83 FR 60429 - Privacy Act of 1974; Matching Program
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 83, Issue 227 (November 26, 2018)
Centers for Medicare & Medicaid Services
Federal Register Volume 83, Issue 227 (November 26, 2018)
| Page Range | 60429-60430 | |
| FR Document | 2018-25639 |
[Federal Register Volume 83, Number 227 (Monday, November 26, 2018)] [Notices] [Pages 60429-60430] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-25639] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Privacy Act of 1974; Matching Program AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS) ACTION: Notice of a New Matching Program. ----------------------------------------------------------------------- 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 Peace Corps, ``Verification of Eligibility for Minimum Essential Coverage Under the Patient Protection and Affordable Care Act Through a Peace Corps Health Benefit Plan.'' DATES: The deadline for comments on this notice is December 26, 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 January 2019 to June 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: Written comments can be sent 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. [[Page 60430]] This matching program meets these requirements. Barbara Demopulos, CMS Privacy Advisor, Information Security and Privacy Group, Division of Security, Privacy Policy and Governance, Office of Information Technology, Centers for Medicare & Medicaid Services. Participating Agencies Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), and the Peace Corps. Authority for Conducting the Matching Program The statutory authority for the matching program is 42 U.S.C. 18001, et seq. Purpose(s) The purpose of the matching program is to assist CMS in determining individuals' eligibility for financial assistance in paying for private health insurance coverage. In this matching program, the Peace Corps provides CMS with data identifying all Peace Corps volunteers and the dates when each volunteer was eligible for coverage under a Peace Corps health benefit plan, which CMS and state administering entities (AEs) use to verify whether an individual who is applying for or is enrolled in private health insurance coverage under a qualified health plan through a federally-facilitated or state-based health insurance exchange is eligible for coverage under a Peace Corps health benefit plan. CMS makes the data provided by the Peace Corps available to AEs 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. Peace Corps health benefit 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 the Peace Corps 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:Active and recently separated Peace Corps volunteers, identified in data CMS receives from the Peace Corps; and Consumers who apply for or are enrolled in private insurance coverage under a qualified health plan through a federally- facilitated health insurance exchange (and other relevant individuals, such as applicants' and enrollees' household members), whose records are matched against the data CMS receives from the Peace Corps. Categories of Records The categories of records which will be provided by the Peace Corps to CMS in this matching program are identity records and minimum essential coverage period records, consisting of these data elements: 1. Record type. 2. data record number. 3. social security number of Peace Corps volunteer. 4. last name of Peace Corps volunteer. 5. middle name of Peace Corps volunteer. 6. first name of Peace Corps volunteer. 7. gender of Peace Corps volunteer. 8. date of birth of Peace Corps volunteer. 9. Peace Corps volunteer coverage begin date. 10. Peace Corps volunteer actual end date. 11. Peace Corps volunteer projected coverage end date. CMS will not send any data about individual applicants/enrollees to the Peace Corps in order to receive this data about Peace Corps volunteers. The Peace Corps will send CMS a bulk file each day from Tuesday through Saturday, which will contain this data for all active Peace Corps volunteers and all Peace Corps volunteers who left service within the prior three months. System(s) of Records The records used in this matching program about Peace Corps volunteers will be disclosed to CMS from the Peace Corps system of records identified below, and will be matched against applicant/ enrollee records in the CMS system of records identified below: A. System of Records Maintained by CMS MCMS 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). B. System of Records Maintained by the Peace Corps Peace Corps Manual Section 897, Attachment B, PC-17 Volunteer Applicant and Service Records System, 75 FR 53000 (Oct. 14, 2010). Routine use (i), which authorizes disclosure of records ``to verify active or former Volunteer service,'' authorizes the Peace Corps' disclosures to CMS. [FR Doc. 2018-25639 Filed 11-23-18; 8:45 am] BILLING CODE 4120-03-P
![Federal Register / Vol. 83, No. 227 / Monday, November 26, 2018 / Notices 60429
Information Collection: Data Collection maintaining a compliant, operational ADDRESSES: Written comments can be
to Support Eligibility Determinations for Exchange. It also provides a mechanism sent to: CMS Privacy Act Officer,
Insurance Affordability Programs and to collect innovative approaches to Division of Security, Privacy Policy &
Enrollment through Affordable meeting challenges encountered by the Governance, Information Security &
Insurance Exchanges, Medicaid and SBEs during the preceding year, as well Privacy Group, Office of Information
Children’s Health Insurance Program as to provide information to CMS Technology, CMS, 7500 Security Blvd.,
Agencies; Use: Information collected by regarding potential changes in priorities Baltimore, MD 21244–1870, Mailstop:
the Marketplace, Medicaid or CHIP and approaches for the upcoming year. N3–15–25, or by email to: walter.stone@
agency will be used to determine Form Number: CMS–10507 (OMB cms.hhs.gov. Comments received will be
eligibility for coverage through the control number: 0938–1244); Frequency: available for review at this location, by
Marketplace and insurance affordability Annually; Affected Public: State, Local, appointment, during regular business
programs (i.e., Medicaid, CHIP, and or Tribal governments; Number of hours, Monday through Friday from
advance payment of the premium tax Respondents: 17; Total Annual 9:00 a.m. to 3:00 p.m.
credits), and assist consumers in Responses: 17; Total Annual Hours:
enrolling in a QHP if eligible. FOR FURTHER INFORMATION CONTACT: If
3,415. (For policy questions regarding
Applicants include anyone who may be you have questions about the matching
this collection contact Christy Woods at
eligible for coverage through any of program, you may contact Jack Lavelle,
301–492–5140.)
these programs. Senior Advisor, Marketplace Eligibility
Dated: November 20, 2018. and Enrollment Group, Center for
The Marketplace verifies the
information provided on the William N. Parham, III, Consumer Information and Insurance
application, communicates with the Director, Paperwork Reduction Staff, Office Oversight, CMS, 7501 Wisconsin Ave.,
applicant or his/her authorized of Strategic Operations and Regulatory Bethesda, MD 20814, (410) 786–0639, or
Affairs. by email at Jack.Lavelle1@cms.hhs.gov.
representative and subsequently
provides the information to the health [FR Doc. 2018–25700 Filed 11–23–18; 8:45 am]
The
SUPPLEMENTARY INFORMATION:
plan selected by the applicant so that it BILLING CODE 4120–01–P
Privacy Act of 1974, as amended (5
can enroll him/her in a QHP. The U.S.C. 552a) provides certain
Marketplace also uses the information protections for individuals applying for
provided in support of its ongoing DEPARTMENT OF HEALTH AND
HUMAN SERVICES and receiving federal benefits. The law
operations, including activities such as governs the use of computer matching
verifying continued eligibility for all by federal agencies when records in a
Centers for Medicare & Medicaid
programs, processing appeals, reporting system of records (meaning, federal
Services
on and managing the insurance agency records about individuals
affordability programs for eligible Privacy Act of 1974; Matching Program retrieved by name or other personal
individuals, performing oversight and identifier) are matched with records of
quality control activities, combatting AGENCY: Centers for Medicare & other federal or non-federal agencies.
fraud, and responding to any concerns Medicaid Services (CMS), Department The Privacy Act requires agencies
about the security or confidentiality of of Health and Human Services (HHS) involved in a matching program to:
the information. Form Number: CMS–
ACTION: Notice of a New Matching 1. Enter into a written agreement,
10440 (OMB control number: 0938–
Program. which must be prepared in accordance
1191); Frequency: Annually; Affected
Public: Private Sector (Business or other with the Privacy Act, approved by the
SUMMARY: In accordance with subsection Data Integrity Board of each source and
for-profits, Not-for-Profit Institutions); (e)(12) of the Privacy Act of 1974, as
Number of Respondents: 4,662,000; recipient federal agency, provided to
amended, the Department of Health and Congress and the Office of Management
Total Annual Responses: 4,662,000; Human Services (HHS), Centers for
Total Annual Hours: 946,386. (For and Budget (OMB), and made available
Medicare & Medicaid Services (CMS) is to the public, as required by 5 U.S.C.
policy questions regarding this providing notice of a new matching
collection contact Anne Pesto at 410– 552a(o), (u)(3)(A), and (u)(4).
program between CMS and the Peace
786–3492.) Corps, ‘‘Verification of Eligibility for 2. Notify the individuals whose
3. Type of Information Collection information will be used in the
Minimum Essential Coverage Under the
Request: Revision of a currently matching program that the information
Patient Protection and Affordable Care
approved collection; Title of they provide is subject to verification
Act Through a Peace Corps Health
Information Collection: State-based through matching, as required by 5
Benefit Plan.’’
Exchange Annual Report Tool U.S.C. 552a(o)(1)(D).
(SMART); Use: The annual report is the DATES: The deadline for comments on
3. Verify match findings before
primary vehicle to insure this notice is December 26, 2018.The re-
suspending, terminating, reducing, or
comprehensive compliance with all established matching program will
making a final denial of an individual’s
reporting requirements contained in the commence not sooner than 30 days after
benefits or payments or taking other
Affordable Care Act (ACA). It is publication of this notice, provided no
adverse action against the individual, as
specifically called for in Section comments are received that warrant a
required by 5 U.S.C. 552a(p).
1313(a)(1) of the Act which requires an change to this notice. The matching
State Based Exchange (SBEs) (including program will be conducted for an initial 4. Report the matching program to
an Exchange using the Federal Platform) term of 18 months (from approximately Congress and the OMB, in advance and
to keep an accurate accounting of all January 2019 to June 2020) and within annually, as required by 5 U.S.C.
activities, receipts, and expenditures, 3 months of expiration may be renewed 552a(o) (2)(A)(i), (r), and (u)(3)(D).
and to submit a report annually to the for one additional year if the parties 5. Publish advance notice of the
Secretary concerning such accounting. make no change to the matching matching program in the Federal
CMS and other Federal agencies use program and certify that the program Register as required by 5 U.S.C.
the information collected from the has been conducted in compliance with 552a(e)(12). This matching program
SMART to determine if a state is the matching agreement. meets these requirements.
VerDate Sep<11>2014 17:28 Nov 23, 2018 Jkt 247001 PO 00000 Frm 00039 Fmt 4703 Sfmt 4703 E:\FR\FM\26NON1.SGM 26NON1](https://thefederalregister.org/doc/83_FR_60656/page/1.svg)
![60430 Federal Register / Vol. 83, No. 227 / Monday, November 26, 2018 / Notices
This matching program meets these • Active and recently separated Peace Applicant and Service Records System,
requirements. Corps volunteers, identified in data 75 FR 53000 (Oct. 14, 2010). Routine
CMS receives from the Peace Corps; and use (i), which authorizes disclosure of
Barbara Demopulos,
• Consumers who apply for or are records ‘‘to verify active or former
CMS Privacy Advisor, Information Security enrolled in private insurance coverage Volunteer service,’’ authorizes the Peace
and Privacy Group, Division of Security,
under a qualified health plan through a Corps’ disclosures to CMS.
Privacy Policy and Governance, Office of
Information Technology, Centers for Medicare federally-facilitated health insurance [FR Doc. 2018–25639 Filed 11–23–18; 8:45 am]
& Medicaid Services. exchange (and other relevant BILLING CODE 4120–03–P
individuals, such as applicants’ and
Participating Agencies enrollees’ household members), whose
records are matched against the data DEPARTMENT OF HEALTH AND
Department of Health and Human
CMS receives from the Peace Corps. HUMAN SERVICES
Services (HHS), Centers for Medicare &
Medicaid Services (CMS), and the Peace Categories of Records National Institutes of Health
Corps. The categories of records which will
Authority for Conducting the Matching be provided by the Peace Corps to CMS National Institute of Allergy and
Program in this matching program are identity Infectious Diseases; Notice of
records and minimum essential Meetings
The statutory authority for the coverage period records, consisting of Pursuant to section 10(a) of the
matching program is 42 U.S.C. 18001, et these data elements: Federal Advisory Committee Act, as
seq. 1. Record type. amended, notice is hereby given of
2. data record number. meetings of the AIDS Research Advisory
Purpose(s)
3. social security number of Peace Committee, NIAID.
The purpose of the matching program Corps volunteer. The meetings will be open to the
is to assist CMS in determining 4. last name of Peace Corps volunteer. public, with attendance limited to space
individuals’ eligibility for financial 5. middle name of Peace Corps available. Individuals who plan to
assistance in paying for private health volunteer. attend and need special assistance, such
insurance coverage. In this matching 6. first name of Peace Corps volunteer. as sign language interpretation or other
program, the Peace Corps provides CMS 7. gender of Peace Corps volunteer.
reasonable accommodations, should
with data identifying all Peace Corps 8. date of birth of Peace Corps
notify the Contact Person listed below
volunteers and the dates when each volunteer.
in advance of the meeting.
volunteer was eligible for coverage 9. Peace Corps volunteer coverage
begin date. Name of Committee: AIDS Research
under a Peace Corps health benefit plan, Advisory Committee, NIAID.
which CMS and state administering 10. Peace Corps volunteer actual end
Date: January 28, 2019.
entities (AEs) use to verify whether an date. Time: 1:00 p.m. to 5:00 p.m.
individual who is applying for or is 11. Peace Corps volunteer projected Agenda: Reports from the Division Director
enrolled in private health insurance coverage end date. CMS will not send and other staff.
coverage under a qualified health plan any data about individual applicants/ Place: National Institutes of Health,
through a federally-facilitated or state- enrollees to the Peace Corps in order to Natcher Building, Conference Rooms E1/E2,
receive this data about Peace Corps 45 Center Drive Bethesda, MD 20892.
based health insurance exchange is Contact Person: Mark A. Mueller,
eligible for coverage under a Peace volunteers. The Peace Corps will send
CMS a bulk file each day from Tuesday Executive Secretary, AIDS Research Advisory
Corps health benefit plan. CMS makes Committee, Division of AIDS, NIAID/NIH,
the data provided by the Peace Corps through Saturday, which will contain 5601 Fishers Lane, RM 8D39, Bethesda, MD
available to AEs through a data services this data for all active Peace Corps 20892, 301–402–2308, mark.mueller@
hub to use in determining the volunteers and all Peace Corps nih.gov.
applicant’s or enrollee’s eligibility for volunteers who left service within the Name of Committee: AIDS Research
financial assistance (including an prior three months. Advisory Committee, NIAID.
Date: June 3, 2019.
advance tax credit and cost sharing System(s) of Records Time: 1:00 p.m. to 5:00 p.m.
reduction, which are types of insurance Agenda: Reports from the Division Director
The records used in this matching
affordability programs) in paying for and other staff.
program about Peace Corps volunteers
private health insurance coverage. Peace Place: National Institutes of Health,
will be disclosed to CMS from the Peace
Corps health benefit plans provide Natcher Building, Conference Rooms E1/E2,
Corps system of records identified 45 Center Drive, Bethesda, MD 20892.
minimum essential coverage, and
below, and will be matched against Contact Person: Mark A. Mueller,
eligibility for such plans usually
applicant/enrollee records in the CMS Executive Secretary, AIDS Research Advisory
precludes eligibility for financial
system of records identified below: Committee, Division of AIDS, NIAID/NIH,
assistance in paying for private
5601 Fishers Lane, RM 8D39 Bethesda, MD
coverage. The data provided by the A. System of Records Maintained by 20892, 301–402–2308, mark.mueller@
Peace Corps under this matching CMS nih.gov.
program will be used by CMS and AEs • MCMS Health Insurance Exchanges Name of Committee: AIDS Research
to authenticate identity, determine System (HIX), CMS System No. 09–70– Advisory Committee, NIAID.
eligibility for financial assistance, and 0560, last published in full at 78 FR Date: September 9, 2019.
determine the amount of the financial 63211 (Oct. 23, 2013), as amended at 83 Time: 1:00 p.m. to 5:00 p.m.
assistance. Agenda: Reports from the Division Director
FR 6591 (Feb. 14, 2018). and other staff.
Categories of Individuals B. System of Records Maintained by the Place: National Institutes of Health,
Peace Corps Natcher Building, Conference Rooms, E1/E2,
The categories of individuals whose 45 Center Drive, Bethesda, MD 20892.
information is involved in the matching • Peace Corps Manual Section 897, Contact Person: Mark A. Mueller,
program are: Attachment B, PC–17 Volunteer Executive Secretary, AIDS Research Advisory
VerDate Sep<11>2014 17:28 Nov 23, 2018 Jkt 247001 PO 00000 Frm 00040 Fmt 4703 Sfmt 4703 E:\FR\FM\26NON1.SGM 26NON1](https://thefederalregister.org/doc/83_FR_60656/page/2.svg)
Document Created: 2018-11-24 00:51:36
Document Modified: 2018-11-24 00:51:36
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice of a New Matching Program. | |
| Dates | The deadline for comments on this notice is December 26, 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 January 2019 to June 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. | |
| 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] | |
| FR Citation | 83 FR 60429 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR