81_FR_11318 81 FR 11276 - Privacy Act of 1974; CMS Computer Match No. 2016-07; HHS Computer Match No. 1602; Effective Date-April 2, 2016; Expiration Date-October 2, 2017

81 FR 11276 - Privacy Act of 1974; CMS Computer Match No. 2016-07; HHS Computer Match No. 1602; 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 Range11276-11277
FR Document2016-04734

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 Defense Enrollment Eligibility Reporting System (DEERS), Defense Manpower Data Center (DMDC), Department of Defense (DoD).

Federal Register, Volume 81 Issue 42 (Thursday, March 3, 2016) 
[Federal Register Volume 81, Number 42 (Thursday, March 3, 2016)]
[Notices]
[Pages 11276-11277]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-04734]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services


Privacy Act of 1974; CMS Computer Match No. 2016-07; HHS Computer 
Match No. 1602; 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 Defense Enrollment 
Eligibility Reporting System (DEERS), Defense Manpower Data Center 
(DMDC), Department of Defense (DoD).

DATES: Comments are invited on all portions of this notice. Submit 
public comments on or before April 1, 2016. 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 (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, E-Mail: 
[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 computer 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. 2016-07

HHS Computer Match No. 1602
    Name: ``Computer Matching Agreement between the Department of 
Health and Human Services, Centers for Medicare & Medicaid Services and 
the Department of Defense, Defense Manpower Data Center, for 
Verification of Eligibility For Minimum Essential Coverage Under The 
Patient Protection And Affordable Care Act Through a Department of 
Defense Health Benefits Plan.''

SECURITY CLASSIFICATION:
    Unclassified.

PARTICIPATING AGENCIES:
    Department of Health and Human Services (HHS), Centers for Medicare 
& Medicaid Services (CMS), and the Department of Defense (DoD), Defense 
Manpower Data Center (DMDC).

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 applicable State health 
subsidy programs and authorize 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) and 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 CMS Federal Data Services Hub and Federally-
facilitated Exchange using the data source provided to CMS by DoD 
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 the DoD will 
provide records, information, or data to

[[Page 11277]]

CMS for verifying eligibility for minimum essential coverage through a 
TRICARE Health Care Program. A TRICARE Health Care Program constitutes 
minimum essential coverage as defined in Section 5000A(f) of the 
Internal Revenue Code of 1986, 26 U.S.C. 5000A, as amended by Sec.  
1501 of the ACA. The DoD data will be used by (1) CMS in its capacity 
as a Federally-facilitated Exchange and the Federal eligibility and 
enrollment platform, and (2) agencies administering applicable State 
health subsidy programs. These entities will receive the results of 
verifications using information received by CMS through the CMS Federal 
Data Services Hub from Applicants and Enrollees that will be matched 
with the DoD data.

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 System of 
Records Notice published at 78 FR 63211 (Oct. 23, 2013).
    This computer matching program will also be conducted with data 
maintained in the Defense Enrollment Eligibility Reporting Systems 
(DEERS), System No. DMDC 02 DoD, published November 04, 2015, 80 FR 
68304, located at the DISA DECC Columbus in Columbus, OH. Routine Use 
6f supports DoD's disclosure to CMS.

INCLUSIVE DATES OF THE MATCH:
    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. 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. 2016-04734 Filed 3-2-16; 8:45 am]
 BILLING CODE 4120-03-P

11276 Federal Register / Vol. 81, No. 42 / Thursday, March 3, 2016 / Notices The computer matching program also ADDRESSES: The public should send This computer matching program will be conducted with data maintained comments to: CMS Privacy Officer, meets the requirements of the Privacy in a VHA system of records. The VHA Division of Security, Privacy Policy and Act of 1974, as amended. system of records for this matching Governance, Information Security and Walter Stone, program is titled ‘‘Enrollment and Privacy Group, Office of Enterprise Eligibility Records (VA) (147VA16); CMS Privacy Officer, Centers for Medicare Information, CMS, Room N1–24–08, & Medicaid Services. published at 74 FR 44901 (August 31, 7500 Security Boulevard, Baltimore, 2009) under Routine Use #14; and the Maryland 21244–1850. Comments CMS Computer Match No. 2016–07 Health Administration Center Civilian received will be available for review at Health Medical Record—VA HHS Computer Match No. 1602 this location, by appointment, during (CHAMPVA) (54VA16) using routine Name: ‘‘Computer Matching regular business hours, Monday through use No. 25, and Spina Bifida Healthcare Agreement between the Department of Program published at 74 FR 34398 (July Friday from 9:00 a.m.–3:00 p.m., Eastern Time zone. Health and Human Services, Centers for 15, 2009) using routine use No. 13. Medicare & Medicaid Services and the FOR FURTHER INFORMATION CONTACT: Department of Defense, Defense INCLUSIVE DATES OF THE MATCH: Elizabeth Kane, Acting Director, Manpower Data Center, for Verification This computer matching program will become effective no sooner than 40 days Verifications Policy & Operations of Eligibility For Minimum Essential after the report of the computer Division, Eligibility and Enrollment Coverage Under The Patient Protection matching program is sent to the Office Policy and Operations Group, Center for And Affordable Care Act Through a of Management and Budget and copies Consumer Information and Insurance Department of Defense Health Benefits of the agreement are sent to Congress, or Oversight, CMS, 7501 Wisconsin Plan.’’ 30 days after publication in the Federal Avenue, Bethesda, MD 20814, Office SECURITY CLASSIFICATION: Register, whichever is later. The Phone: (301) 492–4418, Facsimile: (443) Unclassified. matching program will continue for 18 380–5531, E-Mail: Elizabeth.Kane@ months from the effective date and may cms.hhs.gov. PARTICIPATING AGENCIES: be extended for an additional 12 months Department of Health and Human thereafter, if certain conditions are met. SUPPLEMENTARY INFORMATION: The Services (HHS), Centers for Medicare & Computer Matching and Privacy [FR Doc. 2016–04735 Filed 3–2–16; 8:45 am] Medicaid Services (CMS), and the Protection Act of 1988 (Pub. L. 100– BILLING CODE 4120–03–P Department of Defense (DoD), Defense 503), amended the Privacy Act (5 U.S.C. Manpower Data Center (DMDC). 552a) by describing the manner in DEPARTMENT OF HEALTH AND which computer matching involving AUTHORITY FOR CONDUCTING MATCHING HUMAN SERVICES Federal agencies could be performed PROGRAM: and adding certain protections for Sections 1411 and 1413 of the Patient Centers for Medicare & Medicaid individuals applying for and receiving Protection and Affordable Care Act of Services Federal benefits. Section 7201 of the 2010 (Pub. L. 111–148), as amended by Omnibus Budget Reconciliation Act of the Health Care and Education Privacy Act of 1974; CMS Computer Reconciliation Act of 2010 (Pub. L. 111– 1990 (Pub. L. 101–508) further amended Match No. 2016–07; HHS Computer 152) (collectively, the ACA) require the Match No. 1602; Effective Date—April the Privacy Act regarding protections for such individuals. The Privacy Act, as Secretary of HHS to establish a program 2, 2016; Expiration Date—October 2, for applying for and determining 2017 amended, regulates the use of computer matching by Federal agencies when eligibility for applicable State health AGENCY: Centers for Medicare & records in a system of records are subsidy programs and authorize the use Medicaid Services (CMS), Department matched with other Federal, state, or of secure, electronic interfaces and an of Health and Human Services (HHS). local government records. It requires on-line system for the verification of ACTION: Notice of Computer Matching eligibility. Federal agencies involved in computer Program. The Computer Matching and Privacy matching programs to: Protection Act of 1988 (CMPPA) (Pub. L. SUMMARY: In accordance with the 1. Negotiate written agreements with 100–503), amended the Privacy Act (5 requirements of the Privacy Act of 1974, the other agencies participating in the U.S.C. 552a) and requires the parties as amended, this notice announces the matching programs; participating in a matching program to establishment of a computer matching 2. Obtain the Data Integrity Board execute a written agreement specifying program that CMS plans to conduct the terms and conditions under which approval of the match agreements; with the Defense Enrollment Eligibility the matching will be conducted. CMS Reporting System (DEERS), Defense 3. Furnish detailed reports about has determined that status verification Manpower Data Center (DMDC), matching programs to Congress and checks to be conducted by the CMS Department of Defense (DoD). OMB; Federal Data Services Hub and DATES: Comments are invited on all 4. Notify applicants and beneficiaries Federally-facilitated Exchange using the portions of this notice. Submit public that their records are subject to data source provided to CMS by DoD comments on or before April 1, 2016. matching; and, constitute a ‘‘computer matching mstockstill on DSK4VPTVN1PROD with NOTICES This computer matching program will program’’ as defined in the CMPPA. become effective no sooner than 40 days 5. Verify match findings before after the report of the computer reducing, suspending, terminating, or PURPOSE(S) OF THE MATCHING PROGRAM: matching program is sent to the Office denying an individual’s benefits or The purpose of the Computer of Management and Budget (OMB) and payments. Matching Agreement is to establish the copies of the agreement are sent to terms, conditions, safeguards, and Congress, or 30 days after publication in procedures under which the DoD will the Federal Register, whichever is later. provide records, information, or data to VerDate Sep<11>2014 19:17 Mar 02, 2016 Jkt 238001 PO 00000 Frm 00104 Fmt 4703 Sfmt 4703 E:\FR\FM\03MRN1.SGM 03MRN1

Federal Register / Vol. 81, No. 42 / Thursday, March 3, 2016 / Notices 11277 CMS for verifying eligibility for ACTION: Notice. commonclinicaldataset_ml_11-4- minimum essential coverage through a 15.pdf) TRICARE Health Care Program. A SUMMARY: Like the Consumer Health • Verified compatibility with different TRICARE Health Care Program Data Aggregator Challenge, the Provider health IT developer systems constitutes minimum essential coverage User-Experience Challenge incents the implemented in production settings, 1 as defined in Section 5000A(f) of the development of applications for health of which must be from the top 10 Internal Revenue Code of 1986, 26 care providers that use open, systems measured by Meaningful Use U.S.C. 5000A, as amended by § 1501 of standardized APIs to enable innovative attestation per HealthIT.gov. Apps the ACA. The DoD data will be used by ways for providers to interact with must be integrated with a minimum of (1) CMS in its capacity as a Federally- patient health data. This challenge will 3 unique health IT developer systems facilitated Exchange and the Federal focus on demonstrating how data made in 2 unique provider settings eligibility and enrollment platform, and accessible to apps through Application • Has been tested with patients and (2) agencies administering applicable Programming Interfaces (APIs) can used in production settings State health subsidy programs. These positively impact providers’ experience • Available to providers through at least entities will receive the results of with EHRs by making clinical one of the following modes: Direct verifications using information received workflows more intuitive, specific to from Web, iOS Store, or Android by CMS through the CMS Federal Data clinical specialty, and actionable. The stores Services Hub from Applicants and statutory authority for this challenge competition is Section 105 of the Phase 1 Enrollees that will be matched with the DoD data. America COMPETES Reauthorization Participants interested in competing Act of 2010 (Pub. L. 111–358). for Phase 1 awards will need to submit DESCRIPTION OF RECORDS TO BE USED IN THE DATES: an app development plan that must MATCHING PROGRAM: include: This computer matching program will Phase 1 • Mockup/wireframes be conducted with data maintained by • Challenge launch: March 1, 2016 • Technical specifications, including CMS in the Health Insurance Exchanges • Submissions due: May 30 but not limited to planned data Program, CMS System No. 09–70–0560, • Evaluation period: May 31–June 28 sources, system architecture as amended. The system is described in • Phase 1 winners announced: June 30 • Business/sustainability plan System of Records Notice published at • Provider partnership Phase 2 78 FR 63211 (Oct. 23, 2013). To augment technical development • Submission period begins: May 31 and enhance the likelihood of a This computer matching program will • Submissions due: November 7 successful app that will continue to also be conducted with data maintained • Evaluation period: November 14– in the Defense Enrollment Eligibility exist beyond the end of the challenge, December 14 a progress update/matchmaking event Reporting Systems (DEERS), System No. • Phase 2 winners announced: DMDC 02 DoD, published November 04, will be held that will seek to connect December 15, 2016 participants with provider partners. Up 2015, 80 FR 68304, located at the DISA FOR FURTHER INFORMATION CONTACT: to five app proposals will be recognized DECC Columbus in Columbus, OH. Adam Wong, adam.wong@hhs.gov as winners and awarded up to $15,000 Routine Use 6f supports DoD’s (preferred), 202–720–2866. each. disclosure to CMS. SUPPLEMENTARY INFORMATION: Phase 2 INCLUSIVE DATES OF THE MATCH: Award Approving Official The second phase will entail the This computer matching program will become effective no sooner than 40 days Karen DeSalvo, National Coordinator actual development of the apps, after the report of the computer for Health Information Technology. verification of technical capabilities, matching program is sent to the Office user testing/piloting, and public release Subject of Challenge Competition of the apps. This will include remote of Management and Budget and copies The Provider User-Experience testing with providers and health IT of the agreement are sent to Congress, or Challenge is intended to spur developers to test the technical abilities 30 days after publication in the Federal development of third-party applications of the apps to connect to in-production Register, whichever is later. The for use by clinicians and use FHIR to systems. Participants will submit: matching program will continue for 18 months from the effective date and may pull various patient health data into a • Working prototype of the app be extended for an additional 12 months dashboard. The challenge has two • Video demonstrating the app phases—the first requiring submission (maximum of 5 minutes, on YouTube thereafter, if certain conditions are met. of technical and business plans for the or Vimeo) [FR Doc. 2016–04734 Filed 3–2–16; 8:45 am] application (app), the second a working • Slide deck describing app (maximum BILLING CODE 4120–03–P app that is available for providers. Phase of 10 slides) 2 of the competition will not be limited The grand prize winner will receive to only those who won Phase 1—all $50,000 and a second place winner will DEPARTMENT OF HEALTH AND Phase 1 competitors, and those who did receive $25,000. There will be an HUMAN SERVICES not participate in Phase 1, can submit a additional $25,000 prize for the app that Office of the National Coordinator for final app at the end of Phase 2. connects to the greatest number of The final application must meet the mstockstill on DSK4VPTVN1PROD with NOTICES Health Information Technology; unique health IT developer systems following requirements: implemented in production settings, Announcement of Requirements and Registration for ‘‘Provider User- • Uses FHIR Draft Standard for which can be won by the grand or 2nd Experience Challenge’’ Technical Use 2 (DSTU2) place winner. • Aggregate all data as specified in the Eligibility Rules for Participating in AGENCY: Office of the National 2015 Edition Common Clinical Data the Competition: To be eligible to win Coordinator for Health Information Set (Data column in https://www. a prize under this challenge, an Technology, HHS. healthit.gov/sites/default/files/ individual or entity: VerDate Sep<11>2014 19:17 Mar 02, 2016 Jkt 238001 PO 00000 Frm 00105 Fmt 4703 Sfmt 4703 E:\FR\FM\03MRN1.SGM 03MRN1


Document Created: 2016-03-03 03:51:20
Document Modified: 2016-03-03 03:51:20
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. 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 (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, E-Mail: [email protected]
FR Citation81 FR 11276 
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