HHS Computer Match No. 1603; DoD-DMDC Match No. 12, 14852-14854 [2016-06125]
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14852
Federal Register / Vol. 81, No. 53 / Friday, March 18, 2016 / Notices
Attention: CMS Desk Officer, Fax
Number: (202) 395–5806 OR, Email:
OIRA_submission@omb.eop.gov.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
45 CFR part 156. The data collection
and reporting requirements will assist
HHS in creating a seamless and
coordinated system of eligibility and
enrollment. The data collected by health
insurance issuers will help to inform
HHS, Marketplaces, and health
insurance issuers as to the participation
of individuals, employers, and
employees in the individual Exchange.
Form Number: CMS–10592 (OMB
control number: 0938–NEW);
Frequency: Annually, Monthly,
Occasionally; Affected Public: Private
Sector; Business or other for-profit;
Number of Respondents: 1,200; Total
Annual Responses: 1,200; Total Annual
Hours: 590,460. (For policy questions
regarding this collection contact Beth
Liu at 301–492–4135.)
Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), Federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires Federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: New collection of information;
Title of Information Collection:
Establishment of Exchanges and
Qualified Health Plans; Exchange
Standards for Employers; Use: Section
1321(a) requires HHS to issue
regulations setting standards for meeting
the requirements under Title I of the
Affordable Care Act including the
offering of qualified health plans
through the Marketplaces. On March 27,
2012, HHS published the rule CMS–
9989–F: Establishment of Exchanges
and Qualified Health Plans; Exchange
Standards for Employers. The Exchange
rule contains provisions that mandate
reporting and data collections necessary
to ensure that health insurance issuers
are meeting the requirements of the
Affordable Care Act. These information
collection requirements are set forth in
Dated: March 15, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
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[FR Doc. 2016–06191 Filed 3–17–16; 8:45 am]
BILLING CODE 4120–01–P
Centers for Medicare & Medicaid
Services
[CMS–1658–N]
RIN 0938–ZB23
Medicare Program; Inpatient
Prospective Payment Systems; 0.2
Percent Reduction
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
Pursuant to the court’s
October 6, 2015 order in Shands
Jacksonville Medical Center, Inc., v.
Sebelius, No. 14–263 (D.D.C.) and
consolidated cases that challenge the 0.2
percent reduction in FY 2014 inpatient
prospective payment systems (IPPS)
rates to account for the estimated $220
million in additional FY 2014
expenditures resulting from the 2midnight policy, we are currently
scheduled to publish a notice in the
Federal Register responding to
comments we have received on these
issues, including those received in
response to the December 1, 2015 notice
with comment period (80 FR 75107). We
have moved the court for an extension
of the March 18, 2016 deadline until
April 27, 2016. We anticipate
publishing the notice on or before April
27, 2016.
SUMMARY:
Frm 00031
Fmt 4703
Chava Sheffield (410) 786–2298.
Dated: March 15, 2016.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2016–06297 Filed 3–17–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS Computer Match No. 2016–02]
HHS Computer Match No. 1603; DoD–
DMDC Match No. 12
Centers for Medicare &
Medicaid Services (CMS), Department
of Health and Human Services (HHS).
ACTION: Notice of computer matching
program.
AGENCY:
In accordance with the
requirements of the Privacy Act of 1974,
as amended, this Notice re-establishes a
computer matching agreement between
CMS and the Department of Defense
(DoD). We have provided background
information about the proposed
matching program in the
SUPPLEMENTARY INFORMATION section
below. The Privacy Act requires that
CMS provide an opportunity for
interested persons to comment on the
proposed matching program. We may
defer implementation of this matching
program if we receive comments that
persuade us to defer implementation.
See ‘‘Effective Dates’’ section below for
comment period.
DATES: Effective Dates: Comments are
invited on all portions of this Notice.
Public comments must be submitted
within 30-days of publication of this
Notice. This computer matching
program will become effective no sooner
than 40 days after the report of the
computer matching program is sent to
the Office of Management and Budget
and copies of the agreement are sent to
Congress, or 30 days after publication in
the Federal Register, whichever is later.
ADDRESSES: The public should send
comments to: CMS Privacy Act Officer,
Division of Security, Privacy Policy &
Governance, Information Security &
Privacy Group, Office of Enterprise
Information, CMS, Room N1–24–08,
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
SUMMARY:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
PO 00000
FOR FURTHER INFORMATION CONTACT:
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Federal Register / Vol. 81, No. 53 / Friday, March 18, 2016 / Notices
Friday from 9:00 a.m.–3:00 p.m., Eastern
Time zone.
FOR FURTHER INFORMATION CONTACT:
Karen Mandelbaum, Director, Division
of Security, Privacy Policy &
Governance, Information Security &
Privacy Group, Office of Enterprise
Information, CMS, Mail stop N1–24–08,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850, Office Phone:
410–786–1762, Email:
Karen.Mandelbaum@cms.hhs.gov.
The
Computer Matching and Privacy
Protection Act of 1988 (Pub. L. 100–
503), amended the Privacy Act of 1974
(5 U.S.C. 552a) by describing the
manner in which computer matching
involving Federal agencies could be
performed and adding certain
protections for individuals applying for
and receiving Federal benefits.
Section 7201 of the Omnibus Budget
Reconciliation Act of 1990 (Pub. L. 101–
508) further amended the Privacy Act
regarding protections for such
individuals. The Privacy Act, as
amended, regulates the use of computer
matching by Federal agencies when
records in a system of records are
matched with other Federal, state, or
local government records. It requires
Federal agencies involved in computer
matching programs to:
1. Negotiate written agreements with
the other agencies participating in the
matching programs;
2. Obtain the Data Integrity Board
approval of the matching agreements;
3. Furnish detailed reports about
matching programs to Congress and the
Office of Management and Budget;
4. Notify applicants and beneficiaries
that their records are subject to
matching; and,
5. Verify match findings before
reducing, suspending, terminating, or
denying an individual’s benefits or
payments.
SUPPLEMENTARY INFORMATION:
asabaliauskas on DSK3SPTVN1PROD with NOTICES
CMS Computer Matches Subject to the
Privacy Act
CMS has taken action to ensure that
all computer matching programs that
this Agency participates in comply with
the requirements of the Privacy Act of
1974, as amended.
Emery Csulak,
Director, ISPG, Chief Information Security
Officer, and Senior Official for Privacy,
Centers for Medicare & Medicaid Services.
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CMS Computer Match No. 2016–02
HHS Computer Match No. 1603
DoD–DMDC Match No. 12
NAME:
Computer Matching Agreement
between the Centers for Medicare &
Medicaid Services and the Defense
Manpower Data Center Department of
Defense for Disclosure of Enrollment
and Eligibility Information for Military
Health System Beneficiaries who are
Medicare Eligible’’
SECURITY CLASSIFICATION:
Unclassified.
PARTICIPATING AGENCIES:
The Centers for Medicare & Medicaid
Services (CMS); and Department of
Defense (DoD), Defense Manpower Data
Center and the Office of the Assistant
Secretary of Defense Health Affairs/
Defense Health Agency.
AUTHORITY FOR CONDUCTING MATCHING
PROGRAM:
This computer matching agreement is
executed to comply with the Privacy
Act of 1974 (Title 5 United States Code
(U.S.C.) 552a), as amended, (as amended
by Public Law (Pub. L.) 100–503, the
Computer Matching and Privacy
Protection Act of 1988), the Office of
Management and Budget, Circular A–
130, titled ‘‘Management of Federal
Information Resources’’, 61 Federal
Register 6435 (February 20, 1996), and
the Office of Management and Budget
guidelines pertaining to computer
matching, 54 Federal Register 25818
(June 19, 1989).
Prior to 1991, CHAMPUS entitlement
terminated when any individual became
eligible for Medicare Part A on a nonpremium basis. The National Defense
Authorization Act(s) (NDAA) for Fiscal
Years (FY) 1992 and 1993 (Pub. L. 102–
190) § 704, provide for reinstatement of
CHAMPUS as second payer for
beneficiaries entitled to Medicare on the
basis of disability/End Stage Renal
Disease (ESRD) only if they also enroll
in Medicare Part B.
This agreement implements the
information matching provisions of the
following section NDAA, FY 1992 (Pub.
L. 102–190) Sections 704 and 713; FY
1993 (Pub. L. 102–484) Section 705. FY
1996 (Pub. L. 104–106) Section 732,
directed the administering Secretaries to
develop a mechanism for notifying
beneficiaries of their ineligibility for
CHAMPUS when is due to enrollment
in Medicare Part A only; and FY 2001
(Pub. L. 106–398) Sections 711 and 712.
PO 00000
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14853
PURPOSE(S) OF THE MATCHING PROGRAM:
The purpose of this agreement is to
establish the conditions, safeguards and
procedures under which CMS will
disclose Medicare enrollment
information to the DoD, Defense
Manpower Data Center, and Health
Affairs/Defense Health Agency. The
disclosure by CMS will provide Defense
Health Agency with the information
necessary to determine if Military
Health System beneficiaries (other than
dependents of active duty personnel),
who are enrolled in Medicare Part B, are
also eligible to receive continued
military health care benefits. This
disclosure will provide the Defense
Health Agency with the information
necessary to meet the Congressional
mandate outlined in legislative
provisions in the NDAA listed above.
Current law requires the Defense
Health Agency to discontinue military
health care benefits to Military Health
System beneficiaries who become
Medicare eligible without enrolling in
Medicare Part B. In order for the
Defense Health Agency to meet the
requirements of current law, CMS agrees
to disclose certain Medicare Part A and
Part B enrollment data on the Military
Health System beneficiary population,
which will be used to determine the
primary payer of healthcare claims for
Military Health System beneficiaries.
Defense Manpower Data Center will
receive the results of the computer
match performed by CMS and provide
that information to the Defense Health
Agency for use in coordinating the
payment of healthcare claims.
DESCRIPTION OF RECORDS TO BE USED IN THE
MATCHING PROGRAM:
DoD will use the system of records
identified as Defense Manpower Data
Center 02 DoD, entitled Defense
Enrollment Eligibility Reporting System
(DEERS), 77 Federal Register 69807
(November 21, 2012). Social Security
Numbers of DoD beneficiaries will be
released to CMS pursuant to the routine
use set forth in the system notice, which
provides that data may be released to
CMS for the purpose of identifying DoD
eligible beneficiaries both over and
under 65 who are Medicare eligible.
Identification and Medicare status of
Military Health System eligible
beneficiaries will be provided to the
Defense Health Agency to determine
enrollment in Medicare Part B so that
CMS and DoD are able to identify the
primary payer of healthcare claims.
Therefore, eligibility and enrollment
information may also be maintained in
the system of records identified as
Defense Health Agency 07, entitled
Military Health Information System
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14854
Federal Register / Vol. 81, No. 53 / Friday, March 18, 2016 / Notices
(MHIS), 71 Federal Register 16127
(March 30, 2006).
CMS will use data from Enrollment
Database (EDB), System No. 09–70–
0502, 73 Federal Register 10249
(February 26, 2008) to perform them
matches against the DEERS data.
Matched data will be released pursuant
to routine use No. 2 as set forth in the
EDB system notice to Defense
Manpower Data Center and will be
maintain in the DEERS.
INCLUSIVE DATES OF THE MATCH:
The matching program shall become
effective no sooner than 40 days after
sending the report to the Office of
Management and Budget, and 30 days
after publication in the Federal Register
and notice Congress, or whichever is
later. The matching program will
continue for 18 months from the
effective date and may be renewed for
an additional 12 month period as long
as the statutory language for the
matching program exists and other
conditions are met.
[FR Doc. 2016–06125 Filed 3–17–16; 8:45 am]
BILLING CODE 4120–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10443]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
asabaliauskas on DSK3SPTVN1PROD with NOTICES
SUMMARY:
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utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
DATES: Comments must be received by
May 17, 2016.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Document Identifier/OMB
Control Number ll, Room C4–26–05,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–10443 Transcatheter Valve
Therapy Registry and KCCQ–10
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
PO 00000
Frm 00033
Fmt 4703
Sfmt 4703
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
1. Type of Information Collection
Request: Extension of a previously
approved collection. Title of
Information Collection: Transcatheter
Valve Therapy Registry and KCCQ–10.
Use: The data collection is required by
the Centers for Medicare and Medicaid
Services (CMS) National Coverage
Determination (NCD) entitled,
‘‘Transcatheter Aortic Valve
Replacement (TAVR)’’. The TAVR
device is only covered when specific
conditions are met including that the
heart team and hospital are submitting
data in a prospective, national, audited
registry. The data includes patient,
practitioner and facility level variables
that predict outcomes such as all cause
mortality and quality of life. CMS finds
that the Society of Thoracic Surgery/
American College of Cardiology
Transcatheter Valve Therapy (STS/ACC
TVT) Registry, one registry overseen by
the National Cardiovascular Data
Registry, meets the requirements
specified in the NCD on TAVR. The
TVT Registry will support a national
surveillance system to monitor the
safety and efficacy of the TAVR
technologies for the treatment of aortic
stenosis.
The data will also include the
variables on the eight item Kansas City
Cardiomyopathy Questionnaire (KCCQ–
10) to assess health status, functioning
and quality of life. In the KCCQ, an
overall summary score can be derived
from the physical function, symptoms
(frequency and severity), social function
and quality of life domains. For each
domain, the validity, reproducibility,
responsiveness and interpretability have
been independently established. Scores
are transformed to a range of 0–100, in
which higher scores reflect better health
status.
The conduct of the STS/ACC TVT
Registry and the KCCQ–10 is in
accordance with Section 1142 of the
Social Security Act (the Act) that
describes the authority of the Agency for
Healthcare Research and Quality
(AHRQ). Under section 1142, research
may be conducted and supported on the
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]]>Agencies
[Federal Register Volume 81, Number 53 (Friday, March 18, 2016)]
[Notices]
[Pages 14852-14854]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-06125]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS Computer Match No. 2016-02]
HHS Computer Match No. 1603; DoD-DMDC Match No. 12
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (HHS).
ACTION: Notice of computer matching program.
-----------------------------------------------------------------------
SUMMARY: In accordance with the requirements of the Privacy Act of
1974, as amended, this Notice re-establishes a computer matching
agreement between CMS and the Department of Defense (DoD). We have
provided background information about the proposed matching program in
the SUPPLEMENTARY INFORMATION section below. The Privacy Act requires
that CMS provide an opportunity for interested persons to comment on
the proposed matching program. We may defer implementation of this
matching program if we receive comments that persuade us to defer
implementation. See ``Effective Dates'' section below for comment
period.
DATES: Effective Dates: Comments are invited on all portions of this
Notice. Public comments must be submitted within 30-days of publication
of this Notice. This computer matching program will become effective no
sooner than 40 days after the report of the computer matching program
is sent to the Office of Management and Budget and copies of the
agreement are sent to Congress, or 30 days after publication in the
Federal Register, whichever is later.
ADDRESSES: The public should send comments to: CMS Privacy Act Officer,
Division of Security, Privacy Policy & Governance, Information Security
& Privacy Group, Office of Enterprise Information, CMS, Room N1-24-08,
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
[[Page 14853]]
Friday from 9:00 a.m.-3:00 p.m., Eastern Time zone.
FOR FURTHER INFORMATION CONTACT: Karen Mandelbaum, Director, Division
of Security, Privacy Policy & Governance, Information Security &
Privacy Group, Office of Enterprise Information, CMS, Mail stop N1-24-
08, 7500 Security Boulevard, Baltimore, Maryland 21244-1850, Office
Phone: 410-786-1762, Email: Karen.Mandelbaum@cms.hhs.gov.
SUPPLEMENTARY INFORMATION: The Computer Matching and Privacy
Protection Act of 1988 (Pub. L. 100-503), amended the Privacy Act of
1974 (5 U.S.C. 552a) by describing the manner in which computer
matching involving Federal agencies could be performed and adding
certain protections for individuals applying for and receiving Federal
benefits.
Section 7201 of the Omnibus Budget Reconciliation Act of 1990 (Pub.
L. 101-508) further amended the Privacy Act regarding protections for
such individuals. The Privacy Act, as amended, regulates the use of
computer matching by Federal agencies when records in a system of
records are matched with other Federal, state, or local government
records. It requires Federal agencies involved in computer matching
programs to:
1. Negotiate written agreements with the other agencies
participating in the matching programs;
2. Obtain the Data Integrity Board approval of the matching
agreements;
3. Furnish detailed reports about matching programs to Congress and
the Office of Management and Budget;
4. Notify applicants and beneficiaries that their records are
subject to matching; and,
5. Verify match findings before reducing, suspending, terminating,
or denying an individual's benefits or payments.
CMS Computer Matches Subject to the Privacy Act
CMS has taken action to ensure that all computer matching programs
that this Agency participates in comply with the requirements of the
Privacy Act of 1974, as amended.
Emery Csulak,
Director, ISPG, Chief Information Security Officer, and Senior Official
for Privacy, Centers for Medicare & Medicaid Services.
CMS Computer Match No. 2016-02
HHS Computer Match No. 1603
DoD-DMDC Match No. 12
NAME:
Computer Matching Agreement between the Centers for Medicare &
Medicaid Services and the Defense Manpower Data Center Department of
Defense for Disclosure of Enrollment and Eligibility Information for
Military Health System Beneficiaries who are Medicare Eligible''
SECURITY CLASSIFICATION:
Unclassified.
PARTICIPATING AGENCIES:
The Centers for Medicare & Medicaid Services (CMS); and Department
of Defense (DoD), Defense Manpower Data Center and the Office of the
Assistant Secretary of Defense Health Affairs/Defense Health Agency.
AUTHORITY FOR CONDUCTING MATCHING PROGRAM:
This computer matching agreement is executed to comply with the
Privacy Act of 1974 (Title 5 United States Code (U.S.C.) 552a), as
amended, (as amended by Public Law (Pub. L.) 100-503, the Computer
Matching and Privacy Protection Act of 1988), the Office of Management
and Budget, Circular A-130, titled ``Management of Federal Information
Resources'', 61 Federal Register 6435 (February 20, 1996), and the
Office of Management and Budget guidelines pertaining to computer
matching, 54 Federal Register 25818 (June 19, 1989).
Prior to 1991, CHAMPUS entitlement terminated when any individual
became eligible for Medicare Part A on a non-premium basis. The
National Defense Authorization Act(s) (NDAA) for Fiscal Years (FY) 1992
and 1993 (Pub. L. 102-190) Sec. 704, provide for reinstatement of
CHAMPUS as second payer for beneficiaries entitled to Medicare on the
basis of disability/End Stage Renal Disease (ESRD) only if they also
enroll in Medicare Part B.
This agreement implements the information matching provisions of
the following section NDAA, FY 1992 (Pub. L. 102-190) Sections 704 and
713; FY 1993 (Pub. L. 102-484) Section 705. FY 1996 (Pub. L. 104-106)
Section 732, directed the administering Secretaries to develop a
mechanism for notifying beneficiaries of their ineligibility for
CHAMPUS when is due to enrollment in Medicare Part A only; and FY 2001
(Pub. L. 106-398) Sections 711 and 712.
PURPOSE(S) OF THE MATCHING PROGRAM:
The purpose of this agreement is to establish the conditions,
safeguards and procedures under which CMS will disclose Medicare
enrollment information to the DoD, Defense Manpower Data Center, and
Health Affairs/Defense Health Agency. The disclosure by CMS will
provide Defense Health Agency with the information necessary to
determine if Military Health System beneficiaries (other than
dependents of active duty personnel), who are enrolled in Medicare Part
B, are also eligible to receive continued military health care
benefits. This disclosure will provide the Defense Health Agency with
the information necessary to meet the Congressional mandate outlined in
legislative provisions in the NDAA listed above.
Current law requires the Defense Health Agency to discontinue
military health care benefits to Military Health System beneficiaries
who become Medicare eligible without enrolling in Medicare Part B. In
order for the Defense Health Agency to meet the requirements of current
law, CMS agrees to disclose certain Medicare Part A and Part B
enrollment data on the Military Health System beneficiary population,
which will be used to determine the primary payer of healthcare claims
for Military Health System beneficiaries. Defense Manpower Data Center
will receive the results of the computer match performed by CMS and
provide that information to the Defense Health Agency for use in
coordinating the payment of healthcare claims.
DESCRIPTION OF RECORDS TO BE USED IN THE MATCHING PROGRAM:
DoD will use the system of records identified as Defense Manpower
Data Center 02 DoD, entitled Defense Enrollment Eligibility Reporting
System (DEERS), 77 Federal Register 69807 (November 21, 2012). Social
Security Numbers of DoD beneficiaries will be released to CMS pursuant
to the routine use set forth in the system notice, which provides that
data may be released to CMS for the purpose of identifying DoD eligible
beneficiaries both over and under 65 who are Medicare eligible.
Identification and Medicare status of Military Health System
eligible beneficiaries will be provided to the Defense Health Agency to
determine enrollment in Medicare Part B so that CMS and DoD are able to
identify the primary payer of healthcare claims. Therefore, eligibility
and enrollment information may also be maintained in the system of
records identified as Defense Health Agency 07, entitled Military
Health Information System
[[Page 14854]]
(MHIS), 71 Federal Register 16127 (March 30, 2006).
CMS will use data from Enrollment Database (EDB), System No. 09-70-
0502, 73 Federal Register 10249 (February 26, 2008) to perform them
matches against the DEERS data. Matched data will be released pursuant
to routine use No. 2 as set forth in the EDB system notice to Defense
Manpower Data Center and will be maintain in the DEERS.
INCLUSIVE DATES OF THE MATCH:
The matching program shall become effective no sooner than 40 days
after sending the report to the Office of Management and Budget, and 30
days after publication in the Federal Register and notice Congress, or
whichever is later. The matching program will continue for 18 months
from the effective date and may be renewed for an additional 12 month
period as long as the statutory language for the matching program
exists and other conditions are met.
[FR Doc. 2016-06125 Filed 3-17-16; 8:45 am]
BILLING CODE 4120-03-P
