and spouses and parents of
applicants, who are listed on the
application and whose PII may bear
upon a determination of the eligibility
of an individual for an insurance
affordability program and for
certifications of exemption from the
individual responsibility requirement.
Such individuals will hereafter be
referred to as ‘‘Relevant Individual(s)’’.’’
2. Categories of Records in the
System: Add the following to the end of
the first paragraph of this section:
‘‘The system will collect and maintain
information pertaining to Relevant
Individual(s) that includes the
following: First name, last name, middle
initial, permanent residential address,
date of birth, SSN (if the Relevant
Individual has one or is required to
provide it as specified in 45 CFR
155.305(f)(6)), taxpayer status, gender,
residency, relationship to applicant,
employer information, and household
income, including tax information from
the IRS, income information from the
Social Security Administration, and
financial information from other third
party sources.’’
3. Purpose(s) of the System: Replace
the first sentence of the first paragraph
of this section with the following
sentence:
‘‘The purpose of this system is to
collect, create, use and disclose PII
about individuals who apply for
eligibility determinations for enrollment
in a QHP through the Exchange, for
insurance affordability programs, and
for certifications of exemption from the
individual responsibility requirement
and on Relevant Individual(s) whose PII
may bear upon a determination of the
eligibility of an individual for an
insurance affordability program and for
certifications of exemption from the
individual responsibility requirement.’’
4. Routine Use #3: Delete entry and
replace with:
‘‘To disclose information about
applicants and Relevant Individual(s) in
order to obtain information from other
Federal agencies and State agencies and
third party data sources that provide
information to CMS, pursuant to
agreements with CMS, for purposes of
determining the eligibility of applicants
to enroll in QHPs through an Exchange,
in insurance affordability programs, or
for a certification of exemption from the
individual responsibility requirement.’’
5. Routine Use #8: Delete entry and
replace with:
‘‘To provide information about
applicants and Relevant Individual(s) to
PO 00000
Frm 00032
Fmt 4703
Sfmt 4703
32257
applicants/enrollees, authorized
representatives of applicants/enrollees,
and application filers, who are filing on
behalf of those applicants, when
relevant and necessary to determine
eligibility for enrollment in a QHP
through an Exchange, insurance
affordability programs, or a certification
of exemption from the individual
responsibility requirement.’’
The information collected by this
system and the purposes for which it is
used and disclosed by CMS are
described in the modifications to the
SORN as stated above.
Michelle Snyder,
Deputy Chief Operating Officer, Centers for
Medicare & Medicaid Services.
[FR Doc. 2013–12691 Filed 5–28–13; 8:45 am]
BILLING CODE 4120–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Privacy Act of 1974; Report of a New
Routine Use for Selected CMS
Systems of Records
Centers for Medicare &
Medicaid Services (CMS) Department of
Health and Human Services (HHS).
ACTION: Altered System Notice, Adding
a New Routine Use for Selected CMS
Systems of Records.
AGENCY:
In accordance with the
requirements of the Privacy Act of 1974
(5 U.S.C. 552a), CMS is adding a new
routine use to twenty-three CMS
systems of records to assist in
preventing and detecting fraud, waste
and abuse. The new routine use will
authorize CMS to disclose provider and
beneficiary-identifiable records to
representatives of health plans for the
purpose of preventing and detecting
fraud, waste and abuse, pursuant to
section 1128C(a)(2) of the Social
Security Act (‘‘the Act’’). At section
1128C(c) of the Act, a health plan is
defined as a plan or program that
provides health benefits, whether
directly, through insurance, or
otherwise, and includes: (1) A policy of
health insurance; (2) a contract of a
service benefit organization; and (3) a
membership agreement with a health
maintenance organization or other
prepaid health plan.
Disclosures made pursuant to the
routine use will be coordinated through
CMS’ Data Sharing and Partnership
Group, Center for Program Integrity,
CMS. CMS has identified twenty-three
systems that contain the data potentially
SUMMARY:
E:\FR\FM\29MYN1.SGM
29MYN1
]]>Agencies
[Federal Register Volume 78, Number 103 (Wednesday, May 29, 2013)]
[Notices]
[Pages 32256-32257]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-12691]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
Privacy Act of 1974; Report of an Altered CMS System of Records
Notice
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (HHS).
ACTION: Altered System of Records Notice (SORN).
-----------------------------------------------------------------------
SUMMARY: In accordance with the requirements of the Privacy Act of 1974
(5 USC 552a), CMS proposes the following alterations to existing system
of records (SOR) number 09-70-0560 ``Health Insurance Exchanges (HIX)
Program,'' published at 78 Federal Register (FR) 8538 (February 6,
2013):
1. Add ``Relevant Individual(s)'' as a new category of individuals;
2. Add personally identifiable information (PII) pertaining to
``Relevant Individual(s)'' as a new category of records;
3. Add new purposes to describe the reason for the above additions;
and
4. Revise existing routine uses to authorize the agency to disclose
PII of ``Relevant Individual(s)'' to parties outside the agency.
DATES: Effective Dates: Effective 30 days after publication of this
notice in the Federal Register unless comments received on or before
that date result in revisions to this notice.
ADDRESSES: The public should send comments to: CMS Privacy Officer,
Division of Privacy Policy, Privacy Policy and Compliance Group, Office
of E-Health Standards & Services, Offices of Enterprise Management,
CMS, Room S2-24-25, 7500 Security Boulevard, Baltimore, Maryland 21244-
1850. Comments received will be available for review at this location,
by appointment, during regular business hours, Monday through Friday
from 9:00 a.m.-3:00 p.m., Eastern Time zone.
FOR FURTHER INFORMATION CONTACT: Karen Mandelbaum, JD, MHA, Office of
Health Insurance Exchanges, Consumer Information and Insurance Systems
Group, Center for Consumer Information and Insurance Oversight, 7210
Ambassador Road, Baltimore, MD 21244, Office Phone: (410) 786-1762,
[[Page 32257]]
Facsimile: (301) 492-4353, Email: karen.mandelbaum@cms.hhs.gov.
SUPPLEMENTARY INFORMATION: CMS proposes to alter the SOR to add
``Relevant Individual(s)'' as a category of individuals whose PII is
necessary for determining the eligibility of applicants for insurance
affordability programs or a certification of exemption under provisions
of the Patient Protection and Affordable Care Act (Pub. L. 111-148), as
amended by the Health Care and Education Reconciliation Act of 2010
(Pub. L. 111-152) (collectively referred to as the Affordable Care Act)
and CMS' implementation of the Affordable Care Act.
For the purpose of this SORN, ``Relevant Individual(s)'' means any
individual listed on an application for an insurance affordability
program or certification of exemption whose PII may bear upon the
eligibility of an individual for an insurance affordability program (as
defined in 42 CFR 435.4 and 45 CFR 155.20),\1\ or certification of
exemption. These individuals include non-applicant household members/
family members, certain non-applicant tax payers or tax filers, and
spouses and parents of applicants. Due to the potential impact of the
Relevant Individuals' PII on an individual's eligibility determination
this category of individuals is added to the SOR.
---------------------------------------------------------------------------
\1\ See also 78 FR 8539, 8540.
---------------------------------------------------------------------------
Additionally, Routine Use 3 is proposed to be modified to
permit CMS to disclose information about Relevant Individual(s), in
addition to applicants, in order to obtain information from other
Federal and State agencies and third party data sources that provide
information to CMS, pursuant to agreements with CMS, for purposes of
determining eligibility of applicants to enroll in qualified health
plans (QHP) through an Exchange, in insurance affordability programs,
or for a certification of exemption from the individual responsibility
requirement. Routine Use 8 is proposed to be modified to
enable CMS to provide information about Relevant Individual(s), in
addition to applicants, to application filers who are filing on behalf
of those applicants for whom an eligibility determination will require
information about the Relevant Individual(s).
The proposed changes require the following alterations to sections
of the notice.
1. Categories of Individuals Covered by the System: Remove the
``and'' before ``(7)'' and add the following at the end of this
section:
``and (8) Individuals, including non-applicant household members/family
members, non-applicant tax payers or tax filers, and spouses and
parents of applicants, who are listed on the application and whose PII
may bear upon a determination of the eligibility of an individual for
an insurance affordability program and for certifications of exemption
from the individual responsibility requirement. Such individuals will
hereafter be referred to as ``Relevant Individual(s)''.''
2. Categories of Records in the System: Add the following to the
end of the first paragraph of this section:
``The system will collect and maintain information pertaining to
Relevant Individual(s) that includes the following: First name, last
name, middle initial, permanent residential address, date of birth, SSN
(if the Relevant Individual has one or is required to provide it as
specified in 45 CFR 155.305(f)(6)), taxpayer status, gender, residency,
relationship to applicant, employer information, and household income,
including tax information from the IRS, income information from the
Social Security Administration, and financial information from other
third party sources.''
3. Purpose(s) of the System: Replace the first sentence of the
first paragraph of this section with the following sentence:
``The purpose of this system is to collect, create, use and disclose
PII about individuals who apply for eligibility determinations for
enrollment in a QHP through the Exchange, for insurance affordability
programs, and for certifications of exemption from the individual
responsibility requirement and on Relevant Individual(s) whose PII may
bear upon a determination of the eligibility of an individual for an
insurance affordability program and for certifications of exemption
from the individual responsibility requirement.''
4. Routine Use 3: Delete entry and replace with:
``To disclose information about applicants and Relevant Individual(s)
in order to obtain information from other Federal agencies and State
agencies and third party data sources that provide information to CMS,
pursuant to agreements with CMS, for purposes of determining the
eligibility of applicants to enroll in QHPs through an Exchange, in
insurance affordability programs, or for a certification of exemption
from the individual responsibility requirement.''
5. Routine Use 8: Delete entry and replace with:
``To provide information about applicants and Relevant Individual(s) to
applicants/enrollees, authorized representatives of applicants/
enrollees, and application filers, who are filing on behalf of those
applicants, when relevant and necessary to determine eligibility for
enrollment in a QHP through an Exchange, insurance affordability
programs, or a certification of exemption from the individual
responsibility requirement.''
The information collected by this system and the purposes for which
it is used and disclosed by CMS are described in the modifications to
the SORN as stated above.
Michelle Snyder,
Deputy Chief Operating Officer, Centers for Medicare & Medicaid
Services.
[FR Doc. 2013-12691 Filed 5-28-13; 8:45 am]
BILLING CODE 4120-03-P
