[Federal Register Volume 73, Number 43 (Tuesday, March 4, 2008)]
[Notices]
[Pages 11638-11643]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-4069]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services


Privacy Act of 1974; Report of a New System of Records

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

ACTION: Notice of a New System of Records (SOR).

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SUMMARY: In accordance with the Privacy Act of 1974, we are proposing 
to establish a new SOR titled, ``Medicaid Integrity Program System 
(MIPS),'' System No. 09-70-0599. With passage of the Deficit Reduction 
Act (DRA) of 2005, the Secretary of HHS was directed to establish a 
Medicaid Integrity Program (MIP) designed to provide CMS the resources 
necessary to combat fraud, waste and abuse in the Medicaid program. The 
DRA takes the partnership between CMS and the State Medicaid agencies 
to a new level. The MIP represents CMS' first national strategy to 
combat fraud and abuse in the 41-year history of the Medicaid program. 
MIP offers a unique opportunity to identify, recover and prevent 
inappropriate Medicaid payments. It will also support the efforts of 
State Medicaid agencies through a combination of oversight and 
technical assistance. Although individual States work to ensure the 
integrity of their respective Medicaid programs, MIP provides CMS with 
the ability to more directly ensure the accuracy of Medicaid payments 
and to deter those

[[Page 11639]]

who would exploit the program. It advances these goals which are shared 
by the States and the Federal government. The combined Federal and 
State resources for preventing fraud will be marshaled more effectively 
than ever.
    The primary purpose of this system is to establish an accurate, 
current, and comprehensive database containing standardized enrollment, 
eligibility, and paid claims of Medicaid beneficiaries to assist in the 
detection of fraud, waste and abuse in the Medicare and Medicaid 
programs. Information retrieved from this system will also be disclosed 
to: (1) Support regulatory, reimbursement, and policy functions 
performed within the agency or by a contractor, consultant or a CMS 
grantee; (2) assist another Federal or state agency with information to 
enable such agency to administer a Federal health benefits program, or 
to enable such agency to fulfill a requirement of Federal statute or 
regulation that implements a health benefits program funded in whole or 
in part with Federal funds; (3) support a research or evaluation 
project; (4) support litigation involving the agency; and (5) combat 
fraud, waste, and abuse in a federally-funded health benefit program. 
We have provided background information about the new system in the 
``Supplementary Information'' section below. Although the Privacy Act 
requires only that CMS provide an opportunity for interested persons to 
comment on the routine uses, CMS invites comments on all portions of 
this notice. See ``Effective Dates'' section for comment period.

DATES: Effective Dates: CMS filed a new system report with the Chair of 
the House Committee on Oversight and Government Reform, the Chair of 
the Senate Committee on Homeland Security & Governmental Affairs, and 
the Administrator, Office of Information and Regulatory Affairs, Office 
of Management and Budget (OMB) on February 26, 2008. To ensure that all 
parties have adequate time in which to comment, the new system, 
including routine uses, will become effective 30 days from the 
publication of the notice, or 40 days from the date it was submitted to 
OMB and Congress, whichever is later, unless CMS receives comments that 
require alterations to this notice.

ADDRESSES: The public should address comments to: CMS Privacy Officer, 
Division of Privacy Compliance, Enterprise Architecture and Strategy 
Group, Office of Information Services, CMS, Room N2-04-27, 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 a.m.-3 p.m., 
Eastern Time zone.

FOR FURTHER INFORMATION CONTACT: James Gorman, Director, Division of 
Medicaid Integrity Contracting, Program Integrity Group, Center for 
Medicaid and State Operations, CMS, Mail Stop B2-2923, 7111 Security 
Boulevard, Baltimore, Maryland 21244-1850. He can also be reached by 
telephone at 410-786-1417, or via e-mail at [email protected].

SUPPLEMENTARY INFORMATION: With passage of the Deficit Reduction Act 
(DRA) of 2005 the Department of Health and Human Services was directed 
to establish a Medicaid Integrity Program (MIP) designed to provide CMS 
the resources necessary to combat fraud, waste and abuse in Medicaid. 
Section 6034 of the DRA requires that a comprehensive plan be developed 
every five years by a collective group including the Secretary of 
Health and Human Services (HHS), the United States Attorney General, 
the Director of the Federal Bureau of Investigation, the Comptroller 
General of the United States, the Inspector General of HHS, and state 
officials with responsibility for controlling provider fraud and abuse 
under Medicaid. The MIP planning group has broadly interpreted ``state 
officials'' to represent directors from State Medicaid programs, their 
program integrity units, and Medicaid Fraud Control Units. CMS' Center 
for Medicaid and State Operations (CMSO) is responsible for agency 
activities related to Medicaid and will be organizationally responsible 
for the administration of the MIP.

I. Description of the Proposed System of Records

A. Statutory and Regulatory Basis for SOR

    Authority for maintenance of the system is given under Sec.  6034 
of the Deficient Reduction Act of 2005 Act (Pub. L. 109-171) (revising 
Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) which 
establishes the Medicaid Integrity Program under which the Secretary 
shall provide CMS the resources necessary to combat fraud, waste and 
abuse in the Medicaid program.

B. Collection and Maintenance of Data in the System

    MIPS contain information on Medicaid beneficiaries, and physicians 
and other providers involved in furnishing services to Medicaid 
beneficiaries. Information contained in this system includes, but is 
not limited to: assigned Medicaid identification number, name, address, 
social security number, health insurance claim number, date of birth, 
gender, ethnicity and race, medical services, equipment, and supplies 
for which Medicaid reimbursement is requested, and materials used to 
determine amount of benefits allowable under Medicaid. Information on 
physicians and other providers of services to the beneficiary consist 
of an assigned provider identification number, and information used to 
determine whether a sanction or suspension is warranted.

II. Agency Policies, Procedures, and Restrictions on Routine Uses

A. Agency Policies, Procedures, and Restrictions on the Routine Use

    The Privacy Act permits us to disclose information without an 
individual's consent if the information is to be used for a purpose 
that is compatible with the purpose(s) for which the information was 
collected. Any such disclosure of data is known as a ``routine use.'' 
The government will only release MIPS information that can be 
associated with an individual as provided for under ``Section III. 
Proposed Routine Use Disclosures of Data in the System.'' Both 
identifiable and non-identifiable data may be disclosed under a routine 
use.
    We will only collect the minimum personal data necessary to achieve 
the purpose of MIPS. CMS has the following policies and procedures 
concerning disclosures of information that will be maintained in the 
system. Disclosure of information from this system will be approved 
only to the extent necessary to accomplish the purpose of the 
disclosure and only after CMS:
    1. Determines that the use or disclosure is consistent with the 
reason that the data is being collected, e.g., to establish an 
accurate, current, and comprehensive database containing standardized 
enrollment, eligibility, and paid claims of Medicaid beneficiaries to 
be used for the administration of Medicaid at the Federal level, 
produce statistical reports, support Medicaid related research, and 
assist in the detection of fraud and abuse in the Medicare and Medicaid 
programs.
    2. Determines that:
    a. The purpose for which the disclosure is to be made can only be 
accomplished if the record is provided in individually identifiable 
form;
    b. The purpose for which the disclosure is to be made is of 
sufficient importance to warrant the effect and/or risk on the privacy 
of the individual that

[[Page 11640]]

additional exposure of the record might bring; and
    c. There is a strong probability that the proposed use of the data 
would in fact accomplish the stated purpose(s).
    3. Requires the information recipient to:
    a. Establish administrative, technical, and physical safeguards to 
prevent unauthorized use of disclosure of the record;
    b. Remove or destroy at the earliest time all patient-identifiable 
information; and
    c. Agree to not use or disclose the information for any purpose 
other than the stated purpose under which the information was 
disclosed.
    4. Determines that the data are valid and reliable.

III. Proposed Routine Use Disclosures of Data In the System

    A. The Privacy Act allows us to disclose information without an 
individual's consent if the information is to be used for a purpose 
that is compatible with the purpose(s) for which the information was 
collected. Any such compatible use of data is known as a ``routine 
use.'' The proposed routine uses in this system meet the compatibility 
requirement of the Privacy Act. We are proposing to establish the 
following routine use disclosures of information maintained in the 
system:
    1. To support agency contractors, or consultants, or to a grantee 
of a CMS-administered grant program who have been engaged by the agency 
to assist in the accomplishment of a CMS function relating to the 
purposes for this system and who need to have access to the records in 
order to assist CMS.
    We contemplate disclosing this information under this routine use 
only in situations in which CMS may enter into a contractual or similar 
agreement with a third party to assist in accomplishing a CMS function 
relating to purposes for this system.
    CMS occasionally contracts out certain of its functions when doing 
so would contribute to effective and efficient operations. CMS must be 
able to give a contractor, consultant or grantee whatever information 
is necessary for the contractor, or consultant to fulfill its duties. 
In these situations, safeguards are provided in the contract 
prohibiting the contractor, consultant or grantee from using or 
disclosing the information for any purpose other than that described in 
the contract and requires the contractor, consultant or grantee to 
return or destroy all information at the completion of the contract.
    2. To assist another Federal or state agency to:
    a. Contribute to the accuracy of CMS' proper payment of Medicare/
Medicaid benefits; and/or
    b. Enable such agency to administer a Federal health benefits 
program, or as necessary to enable such agency to fulfill a requirement 
of a Federal statute or regulation that implements a health benefits 
program funded in whole or in part with Federal funds; and/or
    c. Assist Federal/state Medicaid programs within the state.
    Other Federal or state agencies in their administration of a 
Federal health program may require MIPS information for the purposes of 
determining, evaluating, and/or assessing cost, effectiveness, and/or 
the quality of health care services provided in the state.
    CMS may require MIPS data to enable them to assist in the 
implementation and maintenance of the Medi-Medi program.
    Disclosure under this routine use shall be used by state Medicaid 
agencies pursuant to agreements with HHS for determining Medicaid and 
Medicare eligibility, for quality control studies, for determining 
eligibility of recipients of assistance under Title IV, XVIII, XIX and 
XXI of the Act, and for the administration of the Medicaid program.
    Data will be released to the state only on those individuals who 
are eligible enrollees, and beneficiaries under the services of a 
Medicaid program within the state or who are residents of that state.
    We also contemplate disclosing information under this routine use 
in situations in which state auditing agencies require MIPS information 
for auditing state Medicaid eligibility considerations. CMS may enter 
into an agreement with state auditing agencies to assist in 
accomplishing functions relating to purposes for this system of 
records.
    3. To support an individual or organization for a research project 
or in support of an evaluation project related to the prevention of 
disease or disability, the restoration or maintenance of health, or 
payment related projects.
    The MIPS data will provide for research or in support of evaluation 
projects, a broader, national perspective of the status of Medicare 
beneficiaries. CMS anticipates that many researchers will have 
legitimate requests to use these data in projects that could ultimately 
improve the care provided to Medicare beneficiaries and the policy that 
governs the care.
    4. To support the Department of Justice (DOJ), court or 
adjudicatory body when:
    a. The agency or any component thereof, or
    b. Any employee of the agency in his or her official capacity, or
    c. Any employee of the agency in his or her individual capacity 
where the DOJ has agreed to represent the employee, or
    d. The United States Government is a party to litigation or has an 
interest in such litigation, and by careful review, CMS determines that 
the records are both relevant and necessary to the litigation and that 
the use of such records by the DOJ, court or adjudicatory body is 
compatible with the purpose for which the agency collected the records.
    Whenever CMS is involved in litigation, and occasionally when 
another party is involved in litigation and CMS' policies or operations 
could be affected by the outcome of the litigation, CMS would be able 
to disclose information to the DOJ, court or adjudicatory body 
involved.
    5. To assist a CMS contractor (including, but not necessarily 
limited to fiscal intermediaries and carriers) that assists in the 
administration of a CMS-administered health benefits program, or to a 
grantee of a CMS-administered grant program, when disclosure is deemed 
reasonably necessary by CMS to prevent, deter, discover, detect, 
investigate, examine, prosecute, sue with respect to, defend against, 
correct, remedy, or otherwise combat fraud or abuse in such program.
    We contemplate disclosing information under this routine use only 
in situations in which CMS may enter into a contractual relationship or 
grant with a third party to assist in accomplishing CMS functions 
relating to the purpose of combating fraud and abuse.
    CMS occasionally contracts out certain of its functions and makes 
grants when doing so would contribute to effective and efficient 
operations. CMS must be able to give a contractor or grantee whatever 
information is necessary for the contractor or grantee to fulfill its 
duties. In these situations, safeguards are provided in the contract 
prohibiting the contractor or grantee from using or disclosing the 
information for any purpose other than that described in the contract 
and requiring the contractor or grantee to return or destroy all 
information.
    6. To assist another Federal agency or to assist an instrumentality 
of any governmental jurisdiction within or under the control of the 
United States

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(including any State or local governmental agency), that administers, 
or that has the authority to investigate potential fraud or abuse in, a 
health benefits program funded in whole or in part by Federal funds, 
when disclosure is deemed reasonably necessary by CMS to prevent, 
deter, discover, detect, investigate, examine, prosecute, sue with 
respect to, defend against, correct, remedy, or otherwise combat fraud 
or abuse in such programs.
    Other agencies may require MIPS information for the purpose of 
combating fraud and abuse in such Federally-funded programs.

B. Additional Provisions Affecting Routine Use Disclosures

    To the extent this system contains Protected Health Information 
(PHI) as defined by HHS regulation ``Standards for Privacy of 
Individually Identifiable Health Information'' (45 CFR Parts 160 and 
164, 65 FR 82462 (12-28-00), Subparts A and E) disclosures of such PHI 
that are otherwise authorized by these routine uses may only be made 
if, and as, permitted or required by the ``Standards for Privacy of 
Individually Identifiable Health Information.''
    In addition, our policy will be to prohibit release even of data 
not directly identifiable, except pursuant to one of the routine uses 
or if required by law, if we determine there is a possibility that an 
individual can be identified through implicit deduction based on small 
cell sizes (instances where the patient population is so small that 
individuals who are familiar with the enrollees could, because of the 
small size, use this information to deduce the identity of the 
beneficiary).

IV. Safeguards

    CMS has safeguards in place for authorized users and monitors such 
users to ensure against excessive or unauthorized use. Personnel having 
access to the system have been trained in the Privacy Act and 
information security requirements. Employees who maintain records in 
this system are instructed not to release data until the intended 
recipient agrees to implement appropriate management, operational and 
technical safeguards sufficient to protect the confidentiality, 
integrity and availability of the information and information systems 
and to prevent unauthorized access.
    This system will conform to all applicable Federal laws and 
regulations and Federal, HHS, and CMS policies and standards as they 
relate to information security and data privacy. These laws and 
regulations may apply but are not limited to: The Privacy Act of 1974; 
the Federal Information Security Management Act of 2002; the Computer 
Fraud and Abuse Act of 1986; the Health Insurance Portability and 
Accountability Act of 1996; the E-Government Act of 2002, the Clinger-
Cohen Act of 1996; the Medicare Modernization Act of 2003, and the 
corresponding implementing regulations. OMB Circular A-130, Management 
of Federal Resources, Appendix III, Security of Federal Automated 
Information Resources also applies. Federal, HHS, and CMS policies and 
standards include but are not limited to: All pertinent National 
Institute of Standards and Technology publications; the HHS Information 
Systems Program Handbook and the CMS Information Security Handbook.

V. Effects of the Proposed System of Records on Individual Rights

    CMS proposes to establish this system in accordance with the 
principles and requirements of the Privacy Act and will collect, use, 
and disseminate information only as prescribed therein. Data in this 
system will be subject to the authorized releases in accordance with 
the routine uses identified in this system of records.
    CMS will take precautionary measures (see item IV above) to 
minimize the risks of unauthorized access to the records and the 
potential harm to individual privacy or other personal or property 
rights of patients whose data are maintained in the system. CMS will 
collect only that information necessary to perform the system's 
functions. In addition, CMS will make disclosure from the proposed 
system only with consent of the subject individual, or his/her legal 
representative, or in accordance with an applicable exception provision 
of the Privacy Act. CMS, therefore, does not anticipate an unfavorable 
effect on individual privacy as a result of information relating to 
individuals.

    Dated: February 25, 2008.
Charlene Frizzera,
Chief Operating Officer, Centers for Medicare & Medicaid Services.
SYSTEM NO. 09-70-0599

SYSTEM NAME:
    ``Medicaid Integrity Program System (MIPS),'' HHS/CMS/CMSO.

SECURITY CLASSIFICATION:
    Level Three Privacy Act Sensitive Data.

SYSTEM LOCATION:
    The Centers for Medicare & Medicaid Services (CMS) Data Center, 
7500 Security Boulevard, North Building, First Floor, Baltimore, 
Maryland 21244-1850 and at various contractor sites and at CMS Regional 
Offices.

CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM:
    MIPS contain information on Medicaid beneficiaries, and physicians 
and other providers involved in furnishing services to Medicaid 
beneficiaries.

CATEGORIES OF RECORDS IN THE SYSTEM:
    Information contained in this system includes, but is not limited 
to: Assigned Medicaid identification number, name, address, social 
security number (SSN), health insurance claim number (HICN), date of 
birth, gender, ethnicity and race, medical services, equipment, and 
supplies for which Medicaid reimbursement is requested, and materials 
used to determine amount of benefits allowable under Medicaid. 
Information on physicians and other providers of services to the 
beneficiary consist of an assigned provider identification number, and 
information used to determine whether a sanction or suspension is 
warranted.

AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
    Authority for maintenance of the system is given under section 6034 
of the Deficient Reduction Act of 2005 Act (Pub. L. 109-171) (revising 
Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.)) which 
establishes the Medicaid Integrity Program under which the Secretary 
shall provide CMS the resources necessary to combat fraud, waste and 
abuse in the Medicaid program.

PURPOSE(S) OF THE SYSTEM:
    The primary purpose of this system is to establish an accurate, 
current, and comprehensive database containing standardized enrollment, 
eligibility, and paid claims of Medicaid beneficiaries to assist in the 
detection of fraud, waste and abuse in the Medicare and Medicaid 
programs. Information retrieved from this system will also be disclosed 
to: (1) Support regulatory, reimbursement, and policy functions 
performed within the agency or by a contractor, consultant or a CMS 
grantee; (2) assist another Federal or state agency with information to 
enable such agency to administer a Federal health benefits program, or 
to enable such agency to fulfill a requirement of Federal statute or 
regulation that implements a health benefits program funded in whole or 
in part with Federal funds; (3) support a research or evaluation 
project; (4) support litigation involving the agency; and (5) combat 
fraud, waste, and abuse

[[Page 11642]]

in a federally-funded health benefit program.

ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES 
OR USERS AND THE PURPOSES OF SUCH USES:
    A. The Privacy Act allows us to disclose information without an 
individual's consent if the information is to be used for a purpose 
that is compatible with the purpose(s) for which the information was 
collected. Any such compatible use of data is known as a ``routine 
use.'' The proposed routine uses in this system meet the compatibility 
requirement of the Privacy Act. We are proposing to establish the 
following routine use disclosures of information maintained in the 
system:
    1. To agency contractors, or consultants, or to a grantee of a CMS-
administered grant program who have been engaged by the agency to 
assist in the accomplishment of a CMS function relating to the purposes 
for this system and who need to have access to the records in order to 
assist CMS.
    2. To another Federal or state agency to:
    a. Contribute to the accuracy of CMS' proper management of 
Medicare/Medicaid benefits; and/or
    b. Enable such agency to administer a Federal health benefits 
program, or as necessary to enable such agency to fulfill a requirement 
of a Federal statute or regulation that implements a health benefits 
program funded in whole or in part with Federal funds; and/or
    c. Assist Federal/state Medicaid programs within the state.
    3. To an individual or organization for a research project or in 
support of an evaluation project related to the prevention of disease 
or disability, the restoration or maintenance of health, or payment 
related projects.
    4. To the Department of Justice (DOJ), court or adjudicatory body 
when:
    a. The agency or any component thereof, or
    b. any employee of the agency in his or her official capacity, or
    c. any employee of the agency in his or her individual capacity 
where the DOJ has agreed to represent the employee, or
    d. the United States Government is a party to litigation or has an 
interest in such litigation, and by careful review, CMS determines that 
the records are both relevant and necessary to the litigation and that 
the use of such records by the DOJ, court or adjudicatory body is 
compatible with the purpose for which the agency collected the records.
    5. To a CMS contractor (including, but not necessarily limited to 
fiscal intermediaries and carriers) that assists in the administration 
of a CMS-administered health benefits program, or to a grantee of a 
CMS-administered grant program, when disclosure is deemed reasonably 
necessary by CMS to prevent, deter, discover, detect, investigate, 
examine, prosecute, sue with respect to, defend against, correct, 
remedy, or otherwise combat fraud or abuse in such program.
    6. To another Federal agency or to an instrumentality of any 
governmental jurisdiction within or under the control of the United 
States (including any State or local governmental agency), that 
administers, or that has the authority to investigate potential fraud 
or abuse in, a health benefits program funded in whole or in part by 
Federal funds, when disclosure is deemed reasonably necessary by CMS to 
prevent, deter, discover, detect, investigate, examine, prosecute, sue 
with respect to, defend against, correct, remedy, or otherwise combat 
fraud or abuse in such programs.
    B. Additional Provisions Affecting Routine Use Disclosures
    To the extent this system contains Protected Health Information 
(PHI) as defined by HHS regulation ``Standards for Privacy of 
Individually Identifiable Health Information'' (45 CFR Parts 160 and 
164, 65 FR 82462 (12-28-00), Subparts A and E) disclosures of such PHI 
that are otherwise authorized by these routine uses may only be made 
if, and as, permitted or required by the ``Standards for Privacy of 
Individually Identifiable Health Information.''
    In addition, our policy will be to prohibit release even of data 
not directly identifiable, except pursuant to one of the routine uses 
or if required by law, if we determine there is a possibility that an 
individual can be identified through implicit deduction based on small 
cell sizes (instances where the patient population is so small that 
individuals who are familiar with the enrollees could, because of the 
small size, use this information to deduce the identity of the 
beneficiary).

POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING, 
AND DISPOSING OF RECORDS IN THE SYSTEM:
STORAGE:
    All records are stored on computer diskette and magnetic media.

RETRIEVABILITY:
    Information can be retrieved by the assigned beneficiary 
identification number, SSN, HICN, and the assigned physician or other 
providers of services identification number.

SAFEGUARDS:
    CMS has safeguards in place for authorized users and monitors such 
users to ensure against excessive or unauthorized use. Personnel having 
access to the system have been trained in the Privacy Act and 
information security requirements. Employees who maintain records in 
this system are instructed not to release data until the intended 
recipient agrees to implement appropriate management, operational and 
technical safeguards sufficient to protect the confidentiality, 
integrity and availability of the information and information systems 
and to prevent unauthorized access.
    This system will conform to all applicable Federal laws and 
regulations and Federal, HHS, and CMS policies and standards as they 
relate to information security and data privacy. These laws and 
regulations may apply but are not limited to: The Privacy Act of 1974; 
the Federal Information Security Management Act of 2002; the Computer 
Fraud and Abuse Act of 1986; the Health Insurance Portability and 
Accountability Act of 1996; the E-Government Act of 2002; the Clinger-
Cohen Act of 1996; the Medicare Modernization Act of 2003; and the 
corresponding implementing regulations. OMB Circular A-130, Management 
of Federal Resources, Appendix III, Security of Federal Automated 
Information Resources also applies. Federal, HHS, and CMS policies and 
standards include but are not limited to: All pertinent National 
Institute of Standards and Technology publications; the HHS Information 
Systems Program Handbook and the CMS Information Security Handbook.

RETENTION AND DISPOSAL:
    CMS will retain identifiable MIPS data for a total period not to 
exceed 5 years after the final determination of the case is completed.

SYSTEM MANAGER(S) AND ADDRESS:
    Director, Division of Medicaid Integrity Contracting, Program 
Integrity Group, Center for Medicaid and State Operations, CMS, Mail 
Stop B2-2923, 7111 Security Boulevard, Baltimore, Maryland 21244-1850.

NOTIFICATION PROCEDURE:
    For purpose of access, the subject individual should write to the 
system manager who will require the system name, HICN, address, date of 
birth, and gender, and for verification purposes, the subject 
individual's name (woman's maiden name, if applicable), and SSN. 
Furnishing the SSN is voluntary, but it

[[Page 11643]]

may make searching for a record easier and prevent delay.

RECORD ACCESS PROCEDURE:
    For purpose of access, use the same procedures outlined in 
Notification Procedures above. Requestors should also specify the 
record contents being sought. (These procedures are in accordance with 
department regulation 45 CFR 5b.5(a)(2)).

CONTESTING RECORDS PROCEDURES:
    The subject individual should contact the system manager named 
above, and reasonably identify the records and specify the information 
to be contested. State the corrective action sought and the reasons for 
the correction with supporting justification. (These Procedures are in 
accordance with Department regulation 45 CFR 5b.7).

RECORDS SOURCE CATEGORIES:
    CMS obtains the identifying information contained in this system 
from state Medicaid agencies, or Medicaid Management Information 
Systems maintained by the individual states, and information contained 
on CMS Form 2082.

SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS OF THE ACT:
    None.
 [FR Doc. E8-4069 Filed 3-3-08; 8:45 am]
BILLING CODE 4120-03-P