[Federal Register Volume 79, Number 173 (Monday, September 8, 2014)]
[Notices]
[Pages 53201-53202]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-21240]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS Computer Match No. 2014-04; HHS Computer Match No. 1402]
Privacy Act of 1974
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; the Improper Payments Elimination and Recovery
Improvement Act of 2012, Public Law (Pub. L.) 112-248, 126 Stat. 2390
(31 U.S.C. 3321 (note)); and OMB Memorandum M-13-20 (Protecting Privacy
while Reducing Improper Payments with the Do Not Pay Initiative), this
notice announces the establishment of a CMP that CMS plans to conduct
with the Bureau of the Fiscal Service (Fiscal Service), Department of
Treasury.
DATES: Effective Dates: Comments are invited on all portions of this
notice. Public comments are due 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 Office of Management and Budget
(OMB) and 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 Privacy Policy, Privacy Policy and Compliance Group, Office
of E-Health Standards & Services, Offices of Enterprise Management,
CMS, Room S2-24-25, 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: John Sofokles, Government Technical
Lead, Systems Management Division (SMD), Data Analytics and Control
Group (DACG), Center for Program Integrity (CPI), CMS, Mail Stop AR-18-
50, 7500 Security Boulevard, Baltimore, MD 21244-1805, Office Phone:
410-786-6373, Email: [email protected]
SUPPLEMENTARY INFORMATION: The Computer Matching and Privacy Protection
Act of 1988 (Pub. L. 101-503), 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 (SOR)
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 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.
Celeste Dade-Vinson,
Health Insurance Specialist, Centers for Medicare & Medicaid Services.
CMS Computer Match No. 2014-04
HHS Computer Match No. 1402
NAME:
``Computer Matching Agreement between the Department of Health and
Human Services, Centers for Medicare & Medicaid Services, and the
Department of Treasury, Bureau of the Fiscal Service to Detect
Instances of Programmatic Waste, Fraud, and Abuse''
SECURITY CLASSIFICATION:
Unclassified
PARTICIPATING AGENCIES:
Department of Health and Human Services (HHS), Centers for Medicare
& Medicaid Services (CMS) and the Department of Treasury, Bureau of the
Fiscal Service (Fiscal Service).
AUTHORITY FOR CONDUCTING MATCHING PROGRAM:
This Computer Matching Program (CMP) is executed to comply with the
provisions of the Privacy Act of 1974 (5 U.S.C. 552a), as amended, the
Improper Payments Elimination and Recovery Improvement Act of 2012,
Public Law 112-248, 126 Stat. 2390 (31 U.S.C. 3321 (note)); OMB
Memorandum M-13-20 (Protecting Privacy while Reducing Improper Payments
with the Do Not Pay Initiative); the Office of Management and Budget
(OMB) Circular A-130 entitled, Management of Federal Information
Resources, at 61 FR 6428-6435 (February 20, 1996), and OMB guidelines
pertaining to computer matching at 54 FR 25818 (June 19, 1989) and 56
FR 18599 (April 23, 1991); and the computer matching portions of
Appendix I to OMB Circular No. A-130 as amended at 61 FR 6428, February
20, 1996;
[[Page 53202]]
PURPOSE (S) OF THE MATCHING PROGRAM:
The purpose of this matching program is to reduce improper payments
by authorizing Fiscal Service to provide CMS, through the U.S.
Department of the Treasury's Working System as defined by OMB
Memorandum M-13-20 (Protecting Privacy while Reducing Improper Payments
with the Do Not Pay Initiative), identifying information from Fiscal
Service's SOR Treasury/Fiscal Service .023 about individuals and
entities excluded from receiving federal payments, contract awards, and
other benefits. The information resulting from this matching program
will be provided to CMS for use in determining whether an individual or
entity is eligible to receive federal payments, contract awards, or
other benefits. The CMS Center for Program Integrity intends to use
information resulting from this matching program in a variety of
activities related to the enrollment of healthcare professionals, to
check payments made to providers and physicians, to verify that
providers submitting claims are not deceased, and to collect debts owed
to federal or state governments.
Using a CMP for this purpose eliminates the need for each payment,
procurement and benefit program to execute several Memoranda of
Agreements with multiple federal agencies, provides access to up-to-
date information, and avoids the need to manually compare files.
DESCRIPTION OF RECORDS TO BE USED IN THE MATCHING PROGRAM:
The matching program will be conducted with data maintained by CMS
in the ``Provider Enrollment, Chain, and Ownership System (PECOS),''
System No. 09-70-0532, established at 66 FR 51961 (October 11, 2001).
PECOS routine use number 2 will allow PECOS data to be disclosed to
Fiscal Service to assist Fiscal Service in contributing to the accuracy
of CMS Medicare benefit payments. PECOS routine use number 1 will allow
match results data that PECOS obtains from Treasury's Working System to
be disclosed to CMS contractors, consultants, and grantees assisting
CMS with PECOS purposes.
Fiscal Service will provide CMS with information comprised of match
results originating from the matching activities between CMS SOR data
and Fiscal Service's Treasury/Fiscal Service .023, as published at 78
Federal Register (FR), 73923, December 9, 2013. Fiscal Service data
will be used in matching activities and match results released to CMS
via Treasury's Working System. Routine use A allows the Fiscal Service
to disclose information to CMS in identifying, preventing, or recouping
improper payments.
INCLUSIVE DATES OF THE MATCH:
The CMP shall become effective no sooner than 40 days after the
report of the matching program is sent to OMB and Congress, or 30 days
after publication in the Federal Register, whichever is later. The
matching program shall be valid for a period of less than 3 years from
the effective date and may be extended for not more than 3 years
thereafter, if certain conditions are met.
[FR Doc. 2014-21240 Filed 9-5-14; 8:45 am]
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