Privacy Act of 1974; Matching Program, 62376-62377 [2023-19481]
Download as PDF
<![CDATA[
62376
Federal Register / Vol. 88, No. 174 / Monday, September 11, 2023 / Notices
HISTORY:
program, you may contact Anne Pesto,
Senior Advisor, Marketplace Eligibility
and Enrollment Group, Center for
Consumer Information and Insurance
Oversight, Centers for Medicare &
Medicaid Services, at 443–844–9966, by
email at anne.pesto@cms.hhs.gov, or by
mail at 7500 Security Blvd., Baltimore,
MD 21244.
SUPPLEMENTARY INFORMATION: The
Privacy Act of 1974, as amended (5
U.S.C. 552a) provides certain
protections for individuals applying for
and receiving federal benefits. The law
governs the use of computer matching
by federal agencies when records in a
system of records (meaning, federal
agency records about individuals
retrieved by name or other personal
identifier) are matched with records of
other federal or non-federal agencies.
The Privacy Act requires agencies
involved in a matching program to:
1. Enter into a written agreement,
which must be prepared in accordance
with the Privacy Act, approved by the
Data Integrity Board of each source and
recipient federal agency, provided to
Congress and the Office of Management
and Budget (OMB), and made available
to the public, as required by 5 U.S.C.
552a(o), (u)(3)(A), and (u)(4).
2. Notify the individuals whose
information will be used in the
matching program that the information
they provide is subject to verification
through matching, as required by 5
U.S.C. 552a(o)(1)(D).
3. Verify match findings before
suspending, terminating, reducing, or
making a final denial of an individual’s
benefits or payments or taking other
adverse action against the individual, as
required by 5 U.S.C. 552a(p).
4. Report the matching program to
Congress and the OMB, in advance and
annually, as required by 5 U.S.C.
552a(o)(2)(A)(i), (r), and (u)(3)(D).
5. Publish advance notice of the
matching program in the Federal
Register as required by 5 U.S.C.
552a(e)(12).
This matching program meets these
requirements.
N/A.
Richard Speidel,
Chief Privacy Officer, Office of the Deputy
Chief Information Officer, General Services
Administration.
[FR Doc. 2023–19454 Filed 9–8–23; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare and Medicaid
Services
Privacy Act of 1974; Matching Program
Centers for Medicare &
Medicaid Services, Department of
Health and Human Services.
ACTION: Notice of a new matching
program.
AGENCY:
In accordance with the
Privacy Act of 1974, as amended, the
Department of Health and Human
Services (HHS), Centers for Medicare &
Medicaid Services (CMS) is providing
notice of the re-establishment of a
matching program between CMS and
the Department of Veterans Affairs (VA),
Veterans Health Administration (VHA),
‘‘Verification of Eligibility for Minimum
Essential Coverage Under the Patient
Protection and Affordable Care Act
Through a Veterans Health
Administration Plan.’’
DATES: The deadline for comments on
this notice is October 11, 2023. The reestablished matching program will
commence not sooner than 30 days after
publication of this notice, provided no
comments are received that warrant a
change to this notice. The matching
program will be conducted for an initial
term of 18 months (from approximately
November 2, 2023 to May 1, 2025) and
within 3 months of expiration may be
renewed for one additional year if the
parties make no change to the matching
program and certify that the program
has been conducted in compliance with
the matching agreement.
ADDRESSES: Interested parties may
submit written comments on the new
matching program to the CMS Privacy
Act Officer by mail at: Division of
Security, Privacy Policy & Governance,
Information Security & Privacy Group,
Office of Information Technology,
Centers for Medicare & Medicaid
Services, Location: N1–14–56, 7500
Security Blvd., Baltimore, MD 21244–
1850, or by email at
Barbara.Demopulos@cms.hhs.gov.
FOR FURTHER INFORMATION CONTACT: If
you have questions about the matching
ddrumheller on DSK120RN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
17:10 Sep 08, 2023
Jkt 259001
Barbara Demopulos,
Privacy Act Officer, Division of Security,
Privacy Policy and Governance, Office of
Information Technology, Centers for Medicare
& Medicaid Services.
Participating Agencies
The Department of Health and Human
Services (HHS), Centers for Medicare &
Medicaid Services (CMS) is the
recipient agency, and the Department of
Veterans Affairs (VA), Veterans Health
Administration (VHA) is the source
agency.
PO 00000
Frm 00062
Fmt 4703
Sfmt 4703
Authority for Conducting the Matching
Program
The statutory authority for the
matching program is 42 U.S.C. 18001 et
seq.
Purpose(s)
The purpose of the matching program
is to assist CMS in determining
individuals’ eligibility for financial
assistance in paying for private health
insurance coverage. In this matching
program, VHA provides CMS with data
when a state administering entity (AE)
requests it and VHA is authorized to
release it, verifying whether an
individual who is applying for or is
enrolled in private health insurance
coverage under a qualified health plan
through a federally-facilitated health
insurance exchange or state-based
exchange is eligible for coverage under
a VHA health plan. CMS makes the data
provided by VHA available to the
requesting AE through a data services
hub to use in determining the
applicant’s or enrollee’s eligibility for
financial assistance (including an
advance tax credit and cost-sharing
reduction, which are types of insurance
affordability programs) in paying for
private health insurance coverage. VHA
health plans provide minimum essential
coverage, and eligibility for such plans
precludes eligibility for financial
assistance in paying for private
coverage. The data provided by VHA
under this matching program will be
used by CMS and AEs to authenticate
each enrollee’s identity, determine the
enrollee’s eligibility for financial
assistance, and determine the amount of
the financial assistance.
Categories of Individuals
The categories of individuals whose
information will be used in the
matching program are Veterans whose
records at VHA match identifying data
provided to VHA by CMS (submitted by
AEs) about individuals who are
applying for or are enrolled in private
insurance coverage under a qualified
health plan through a federallyfacilitated health insurance exchange or
state-based exchange.
Categories of Records
The categories of records used in the
matching program are identity records
and minimum essential coverage period
records, consisting of the following data
elements:
Data provided by CMS to VHA:
a. first name (required)
b. middle name/initial (if provided by
applicant)
c. surname (applicant’s last name)
(required)
E:\FR\FM\11SEN1.SGM
11SEN1
Federal Register / Vol. 88, No. 174 / Monday, September 11, 2023 / Notices
d. date of birth (required)
e. gender (required)
f. social security number (SSN)
(required)
g. requested qualified health plan (QHP)
coverage effective date (required)
h. requested QHP coverage end date
(required)
i. State identification (required)
j. transaction ID (required)
Data provided by VHA to CMS:
a. SSN (required)
b. start/end date(s) of enrollment
period(s) (when match occurs)
c. a blank date response when a nonmatch occurs
d. a blank date when a match is made
but VHA’s record contains a date of
death
e. enrollment period(s) is/are defined as
the timeframe during which the
individual was enrolled in a VHA
Health Care Program.
System(s) of Records
The records used in the matching
program will be disclosed from the
following systems of records, as
authorized by routine uses published in
the system of records notices (SORNs)
cited below:
A. System of Records Maintained by
CMS
CMS Health Insurance Exchanges
System (HIX), CMS System No. 09–70–
0560, last published in full at 78 FR
63211 (Oct. 23, 2013), as amended at 83
FR 6591 (Feb. 14, 2018). Routine use 3
authorizes CMS’ disclosures to VHA.
B. Systems of Records Maintained by
VHA
54VA10NB3 Veterans and
Beneficiaries Purchased Care
Community Health Care Claims,
Correspondence, Eligibility, Inquiry and
Payment Files—VA, published at 80 FR
11527 (March 3, 2015). Routine use 25
authorizes VHA’s disclosures to CMS.
[FR Doc. 2023–19481 Filed 9–8–23; 8:45 am]
BILLING CODE 4120–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
ddrumheller on DSK120RN23PROD with NOTICES1
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–R–21 and
CMS–8003]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
AGENCY:
VerDate Sep<11>2014
17:10 Sep 08, 2023
Jkt 259001
ACTION:
Notice.
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
the necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions,
the accuracy of the estimated burden,
ways to enhance the quality, utility, and
clarity of the information to be
collected, and the use of automated
collection techniques or other forms of
information technology to minimize the
information collection burden.
DATES: Comments must be received by
November 13, 2023.
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, please access the CMS PRA
website by copying and pasting the
following web address into your web
browser: https://www.cms.gov/
Regulations-and-Guidance/Legislation/
PaperworkReductionActof1995/PRAListing.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
William N. Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION:
PO 00000
Frm 00063
Fmt 4703
Sfmt 4703
62377
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–R–21 Withholding Medicare
Payments to Recover Medicaid
Overpayments and Supporting
Regulations in 42 CFR 447.31
CMS–8003 1915(c) Home and
Community Based Services (HCBS)
Waiver Application
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
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.
Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Withholding
Medicare Payments to Recover
Medicaid Overpayments and
Supporting Regulations in 42 CFR
447.31; Use: Certain Medicaid providers
that are subject to offsets for the
collection of Medicaid overpayments
may terminate or substantially reduce
their participation in Medicaid, leaving
the State Medicaid agency unable to
recover the amounts due. Recovery
procedures allow for determining the
amount of overpayments and offsetting
the overpayments by withholding the
provider’s Medicare payments. To
effectuate the withholding, the State
agency must provide their respective
CMS regional office with certain
documentation that identifies the
provider and the Medicaid overpayment
amount. The agency must also
demonstrate that the provider was
notified of the overpayment and that
demand for the overpayment was made.
An opportunity to appeal the
overpayment determination must be
E:\FR\FM\11SEN1.SGM
11SEN1
]]>Agencies
[Federal Register Volume 88, Number 174 (Monday, September 11, 2023)]
[Notices]
[Pages 62376-62377]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-19481]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
Privacy Act of 1974; Matching Program
AGENCY: Centers for Medicare & Medicaid Services, Department of Health
and Human Services.
ACTION: Notice of a new matching program.
-----------------------------------------------------------------------
SUMMARY: In accordance with the Privacy Act of 1974, as amended, the
Department of Health and Human Services (HHS), Centers for Medicare &
Medicaid Services (CMS) is providing notice of the re-establishment of
a matching program between CMS and the Department of Veterans Affairs
(VA), Veterans Health Administration (VHA), ``Verification of
Eligibility for Minimum Essential Coverage Under the Patient Protection
and Affordable Care Act Through a Veterans Health Administration
Plan.''
DATES: The deadline for comments on this notice is October 11, 2023.
The re-established matching program will commence not sooner than 30
days after publication of this notice, provided no comments are
received that warrant a change to this notice. The matching program
will be conducted for an initial term of 18 months (from approximately
November 2, 2023 to May 1, 2025) and within 3 months of expiration may
be renewed for one additional year if the parties make no change to the
matching program and certify that the program has been conducted in
compliance with the matching agreement.
ADDRESSES: Interested parties may submit written comments on the new
matching program to the CMS Privacy Act Officer by mail at: Division of
Security, Privacy Policy & Governance, Information Security & Privacy
Group, Office of Information Technology, Centers for Medicare &
Medicaid Services, Location: N1-14-56, 7500 Security Blvd., Baltimore,
MD 21244-1850, or by email at [email protected].
FOR FURTHER INFORMATION CONTACT: If you have questions about the
matching program, you may contact Anne Pesto, Senior Advisor,
Marketplace Eligibility and Enrollment Group, Center for Consumer
Information and Insurance Oversight, Centers for Medicare & Medicaid
Services, at 443-844-9966, by email at [email protected], or by
mail at 7500 Security Blvd., Baltimore, MD 21244.
SUPPLEMENTARY INFORMATION: The Privacy Act of 1974, as amended (5
U.S.C. 552a) provides certain protections for individuals applying for
and receiving federal benefits. The law governs the use of computer
matching by federal agencies when records in a system of records
(meaning, federal agency records about individuals retrieved by name or
other personal identifier) are matched with records of other federal or
non-federal agencies. The Privacy Act requires agencies involved in a
matching program to:
1. Enter into a written agreement, which must be prepared in
accordance with the Privacy Act, approved by the Data Integrity Board
of each source and recipient federal agency, provided to Congress and
the Office of Management and Budget (OMB), and made available to the
public, as required by 5 U.S.C. 552a(o), (u)(3)(A), and (u)(4).
2. Notify the individuals whose information will be used in the
matching program that the information they provide is subject to
verification through matching, as required by 5 U.S.C. 552a(o)(1)(D).
3. Verify match findings before suspending, terminating, reducing,
or making a final denial of an individual's benefits or payments or
taking other adverse action against the individual, as required by 5
U.S.C. 552a(p).
4. Report the matching program to Congress and the OMB, in advance
and annually, as required by 5 U.S.C. 552a(o)(2)(A)(i), (r), and
(u)(3)(D).
5. Publish advance notice of the matching program in the Federal
Register as required by 5 U.S.C. 552a(e)(12).
This matching program meets these requirements.
Barbara Demopulos,
Privacy Act Officer, Division of Security, Privacy Policy and
Governance, Office of Information Technology, Centers for Medicare &
Medicaid Services.
Participating Agencies
The Department of Health and Human Services (HHS), Centers for
Medicare & Medicaid Services (CMS) is the recipient agency, and the
Department of Veterans Affairs (VA), Veterans Health Administration
(VHA) is the source agency.
Authority for Conducting the Matching Program
The statutory authority for the matching program is 42 U.S.C. 18001
et seq.
Purpose(s)
The purpose of the matching program is to assist CMS in determining
individuals' eligibility for financial assistance in paying for private
health insurance coverage. In this matching program, VHA provides CMS
with data when a state administering entity (AE) requests it and VHA is
authorized to release it, verifying whether an individual who is
applying for or is enrolled in private health insurance coverage under
a qualified health plan through a federally-facilitated health
insurance exchange or state-based exchange is eligible for coverage
under a VHA health plan. CMS makes the data provided by VHA available
to the requesting AE through a data services hub to use in determining
the applicant's or enrollee's eligibility for financial assistance
(including an advance tax credit and cost-sharing reduction, which are
types of insurance affordability programs) in paying for private health
insurance coverage. VHA health plans provide minimum essential
coverage, and eligibility for such plans precludes eligibility for
financial assistance in paying for private coverage. The data provided
by VHA under this matching program will be used by CMS and AEs to
authenticate each enrollee's identity, determine the enrollee's
eligibility for financial assistance, and determine the amount of the
financial assistance.
Categories of Individuals
The categories of individuals whose information will be used in the
matching program are Veterans whose records at VHA match identifying
data provided to VHA by CMS (submitted by AEs) about individuals who
are applying for or are enrolled in private insurance coverage under a
qualified health plan through a federally-facilitated health insurance
exchange or state-based exchange.
Categories of Records
The categories of records used in the matching program are identity
records and minimum essential coverage period records, consisting of
the following data elements:
Data provided by CMS to VHA:
a. first name (required)
b. middle name/initial (if provided by applicant)
c. surname (applicant's last name) (required)
[[Page 62377]]
d. date of birth (required)
e. gender (required)
f. social security number (SSN) (required)
g. requested qualified health plan (QHP) coverage effective date
(required)
h. requested QHP coverage end date (required)
i. State identification (required)
j. transaction ID (required)
Data provided by VHA to CMS:
a. SSN (required)
b. start/end date(s) of enrollment period(s) (when match occurs)
c. a blank date response when a non-match occurs
d. a blank date when a match is made but VHA's record contains a date
of death
e. enrollment period(s) is/are defined as the timeframe during which
the individual was enrolled in a VHA Health Care Program.
System(s) of Records
The records used in the matching program will be disclosed from the
following systems of records, as authorized by routine uses published
in the system of records notices (SORNs) cited below:
A. System of Records Maintained by CMS
CMS Health Insurance Exchanges System (HIX), CMS System No. 09-70-
0560, last published in full at 78 FR 63211 (Oct. 23, 2013), as amended
at 83 FR 6591 (Feb. 14, 2018). Routine use 3 authorizes CMS'
disclosures to VHA.
B. Systems of Records Maintained by VHA
54VA10NB3 Veterans and Beneficiaries Purchased Care Community
Health Care Claims, Correspondence, Eligibility, Inquiry and Payment
Files--VA, published at 80 FR 11527 (March 3, 2015). Routine use 25
authorizes VHA's disclosures to CMS.
[FR Doc. 2023-19481 Filed 9-8-23; 8:45 am]
BILLING CODE 4120-03-P
