81_FR_11316 81 FR 11274 - Privacy Act of 1974; CMS Computer Match No. 2016-11; HHS Computer Match No. 1601; Effective Date-April 2, 2016; Expiration Date-October 2, 2017

81 FR 11274 - Privacy Act of 1974; CMS Computer Match No. 2016-11; HHS Computer Match No. 1601; Effective Date-April 2, 2016; Expiration Date-October 2, 2017

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 81, Issue 42 (March 3, 2016)

Page Range11274-11275
FR Document2016-04732

In accordance with the requirements of the Privacy Act of 1974, as amended, this notice announces the establishment of a computer matching program that CMS plans to conduct with the State-based Administering Entities.

Federal Register, Volume 81 Issue 42 (Thursday, March 3, 2016) 
[Federal Register Volume 81, Number 42 (Thursday, March 3, 2016)]
[Notices]
[Pages 11274-11275]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-04732]



[[Page 11274]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services


Privacy Act of 1974; CMS Computer Match No. 2016-11; HHS Computer 
Match No. 1601; Effective Date--April 2, 2016; Expiration Date--October 
2, 2017

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 announces the establishment of a computer 
matching program that CMS plans to conduct with the State-based 
Administering Entities.

DATES: Comments are invited on all portions of this notice. Submit 
public comments on or before April 1, 2016. The 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 (OMB) 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 Officer, 
Division of Security, Privacy Policy and Governance, Information 
Security and 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 Friday from 
9:00 a.m.-3:00 p.m., Eastern Time zone.

FOR FURTHER INFORMATION CONTACT: Elizabeth Kane, Acting Director, 
Verifications Policy & Operations Division, Eligibility and Enrollment 
Policy and Operations Group, Center for Consumer Information and 
Insurance Oversight, CMS, 7501 Wisconsin Avenue, Bethesda, MD 20814, 
Office Phone: (301) 492-4418, Facsimile: (443) 380-5531, Email: 
[email protected].

SUPPLEMENTARY INFORMATION: The Computer Matching and Privacy Protection 
Act of 1988 (Pub. L. 100-503), amended the Privacy Act (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 match 
agreements;
    3. Furnish detailed reports about matching programs to Congress and 
OMB;
    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.
    This matching program meets the requirements of the Privacy Act of 
1974, as amended.

Walter Stone,
CMS Privacy Officer, Centers for Medicare & Medicaid Services.
CMS Computer Match No. 2016-11

HHS Computer Match No. 1601
    Name: ``Computer Matching Agreement between the Department of 
Health and Human Services, Centers for Medicare & Medicaid Services and 
the State-Based Administering Entities for Determining Eligibility for 
Enrollment in Applicable State Health Subsidy Programs under the 
Patient Protection and Affordable Care Act.''

SECURITY CLASSIFICATION:
    Unclassified.

PARTICIPATING AGENCIES:
    Department of Health and Human Services (HHS), Centers for Medicare 
& Medicaid Services (CMS), and the State-Based Administering Entities.

AUTHORITY FOR CONDUCTING MATCHING PROGRAM:
    Sections 1411 and 1413 of the Patient Protection and Affordable 
Care Act of 2010 (Pub. L. 111-148), as amended by the Health Care and 
Education Reconciliation Act of 2010 (Pub. L. 111-152) (collectively, 
the ACA) require the Secretary of HHS to establish a program for 
applying for and determining eligibility for enrollment in applicable 
State health subsidy programs and authorizes the use of secure, 
electronic interfaces and an on-line system for the verification of 
eligibility.
    The Computer Matching and Privacy Protection Act of 1988 (CMPPA) 
(Pub. L. 100-503), amended the Privacy Act (5 U.S.C. 552a) requires the 
parties participating in a matching program to execute a written 
agreement specifying the terms and conditions under which the matching 
will be conducted. CMS has determined that status verification checks 
to be conducted by the Federally-facilitated Exchange (FFE), and State-
based Administering Entities using the data transmitted through the CMS 
Federal Data Services Hub constitute a ``computer matching program'' as 
defined in the CMPPA.

PURPOSE(S) OF THE MATCHING PROGRAM:
    The purpose of the Computer Matching Agreement is to establish the 
terms, conditions, safeguards, and procedures under which CMS will 
disclose certain information to State-based Administering Entities in 
accordance with the Patient Protection and Affordable Care Act of 2010 
(Pub. L. 111-148), as amended by the Health Care and Education 
Reconciliation Act (Pub. L. 111-152), which are referred to 
collectively as the Affordable Care Act (ACA), amendments to the Social 
Security Act made by the ACA, and the implementing regulations. The 
Administering Entities will use the data, accessed through the Hub, to 
make eligibility determinations for enrollment in an applicable State 
health subsidy program. This Computer Matching Agreement also 
establishes the terms, conditions, safeguards, and procedures under 
which State Medicaid/CHIP agencies shall provide data to CMS (as the 
Federally-facilitated Marketplace (FFM)), State-based Marketplaces 
(SBMs) and BHPs to verify whether an applicant or enrollee who has 
submitted an application to the FFM or a SBM has current eligibility or 
enrollment in a Medicaid/CHIP program.

DESCRIPTION OF RECORDS TO BE USED IN THE MATCHING PROGRAM:
    This computer matching program will be conducted with data 
maintained by CMS in the Health Insurance Exchanges Program, CMS System 
No. 09-70-0560, as amended. The system is described in the System of 
Records Notice published at 78 FR 63211 (Oct. 23, 2013).

INCLUSIVE DATES OF THE MATCH:
    The matching program will become effective no sooner than 40 days 
after the report of the matching program is sent to the Office of 
Management and Budget and copies of the agreement are sent to Congress, 
or 30 days after

[[Page 11275]]

publication in the Federal Register, whichever is later. The matching 
program will continue for 18 months from the effective date and may be 
extended for an additional 12 months thereafter, if certain conditions 
are met.

 [FR Doc. 2016-04732 Filed 3-2-16; 8:45 am]
 BILLING CODE 4120-03-P

11274 Federal Register / Vol. 81, No. 42 / Thursday, March 3, 2016 / Notices DEPARTMENT OF HEALTH AND individuals applying for and receiving interfaces and an on-line system for the HUMAN SERVICES Federal benefits. Section 7201 of the verification of eligibility. Omnibus Budget Reconciliation Act of The Computer Matching and Privacy Centers for Medicare & Medicaid 1990 (Pub. L. 101–508) further amended Protection Act of 1988 (CMPPA) (Pub. L. Services the Privacy Act regarding protections for 100–503), amended the Privacy Act (5 such individuals. The Privacy Act, as U.S.C. 552a) requires the parties Privacy Act of 1974; CMS Computer amended, regulates the use of computer participating in a matching program to Match No. 2016–11; HHS Computer matching by Federal agencies when execute a written agreement specifying Match No. 1601; Effective Date—April records in a system of records are the terms and conditions under which 2, 2016; Expiration Date—October 2, matched with other Federal, state, or the matching will be conducted. CMS 2017 local government records. It requires has determined that status verification AGENCY: Centers for Medicare & Federal agencies involved in computer checks to be conducted by the Medicaid Services (CMS), Department matching programs to: Federally-facilitated Exchange (FFE), of Health and Human Services (HHS). 1. Negotiate written agreements with and State-based Administering Entities the other agencies participating in the using the data transmitted through the ACTION: Notice of computer matching matching programs; CMS Federal Data Services Hub program. 2. Obtain the Data Integrity Board constitute a ‘‘computer matching SUMMARY: In accordance with the approval of the match agreements; program’’ as defined in the CMPPA. requirements of the Privacy Act of 1974, 3. Furnish detailed reports about matching programs to Congress and PURPOSE(S) OF THE MATCHING PROGRAM: as amended, this notice announces the establishment of a computer matching OMB; The purpose of the Computer program that CMS plans to conduct 4. Notify applicants and beneficiaries Matching Agreement is to establish the with the State-based Administering that their records are subject to terms, conditions, safeguards, and Entities. matching; and, procedures under which CMS will 5. Verify match findings before disclose certain information to State- DATES: Comments are invited on all reducing, suspending, terminating, or based Administering Entities in portions of this notice. Submit public denying an individual’s benefits or accordance with the Patient Protection comments on or before April 1, 2016. payments. and Affordable Care Act of 2010 (Pub. The computer matching program will This matching program meets the L. 111–148), as amended by the Health become effective no sooner than 40 days requirements of the Privacy Act of 1974, Care and Education Reconciliation Act after the report of the computer as amended. (Pub. L. 111–152), which are referred to matching program is sent to the Office collectively as the Affordable Care Act of Management and Budget (OMB) and Walter Stone, (ACA), amendments to the Social copies of the agreement are sent to CMS Privacy Officer, Centers for Medicare & Medicaid Services. Security Act made by the ACA, and the Congress, or 30 days after publication in implementing regulations. The the Federal Register, whichever is later. CMS Computer Match No. 2016–11 Administering Entities will use the data, ADDRESSES: The public should send HHS Computer Match No. 1601 accessed through the Hub, to make comments to: CMS Privacy Officer, eligibility determinations for enrollment Division of Security, Privacy Policy and Name: ‘‘Computer Matching in an applicable State health subsidy Governance, Information Security and Agreement between the Department of program. This Computer Matching Privacy Group, Office of Enterprise Health and Human Services, Centers for Agreement also establishes the terms, Information, CMS, Room N1–24–08, Medicare & Medicaid Services and the conditions, safeguards, and procedures 7500 Security Boulevard, Baltimore, State-Based Administering Entities for under which State Medicaid/CHIP Maryland 21244–1850. Comments Determining Eligibility for Enrollment agencies shall provide data to CMS (as received will be available for review at in Applicable State Health Subsidy the Federally-facilitated Marketplace this location, by appointment, during Programs under the Patient Protection (FFM)), State-based Marketplaces regular business hours, Monday through and Affordable Care Act.’’ (SBMs) and BHPs to verify whether an Friday from 9:00 a.m.–3:00 p.m., Eastern SECURITY CLASSIFICATION: applicant or enrollee who has submitted Time zone. Unclassified. an application to the FFM or a SBM has FOR FURTHER INFORMATION CONTACT: current eligibility or enrollment in a PARTICIPATING AGENCIES: Medicaid/CHIP program. Elizabeth Kane, Acting Director, Verifications Policy & Operations Department of Health and Human Services (HHS), Centers for Medicare & DESCRIPTION OF RECORDS TO BE USED IN THE Division, Eligibility and Enrollment MATCHING PROGRAM: Policy and Operations Group, Center for Medicaid Services (CMS), and the State- Consumer Information and Insurance Based Administering Entities. This computer matching program will Oversight, CMS, 7501 Wisconsin be conducted with data maintained by AUTHORITY FOR CONDUCTING MATCHING CMS in the Health Insurance Exchanges Avenue, Bethesda, MD 20814, Office PROGRAM: Phone: (301) 492–4418, Facsimile: (443) Program, CMS System No. 09–70–0560, Sections 1411 and 1413 of the Patient as amended. The system is described in 380–5531, Email: Protection and Affordable Care Act of Elizabeth.Kane@cms.hhs.gov. the System of Records Notice published 2010 (Pub. L. 111–148), as amended by at 78 FR 63211 (Oct. 23, 2013). mstockstill on DSK4VPTVN1PROD with NOTICES SUPPLEMENTARY INFORMATION: The the Health Care and Education Computer Matching and Privacy Reconciliation Act of 2010 (Pub. L. 111– INCLUSIVE DATES OF THE MATCH: Protection Act of 1988 (Pub. L. 100– 152) (collectively, the ACA) require the The matching program will become 503), amended the Privacy Act (5 U.S.C. Secretary of HHS to establish a program effective no sooner than 40 days after 552a) by describing the manner in for applying for and determining the report of the matching program is which computer matching involving eligibility for enrollment in applicable sent to the Office of Management and Federal agencies could be performed State health subsidy programs and Budget and copies of the agreement are and adding certain protections for authorizes the use of secure, electronic sent to Congress, or 30 days after VerDate Sep<11>2014 19:17 Mar 02, 2016 Jkt 238001 PO 00000 Frm 00102 Fmt 4703 Sfmt 4703 E:\FR\FM\03MRN1.SGM 03MRN1

Federal Register / Vol. 81, No. 42 / Thursday, March 3, 2016 / Notices 11275 publication in the Federal Register, Phone: (301) 492–4418, Facsimile: (443) Department of Veterans Affairs, whichever is later. The matching 380–5531, E-Mail: Elizabeth.Kane@ Veterans Health Administration. program will continue for 18 months cms.hhs.gov. AUTHORITY FOR CONDUCTING MATCHING from the effective date and may be SUPPLEMENTARY INFORMATION: The PROGRAM: extended for an additional 12 months Computer Matching and Privacy Sections 1411 and 1413 of the Patient thereafter, if certain conditions are met. Protection Act of 1988 (Pub. L. 100– Protection and Affordable Care Act of [FR Doc. 2016–04732 Filed 3–2–16; 8:45 am] 503), amended the Privacy Act (5 U.S.C. 2010 (Pub. L. 111–148), as amended by BILLING CODE 4120–03–P 552a) by describing the manner in the Health Care and Education which computer matching involving Reconciliation Act of 2010 (Pub. L. 111– Federal agencies could be performed 152) (collectively, the ACA) require the DEPARTMENT OF HEALTH AND and adding certain protections for Secretary of HHS to establish a program HUMAN SERVICES individuals applying for and receiving for applying for and determining Federal benefits. Section 7201 of the eligibility for applicable State health Centers for Medicare & Medicaid Omnibus Budget Reconciliation Act of subsidy programs and authorize the use Services 1990 (Pub. L. 101–508) further amended of secure, electronic interfaces and an [CMS Computer Match No. 2016–08; HHS the Privacy Act regarding protections for on-line system for the verification of Computer Match No. 1605] such individuals. The Privacy Act, as eligibility. amended, regulates the use of computer The Computer Matching and Privacy Privacy Act of 1974; Effective Date— matching by Federal agencies when Protection Act of 1988 (CMPPA) (Pub. L. April 2, 2016; Expiration Date—October records in a system of records are 100–503), amended the Privacy Act (5 2, 2017 matched with other Federal, state, or U.S.C. 552a) and requires the parties AGENCY: Centers for Medicare & local government records. It requires participating in a matching program to Medicaid Services (CMS), Department Federal agencies involved in computer execute a written agreement specifying of Health and Human Services (HHS) matching programs to: the terms and conditions under which 1. Negotiate written agreements with the matching will be conducted. CMS ACTION: Notice of Computer Matching has determined that status verification the other agencies participating in the Program. checks to be conducted by the CMS matching programs; SUMMARY: In accordance with the 2. Obtain the Data Integrity Board Federal Data Services Hub and requirements of the Privacy Act of 1974, approval of the match agreements; Federally-facilitated Exchange using the as amended, this notice announces the 3. Furnish detailed reports about data source provided to CMS by VHA establishment of a computer matching matching programs to Congress and constitute a ‘‘computer matching program that CMS plans to conduct OMB; program’’ as defined in the CMPPA. with the Department of Veterans Affairs, 4. Notify applicants and beneficiaries PURPOSE(S) OF THE MATCHING PROGRAM: Veterans Health Administration (VHA). that their records are subject to The purpose of the Computer DATES: Effective Dates: Comments are matching; and, Matching Agreement is to establish the invited on all portions of this notice. 5. Verify match findings before terms, conditions, safeguards, and Submit public comments on or before reducing, suspending, terminating, or procedures under which the VHA will April 1, 2016. This computer matching denying an individual’s benefits or provide records, information, or data to program will become effective no sooner payments. CMS for verifying eligibility for than 40 days after the report of the This matching program meets the minimum essential coverage through a computer matching program is sent to requirements of the Privacy Act of 1974, Veterans Health Care Program. A the Office of Management and Budget as amended. Veterans Health Care Program (OMB) and copies of the agreement are Walter D. Stone, constitutes minimum essential coverage sent to Congress, or 30 days after CMS Privacy Officer, Centers for Medicare as defined in Section 5000A(f) of the publication in the Federal Register, & Medicaid Services. Internal Revenue Code of 1986, 26 whichever is later. U.S.C. 5000A, as amended by § 1501 of CMS Computer Match No. 2016–07 the ACA. The VHA data will be used by ADDRESSES: The public should send comments to: CMS Privacy Officer, (1) CMS in its capacity as a Federally- HHS Computer Match No. 1605 Division of Security, Privacy Policy and facilitated Exchange and the Federal Governance, Information Security and Name: ‘‘Computer Matching eligibility and enrollment platform, and Privacy Group, Office of Enterprise Agreement between the Department of (2) agencies administering applicable Information, CMS, Room N1–24–08, Health and Human Services, Centers for State health subsidy programs. These 7500 Security Boulevard, Baltimore, Medicare & Medicaid Services and the entities will receive the results of Maryland 21244–1850. Comments Department of Veterans Affairs, verifications using information received received will be available for review at Veterans Health Administration for the by CMS through the CMS Federal Data this location, by appointment, during Verification of Eligibility for Minimum Services Hub from Applicants and regular business hours, Monday through Essential Coverage under the Patient Enrollees that will be matched with the Friday from 9:00 a.m.–3:00 p.m., Eastern Protection and Affordable Care Act VHA data. Time zone. through a Veterans Health DESCRIPTION OF RECORDS TO BE USED IN THE Administration Health Benefits Plan.’’ mstockstill on DSK4VPTVN1PROD with NOTICES FOR FURTHER INFORMATION CONTACT: MATCHING PROGRAM: Elizabeth Kane, Acting Director, SECURITY CLASSIFICATION: The computer matching program will Verifications Policy & Operations Unclassified. be conducted with data maintained by Division, Eligibility and Enrollment CMS in the Health Insurance Exchanges Policy and Operations Group, Center for PARTICIPATING AGENCIES: Program, CMS System No. 09–70–0560, Consumer Information and Insurance Department of Health and Human as amended. The system is described in Oversight, CMS, 7501 Wisconsin Services (HHS), Centers for Medicare & System of Records Notice published at Avenue, Bethesda, MD 20814, Office Medicaid Services (CMS), and the 78 FR 63211 (Oct. 23, 2013). VerDate Sep<11>2014 19:17 Mar 02, 2016 Jkt 238001 PO 00000 Frm 00103 Fmt 4703 Sfmt 4703 E:\FR\FM\03MRN1.SGM 03MRN1


Document Created: 2016-03-03 03:51:09
Document Modified: 2016-03-03 03:51:09
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of computer matching program.
DatesComments are invited on all portions of this notice. Submit public comments on or before April 1, 2016. The 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 (OMB) and copies of the agreement are sent to Congress, or 30 days after publication in the Federal Register, whichever is later.
ContactElizabeth Kane, Acting Director, Verifications Policy & Operations Division, Eligibility and Enrollment Policy and Operations Group, Center for Consumer Information and Insurance Oversight, CMS, 7501 Wisconsin Avenue, Bethesda, MD 20814, Office Phone: (301) 492-4418, Facsimile: (443) 380-5531, Email: [email protected]
FR Citation81 FR 11274 
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