83_FR_50122 83 FR 49930 - Privacy Act of 1974; Matching Program

83 FR 49930 - Privacy Act of 1974; Matching Program

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

Federal Register Volume 83, Issue 192 (October 3, 2018)

Page Range49930-49931
FR Document2018-21506

In accordance with subsection (e)(12) of 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 a new 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.''

Federal Register, Volume 83 Issue 192 (Wednesday, October 3, 2018) 
[Federal Register Volume 83, Number 192 (Wednesday, October 3, 2018)]
[Notices]
[Pages 49930-49931]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-21506]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & 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.

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SUMMARY: In accordance with subsection (e)(12) of 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 a 
new 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 November 2, 2018. 
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 
October 2018 to April 2020) 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 to: CMS 
Privacy Act Officer, Division of Security, Privacy Policy & Governance, 
Information Security & Privacy Group, Office of Information Technology, 
CMS, 7500 Security Blvd., Baltimore, MD 21244-1870, Mailstop: N3-15-25, 
or by email to: [email protected]. Comments received will be 
available for review at this location, by appointment, during regular 
business hours, Monday through Friday from 9:00 a.m. to 3:00 p.m.

FOR FURTHER INFORMATION CONTACT: If you have questions about the 
matching program, you may contact Jack Lavelle, Senior Advisor, 
Marketplace Eligibility and Enrollment Group, Center for Consumer 
Information and Insurance Oversight, CMS, 7501 Wisconsin Ave., 
Bethesda, MD 20814, (410) 786-0639, or by email at 
[email protected].

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,
CMS Privacy Advisor, Division of Security, Privacy Policy and 
Governance, Information Security and Privacy Group, 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.

Purpose(s)

    The purpose of the matching program is to assist CMS in determining 
individuals' eligibility for financial assistance in paying for private 
health

[[Page 49931]]

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 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 usually 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 
identity, determine eligibility for financial assistance, and determine 
the amount of the financial assistance.

Categories of Individuals

    The categories of individuals whose information is involved in the 
matching program are:
     Veterans whose records at VHA match 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.

Categories of Records

    The categories of records used in this 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)
d. date of birth (required)
e. gender (optional)
f. SSN (required)
g. requested qualified health plan (QHP) coverage effective date 
(required)
h. requested QHP coverage end date (required)
i. 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. if CMS transmits request and a match is made, but VA's record 
contains a date of death, VA will respond in the same manner as a non-
match response, with a blank date
e. enrollment period(s) is/are defined as the timeframe during which 
the individual was enrolled in a VHA health care program

Systems(s) of Records

    The records used in this 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

     147VA10NF1 Enrollment and Eligibility Records--VA, 
published at 81 FR 45597 (July 14, 2016). Routine use 14 authorizes 
VHA's disclosures to CMS.
     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. 2018-21506 Filed 10-2-18; 8:45 am]
 BILLING CODE P

49930 Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Notices (diphtheria, tetanus, acellular pertussis) DEPARTMENT OF HEALTH AND U.S.C. 552a) provides certain vaccine information statements. HUMAN SERVICES protections for individuals applying for Changes to the meningococcal ACWY and receiving federal benefits. The law Centers for Medicare & Medicaid governs the use of computer matching VIS are minimal. Reference to the Services by federal agencies when records in a MPSV4 vaccine, no longer available in system of records (meaning, federal the United States, is removed. HIV Privacy Act of 1974; Matching Program agency records about individuals infection is added as an indication for AGENCY: Centers for Medicare & retrieved by name or other personal vaccination, and wording related to identifier) are matched with records of meningococcal ACWY vaccination Medicaid Services, Department of Health and Human Services. other federal or non-federal agencies. during pregnancy is updated. The Privacy Act requires agencies ACTION: Notice of a new matching Proposed revisions to the DTaP VIS program. involved in a matching program to: reflect new recommendations of the 1. Enter into a written agreement, Advisory Committee on Immunization SUMMARY: In accordance with subsection which must be prepared in accordance Practices (ACIP), including updated (e)(12) of the Privacy Act of 1974, as with the Privacy Act, approved by the information about contraindications and amended, the Department of Health and Data Integrity Board of each source and precautions. Minor changes are Human Services (HHS), Centers for recipient federal agency, provided to proposed to simplify and streamline the Medicare & Medicaid Services (CMS) is Congress and the Office of Management sections about what to do if there is a providing notice of a new matching and Budget (OMB), and made available program between CMS and the to the public, as required by 5 U.S.C. reaction and finding additional Department of Veterans Affairs (VA), 552a(o), (u)(3)(A), and (u)(4). information about the vaccine and the Veterans Health Administration (VHA), 2. Notify the individuals whose Vaccine Injury Compensation Program. ‘‘Verification of Eligibility for Minimum information will be used in the The most recent previous final version Essential Coverage Under the Patient matching program that the information of the DTaP VIS was published in 2007; Protection and Affordable Care Act they provide is subject to verification proposed revisions to this document Through a Veterans Health through matching, as required by 5 will help to bring it in line with the Administration Plan.’’ U.S.C. 552a(o)(1)(D). structure and general approach of more DATES: The deadline for comments on 3. Verify match findings before recently-published VISs for other this notice is November 2, 2018. The re- suspending, terminating, reducing, or vaccines. established matching program will making a final denial of an individual’s The vaccine information materials commence not sooner than 30 days after benefits or payments or taking other referenced in this notice are being publication of this notice, provided no adverse action against the individual, as developed in consultation with the comments are received that warrant a required by 5 U.S.C. 552a(p). Advisory Commission on Childhood change to this notice. The matching 4. Report the matching program to Vaccines, the Food and Drug program will be conducted for an initial Congress and the OMB, in advance and term of 18 months (from approximately annually, as required by 5 U.S.C. Administration, and parent and health October 2018 to April 2020) and within 552a(o) (2)(A)(i), (r), and (u)(3)(D). care provider groups. 5. Publish advance notice of the 3 months of expiration may be renewed We invite written comment on the for one additional year if the parties matching program in the Federal proposed vaccine information materials make no change to the matching Register as required by 5 U.S.C. entitled ‘‘Meningococcal ACWY program and certify that the program 552a(e)(12). Vaccine: What You Need to Know’’ and has been conducted in compliance with This matching program meets these ‘‘DTaP (Diphtheria, Tetanus, Pertussis) the matching agreement. requirements. Vaccine: What You Need to Know.’’ ADDRESSES: Interested parties may Barbara Demopulos, Copies of the proposed vaccine submit written comments to: CMS CMS Privacy Advisor, Division of Security, information materials are available at Privacy Act Officer, Division of Privacy Policy and Governance, Information http://www.regulations.gov (see Docket Security, Privacy Policy & Governance, Security and Privacy Group, Office of Number CDC–2018–0091). Comments Information Security & Privacy Group, Information Technology, Centers for Medicare submitted will be considered in Office of Information Technology, CMS, & Medicaid Services. finalizing these materials. When the 7500 Security Blvd., Baltimore, MD Participating Agencies final materials are published in the 21244–1870, Mailstop: N3–15–25, or by email to: walter.stone@cms.hhs.gov. The Department of Health and Human Federal Register, the notice will include an effective date for their mandatory Comments received will be available for Services (HHS), Centers for Medicare & use. review at this location, by appointment, Medicaid Services (CMS) is the during regular business hours, Monday recipient agency, and the Department of Dated: September 27, 2018. through Friday from 9:00 a.m. to 3:00 Veterans Affairs (VA), Veterans Health Sandra Cashman, p.m. Administration (VHA) is the source Executive Secretary, Centers for Disease agency. FOR FURTHER INFORMATION CONTACT: If Control and Prevention. you have questions about the matching Authority for Conducting the Matching [FR Doc. 2018–21491 Filed 10–2–18; 8:45 am] program, you may contact Jack Lavelle, Program BILLING CODE 4163–18–P Senior Advisor, Marketplace Eligibility The statutory authority for the daltland on DSKBBV9HB2PROD with NOTICES and Enrollment Group, Center for matching program is 42 U.S.C. 18001. Consumer Information and Insurance Oversight, CMS, 7501 Wisconsin Ave., Purpose(s) Bethesda, MD 20814, (410) 786–0639, or The purpose of the matching program by email at Jack.Lavelle1@cms.hhs.gov. is to assist CMS in determining SUPPLEMENTARY INFORMATION: The individuals’ eligibility for financial Privacy Act of 1974, as amended (5 assistance in paying for private health VerDate Sep<11>2014 18:05 Oct 02, 2018 Jkt 247001 PO 00000 Frm 00026 Fmt 4703 Sfmt 4703 E:\FR\FM\03OCN1.SGM 03OCN1

Federal Register / Vol. 83, No. 192 / Wednesday, October 3, 2018 / Notices 49931 insurance coverage. In this matching c. a blank date response when a non- ACTION:Notice of intent to issue an program, VHA provides CMS with data match occurs OPDIV-Initiated Supplement. when a state administering entity (AE) d. if CMS transmits request and a match requests it and VHA is authorized to is made, but VA’s record contains a SUMMARY: Administration for Children release it, verifying whether an date of death, VA will respond in the and Families, Office of Refugee individual who is applying for or is same manner as a non-match Resettlement, announces the intent to enrolled in private health insurance response, with a blank date issue an OPDIV-Initiated Supplement to coverage under a qualified health plan e. enrollment period(s) is/are defined as BCFS Health and Human Services, San through a federally-facilitated health the timeframe during which the Antonio, TX, in the amount of up to insurance exchange is eligible for individual was enrolled in a VHA $6,500,000. ORR has been identifying coverage under a VHA health plan. CMS health care program additional capacity to provide shelter makes the data provided by VHA for potential increases in apprehensions Systems(s) of Records of Unaccompanied Children at the U.S. available to the requesting AE through a data services hub to use in The records used in this matching Southern Border. Planning for increased determining the applicant’s or enrollee’s program will be disclosed from the shelter capacity is a prudent step to eligibility for financial assistance following systems of records, as ensure that ORR is able to meet its (including an advance tax credit and authorized by routine uses published in responsibility, by law, to provide shelter cost-sharing reduction, which are types the system of records notices (SORNs) for Unaccompanied Alien Children of insurance affordability programs) in cited below: referred to its care by the Department of paying for private health insurance Homeland Security (DHS). To ensure A. System of Records Maintained by sufficient capacity to provide shelter to coverage. VHA health plans provide CMS minimum essential coverage, and unaccompanied children referred to eligibility for such plans usually • CMS Health Insurance Exchanges HHS, BCFS proposed to the precludes eligibility for financial System (HIX), CMS System No. 09–70– continuation of services to ORR with assistance in paying for private 0560, last published in full at 78 FR 222 variance licensed beds. coverage. The data provided by VHA 63211 (Oct. 23, 2013), as amended at 83 DATES: Supplemental award funds will under this matching program will be FR. 6591 (Feb. 14, 2018). Routine use 3 support activities until January 31, used by CMS and AEs to authenticate authorizes CMS’ disclosures to VHA. 2019. identity, determine eligibility for B. Systems of Records Maintained by FOR FURTHER INFORMATION CONTACT: financial assistance, and determine the VHA Jallyn Sualog, Deputy Director for amount of the financial assistance. Children’s Programs, Office of Refugee • 147VA10NF1 Enrollment and Resettlement, 330 C Street SW, Categories of Individuals Eligibility Records—VA, published at 81 Washington, DC 20201. Phone: 202– The categories of individuals whose FR 45597 (July 14, 2016). Routine use 14 401–4997. Email: DCSProgram@ information is involved in the matching authorizes VHA’s disclosures to CMS. acf.hhs.gov. program are: • 54VA10NB3 Veterans and • Veterans whose records at VHA Beneficiaries Purchased Care SUPPLEMENTARY INFORMATION: ORR is match data provided to VHA by CMS Community Health Care Claims, continuously monitoring its capacity to (submitted by AEs) about individuals Correspondence, Eligibility, Inquiry and shelter the unaccompanied children who are applying for or are enrolled in Payment Files—VA, published at 80 FR referred to HHS, as well as the private insurance coverage under a 11527 (March 3, 2015). Routine use 25 information received from interagency qualified health plan through a authorizes VHA’s disclosures to CMS. partners, to inform any future decisions federally-facilitated health insurance or actions. [FR Doc. 2018–21506 Filed 10–2–18; 8:45 am] exchange. ORR has specific requirements for the BILLING CODE P provision of services. Award recipients Categories of Records must have the infrastructure, licensing, The categories of records used in this experience, and appropriate level of DEPARTMENT OF HEALTH AND matching program are identity records trained staff to meet those requirements. HUMAN SERVICES and minimum essential coverage period The continuation of services of the records, consisting of the following data Administration for Children and existing program and its services elements: Families through this supplemental award is a Data provided by CMS to VHA: key strategy for ORR to continue to meet a. First name (required) its responsibility to provide shelter for [CFDA Number: 93.676] b. middle name/initial (if provided by Unaccompanied Children referred to its applicant) Announcement of Intent To Issue an care by DHS and so that the U.S. Border c. surname (applicant’s last name) OPDIV-Initiated Supplement to BCFS Patrol can continue its vital national (required) Health and Human Services Under the security mission to prevent illegal d. date of birth (required) Standing Funding Opportunity migration, trafficking, and protect the e. gender (optional) Announcement Number HHS–2017– borders of the United States. The award f. SSN (required) ACF–ORR–ZU–1132, Residential to BCFS will be made as two OPDIV- g. requested qualified health plan (QHP) initiated supplements. (Shelter) Services for Unaccompanied coverage effective date (required) Statutory Authority: This program is Children daltland on DSKBBV9HB2PROD with NOTICES h. requested QHP coverage end date authorized by— (required) AGENCY: Unaccompanied Alien (A) Section 462 of the Homeland i. transaction ID (required) Children’s (UAC) Program, Office of Security Act of 2002, which in March Data provided by VHA to CMS: Refugee Resettlement (ORR), 2003, transferred responsibility for the a. SSN (required) Administration for Children and care and custody of Unaccompanied b. start/end date(s) of enrollment Families (ACF), U.S. Department of Alien Children from the Commissioner period(s) (when match occurs) Health and Human Services (HHS). of the former Immigration and VerDate Sep<11>2014 18:05 Oct 02, 2018 Jkt 247001 PO 00000 Frm 00027 Fmt 4703 Sfmt 4703 E:\FR\FM\03OCN1.SGM 03OCN1


Document Created: 2018-10-03 02:29:40
Document Modified: 2018-10-03 02:29:40
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 a new matching program.
DatesThe deadline for comments on this notice is November 2, 2018. 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 October 2018 to April 2020) 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.
ContactIf you have questions about the matching program, you may contact Jack Lavelle, Senior Advisor, Marketplace Eligibility and Enrollment Group, Center for Consumer Information and Insurance Oversight, CMS, 7501 Wisconsin Ave., Bethesda, MD 20814, (410) 786-0639, or by email at [email protected]
FR Citation83 FR 49930 
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