81_FR_70312 81 FR 70116 - Privacy Act of 1974, CMS Computer Match No. 2016-14, HHS Computer Match No. 1608

81 FR 70116 - Privacy Act of 1974, CMS Computer Match No. 2016-14, HHS Computer Match No. 1608

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

Federal Register Volume 81, Issue 196 (October 11, 2016)

Page Range70116-70117
FR Document2016-24387

In accordance with the requirements of the Privacy Act of 1974, as amended, this notice announces the establishment of a CMP that CMS plans to conduct with the Office of Personnel Management (OPM).

Federal Register, Volume 81 Issue 196 (Tuesday, October 11, 2016) 
[Federal Register Volume 81, Number 196 (Tuesday, October 11, 2016)]
[Notices]
[Pages 70116-70117]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-24387]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services


Privacy Act of 1974, CMS Computer Match No. 2016-14, HHS Computer 
Match No. 1608

AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of 
Health and Human Services (HHS).

ACTION: Notice of Computer Matching Program (CMP).

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SUMMARY: In accordance with the requirements of the Privacy Act of 
1974, as amended, this notice announces the establishment of a CMP that 
CMS plans to conduct with the Office of Personnel Management (OPM).

DATES: Effective Dates: Comments are invited on all portions of this 
notice. Public comments are due within 30 days after publication. 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 (OMB), 30 days after a copy of the matching agreement is 
transmitted to Congress, or 30 days after the report of the matching 
program is published in the Federal Register, whichever is later.
    For Information Contact: 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 Nl-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: Lindsey Murtagh, Center for Consumer 
Information and Insurance Oversight, Centers for Medicare & Medicaid 
Services, Phone: (301) 492-4106, E-Mail: [email protected].

SUPPLEMENTARY INFORMATION: The Computer Matching and Privacy Protection 
Act of 1988 (Public Law (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 (CMP) 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 the 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 Act Officer, Centers for Medicare & Medicaid Services.

CMS Computer Match No. 2016-14

HHS Computer Match No.1608

Name

    ``Computer Matching Agreement between the Department of Health and 
Human Services, Centers for Medicare & Medicaid Services and the Office 
of Personnel Management For The Verification of Eligibility For Minimum 
Essential Coverage Under the Patient Protection and Affordable Care Act 
Through an Office of Personnel Management Health Benefits Plan.''

Security Classification

    Unclassified.

Participating Agencies

    Department of Health and Human Services (HHS), Centers for Medicare 
& Medicaid Services (CMS), and the Office of Personnel Management 
(OPM).

Authority for Conducting Matching Program

    Sections 1411 and 1413 of the Patient Protection and Affordable 
Care Act of 2010 (Public Law 111-148), as amended by the Health Care 
and Education Reconciliation Act of 2010 (Public Law 111-152) 
(collectively, the ACA) require the Secretary of HHS to establish a 
program for applying for and determining eligibility for advance 
payments of the premium tax credit and cost-sharing reductions and 
authorize 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) 
(Public Lawl00-503), 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 through the CMS Data Services Hub (Hub) by 
agencies administering applicable State health subsidy programs using 
the Enterprise Human Resources Integration Data Warehouse (EHRIDW) 
Status File provided to CMS by OPM 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 OPM will 
provide records, information, or data to CMS for verifying eligibility 
for Minimum Essential Coverage through an OPM Federal Employees Health 
Benefits Plan. The data will be used by CMS in its capacity as a 
Federally-facilitated Exchange, and agencies administering applicable 
State health subsidy programs that will receive the results of 
verifications using OPM data obtained through the CMS Data Services 
Hub.
    Data will be matched for the purpose of verifying an Applicant or 
Enrollee's eligibility for OPM Federal Employees Health Benefit Plans 
that constitute minimum essential coverage as defined in 5000A(f) of 
the Internal Revenue Code of 1986, 26 U.S.C. 5000A, as amended by 1501 
of the ACA.

Description of Records To Be Used in the Matching Program

    The CMP will be conducted with data maintained by CMS in the Health 
Insurance Exchanges (HIX) Program, CMS System No. 09-70-0560, as 
amended. The system is described in

[[Page 70117]]

System of Records Notice (SORN) published at 78 Federal Register (FR) 
63211 (Oct. 23, 2013).
    The OPM System of Records for this matching program is titled 
``General Personnel Records'' (OPM/GOVT-1), published at 77 Federal 
Register, 73694 (December 11, 2012). OPM will submit to CMS a monthly 
Status File that is a full refresh of all Federal employee health care 
insurance information. OPM also will submit to CMS, on an annual basis, 
a Premium Spread Index File that provides information identifying the 
lowest self-only premium for an OPM FEHB plan available to a Federal 
employee in each State as well as national OPM FEHB plans.

Inclusive Dates of the Match

    The CMP will become effective no sooner than 40 days after the 
report of the matching program is sent to 0MB, 30 days after a copy of 
the matching agreement is transmitted 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. 2016-24387 Filed 10-7-16; 8:45 am]
 BILLING CODE 4120-03-P

70116 Federal Register / Vol. 81, No. 196 / Tuesday, October 11, 2016 / Notices INCLUSIVE DATES OF THE MATCH Services, Phone: (301) 492–4106, E- Authority for Conducting Matching The CMP will become effective no Mail: lindsey.murtagh@cms.hhs.gov. Program sooner than 40 days after the report of SUPPLEMENTARY INFORMATION: The Sections 1411 and 1413 of the Patient the matching program is sent to OMB, Computer Matching and Privacy Protection and Affordable Care Act of 30 days after a copy of the matching Protection Act of 1988 (Public Law 2010 (Public Law 111–148), as amended agreement is transmitted to Congress, or (Pub. L) 100–503), amended the Privacy by the Health Care and Education 30 days after publication in the Federal Act (5 U.S.C. 552a) by describing the Reconciliation Act of 2010 (Public Law Register, whichever is later. The manner in which computer matching 111–152) (collectively, the ACA) require matching program will continue for 18 involving Federal agencies could be the Secretary of HHS to establish a months from the effective date and may performed and adding certain program for applying for and be extended for an additional 12 months protections for individuals applying for determining eligibility for advance thereafter, if certain conditions are met. and receiving Federal benefits. Section payments of the premium tax credit and [FR Doc. 2016–24388 Filed 10–7–16; 8:45 am] 7201 of the Omnibus Budget cost-sharing reductions and authorize Reconciliation Act of 1990 (Pub. L. 101– use of secure, electronic interfaces and BILLING CODE 4120–03–P 508) further amended the Privacy Act an on-line system for the verification of regarding protections for such eligibility. DEPARTMENT OF HEALTH AND individuals. The Privacy Act, as The Computer Matching and Privacy HUMAN SERVICES amended, regulates the use of computer Protection Act of 1988 (CMPPA) (Public matching by Federal agencies when Lawl00–503), amended the Privacy Act Centers for Medicare & Medicaid records in a system of records are (5 U.S.C. 552a) and requires the parties Services matched with other Federal, state, or participating in a matching program to local government records. It requires execute a written agreement specifying Privacy Act of 1974, CMS Computer Federal agencies involved in computer the terms and conditions under which Match No. 2016–14, HHS Computer matching programs (CMP) to: the matching will be conducted. CMS Match No. 1608 1. Negotiate written agreements with has determined that status verification the other agencies participating in the checks to be conducted through the AGENCY: Centers for Medicare & matching programs; Medicaid Services (CMS), Department CMS Data Services Hub (Hub) by 2. Obtain the Data Integrity Board of Health and Human Services (HHS). agencies administering applicable State approval of the match agreements; ACTION: Notice of Computer Matching 3. Furnish detailed reports about health subsidy programs using the Program (CMP). matching programs to Congress and Enterprise Human Resources Integration OMB; Data Warehouse (EHRIDW) Status File SUMMARY: In accordance with the 4. Notify applicants and beneficiaries provided to CMS by OPM constitute a requirements of the Privacy Act of 1974, that the records are subject to matching; ‘‘computer matching program’’ as as amended, this notice announces the and, defined in the CMPPA. establishment of a CMP that CMS plans 5. Verify match findings before Purpose(s) of the Matching Program to conduct with the Office of Personnel reducing, suspending, terminating, or Management (OPM). denying an individual’s benefits or The purpose of the Computer payments. Matching Agreement is to establish the DATES: Effective Dates: Comments are This matching program meets the terms, conditions, safeguards, and invited on all portions of this notice. procedures under which OPM will Public comments are due within 30 requirements of the Privacy Act of 1974, as amended. provide records, information, or data to days after publication. The matching CMS for verifying eligibility for program will become effective no sooner Walter Stone, Minimum Essential Coverage through than 40 days after the report of the CMS Privacy Act Officer, Centers for Medicare an OPM Federal Employees Health matching program is sent to the Office & Medicaid Services. Benefits Plan. The data will be used by of Management and Budget (OMB), 30 CMS in its capacity as a Federally- days after a copy of the matching CMS Computer Match No. 2016–14 facilitated Exchange, and agencies agreement is transmitted to Congress, or HHS Computer Match No.1608 administering applicable State health 30 days after the report of the matching Name subsidy programs that will receive the program is published in the Federal results of verifications using OPM data Register, whichever is later. ‘‘Computer Matching Agreement between the Department of Health and obtained through the CMS Data Services For Information Contact: The public Hub. should send comments to: CMS Privacy Human Services, Centers for Medicare & Medicaid Services and the Office of Data will be matched for the purpose Act Officer, Division of Security, of verifying an Applicant or Enrollee’s Privacy Policy & Governance, Personnel Management For The Verification of Eligibility For Minimum eligibility for OPM Federal Employees Information Security & Privacy Group, Health Benefit Plans that constitute Office of Enterprise Information, CMS, Essential Coverage Under the Patient Protection and Affordable Care Act minimum essential coverage as defined Room Nl–24–08, 7500 Security in 5000A(f) of the Internal Revenue Boulevard, Baltimore, Maryland 21244– Through an Office of Personnel Management Health Benefits Plan.’’ Code of 1986, 26 U.S.C. 5000A, as 1850. Comments received will be asabaliauskas on DSK3SPTVN1PROD with NOTICES amended by 1501 of the ACA. available for review at this location, by Security Classification appointment, during regular business Description of Records To Be Used in Unclassified. the Matching Program hours, Monday through Friday from 9:00 a.m.–3:00 p.m., Eastern Time zone. Participating Agencies The CMP will be conducted with data FOR FURTHER INFORMATION CONTACT: Department of Health and Human maintained by CMS in the Health Lindsey Murtagh, Center for Consumer Services (HHS), Centers for Medicare & Insurance Exchanges (HIX) Program, Information and Insurance Oversight, Medicaid Services (CMS), and the Office CMS System No. 09–70–0560, as Centers for Medicare & Medicaid of Personnel Management (OPM). amended. The system is described in VerDate Sep<11>2014 20:12 Oct 07, 2016 Jkt 241001 PO 00000 Frm 00032 Fmt 4703 Sfmt 4703 E:\FR\FM\11OCN1.SGM 11OCN1

Federal Register / Vol. 81, No. 196 / Tuesday, October 11, 2016 / Notices 70117 System of Records Notice (SORN) any of the following subjects: (1) The CMS–10088 Notification of FIs and published at 78 Federal Register (FR) necessity and utility of the proposed CMS of co-located Medicare providers 63211 (Oct. 23, 2013). information collection for the proper Under the PRA (44 U.S.C. 3501– The OPM System of Records for this performance of the agency’s functions; 3520), federal agencies must obtain matching program is titled ‘‘General (2) the accuracy of the estimated approval from the Office of Management Personnel Records’’ (OPM/GOVT–1), burden; (3) ways to enhance the quality, and Budget (OMB) for each collection of published at 77 Federal Register, 73694 utility, and clarity of the information to information they conduct or sponsor. (December 11, 2012). OPM will submit be collected; and (4) the use of The term ‘‘collection of information’’ is to CMS a monthly Status File that is a automated collection techniques or defined in 44 U.S.C. 3502(3) and 5 CFR full refresh of all Federal employee other forms of information technology to 1320.3(c) and includes agency requests health care insurance information. OPM minimize the information collection or requirements that members of the also will submit to CMS, on an annual burden. public submit reports, keep records, or basis, a Premium Spread Index File that provide information to a third party. DATES: Comments must be received by provides information identifying the Section 3506(c)(2)(A) of the PRA December 12, 2016. lowest self-only premium for an OPM requires federal agencies to publish a FEHB plan available to a Federal ADDRESSES: When commenting, please reference the document identifier or 60-day notice in the Federal Register employee in each State as well as concerning each proposed collection of national OPM FEHB plans. OMB control number. To be assured consideration, comments and information, including each proposed Inclusive Dates of the Match recommendations must be submitted in extension or reinstatement of an existing any one of the following ways: collection of information, before The CMP will become effective no 1. Electronically. You may send your submitting the collection to OMB for sooner than 40 days after the report of comments electronically to http:// approval. To comply with this the matching program is sent to 0MB, 30 www.regulations.gov. Follow the requirement, CMS is publishing this days after a copy of the matching instructions for ‘‘Comment or notice. agreement is transmitted to Congress, or 30 days after publication in the Federal Submission’’ or ‘‘More Search Options’’ Information Collection Register, whichever is later. The to find the information collection document(s) that are accepting 1. Type of Information Collection matching program will continue for 18 Request: Extension of a currently months from the effective date and may comments. 2. By regular mail. You may mail approved collection; Title of be extended for an additional 12 months Information Collection: Medicare thereafter, if certain conditions are met. written comments to the following address: CMS, Office of Strategic Geographic Classification Review Board [FR Doc. 2016–24387 Filed 10–7–16; 8:45 am] Procedures and Criteria; Use: During the Operations and Regulatory Affairs, BILLING CODE 4120–03–P Division of Regulations Development, first few years of IPPS, hospitals were Attention: Document Identifier/OMB paid strictly based on their physical Control Number llRoom C4–26–05, geographic location concerning the DEPARTMENT OF HEALTH AND wage index (Metropolitan Statistical HUMAN SERVICES 7500 Security Boulevard, Baltimore, Maryland 21244–1850. Areas (MSAs)) and the standardized To obtain copies of a supporting amount (rural, other urban, or large Centers for Medicare & Medicaid statement and any related forms for the urban). However, a growing number of Services proposed collection(s) summarized in hospitals became concerned that their [Document Identifier: CMS–R–138 and this notice, you may make your request payment rates were not providing 10088] accurate compensation. The hospitals using one of following: 1. Access CMS’ Web site address at argued that they were not competing Agency Information Collection with the hospitals in their own Activities: Proposed Collection; http://www.cms.hhs.gov/ PaperworkReductionActof1995. geographic area, but instead that they Comment Request were competing with hospitals in 2. Email your request, including your AGENCY: Centers for Medicare & address, phone number, OMB number, neighboring geographic areas. At that Medicaid Services, Department of and CMS document identifier, to point, Congress enacted Section Health and Human Services. Paperwork@cms.hhs.gov. 1886(d)(10) of the Act which enabled ACTION: Notice. 3. Call the Reports Clearance Office at hospitals to apply to be considered part (410) 786–1326. of neighboring geographic areas for SUMMARY: The Centers for Medicare & payment purposes based on certain FOR FURTHER INFORMATION CONTACT: Medicaid Services (CMS) is announcing criteria. The application and decision Reports Clearance Office at (410) 786– an opportunity for the public to process is administered by the MGCRB 1326. comment on CMS’ intention to collect which is not a part of CMS so that CMS information from the public. Under the SUPPLEMENTARY INFORMATION: could not be accused of any untoward Paperwork Reduction Act of 1995 (the Contents action. However, CMS needs to remain PRA), federal agencies are required to apprised of any potential payment publish notice in the Federal Register This notice sets out a summary of the changes. Hospitals are required to concerning each proposed collection of use and burden associated with the provide CMS with copy of any asabaliauskas on DSK3SPTVN1PROD with NOTICES information (including each proposed following information collections. More applications that they made to the extension or reinstatement of an existing detailed information can be found in MGCRB. CMS also developed the collection of information) and to allow each collection’s supporting statement guidelines for the MGCRB that were the 60 days for public comment on the and associated materials (see interim final issue of the Federal proposed action. Interested persons are ADDRESSES). Register, and must ensure that the invited to send comments regarding our CMS–R–138 Medicare Geographic MGCRB properly applied the burden estimates or any other aspect of Classification Review Board guidelines. This check and balance this collection of information, including Procedures and Criteria process also contributes to limiting the VerDate Sep<11>2014 20:12 Oct 07, 2016 Jkt 241001 PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 E:\FR\FM\11OCN1.SGM 11OCN1


Document Created: 2018-02-13 16:34:02
Document Modified: 2018-02-13 16:34:02
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 (CMP).
DatesEffective Dates: Comments are invited on all portions of this notice. Public comments are due within 30 days after publication. 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 (OMB), 30 days after a copy of the matching agreement is transmitted to Congress, or 30 days after the report of the matching program is published in the Federal Register, whichever is later.
ContactLindsey Murtagh, Center for Consumer Information and Insurance Oversight, Centers for Medicare & Medicaid Services, Phone: (301) 492-4106, E-Mail: [email protected]
FR Citation81 FR 70116 
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