[Federal Register Volume 79, Number 109 (Friday, June 6, 2014)]
[Notices]
[Pages 32741-32742]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-13249]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS Computer Match No. 2013-12; HHS Computer Match No. 1307; SSA 
Computer Match No. 1097-1899]


Privacy Act of 1974

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

ACTION: Notice of Modification of Existing Computer Matching Program 
(CMP).

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SUMMARY: In accordance with the requirements of the Privacy Act of 1974 
(5 U.S.C. 552a), as amended, CMS proposes the following modifications 
to the existing CMP ``Computer Matching Agreement between the 
Department of Health and Human Services, Centers for Medicare & 
Medicaid Services and the Social Security Administration for 
Determining Enrollment or Eligibility for Insurance Affordability 
Programs under the Patient Protection and Affordable Care Act'', CMS 
Computer Match No. 2013-12, HHS Computer Match No. 1307, SSA Computer 
Match No. 1097-1899, published at 78 FR 48170 (August 7, 2013):
    1. Add a statement that CMS is responsible for providing and 
publishing notice of any modification of the matching program;
    2. Add Quarters of Coverage to the list of data elements that SSA 
will provide to CMS; add qualifiers, so that the response that SSA will 
provide to CMS is limited to data elements that are ``relevant and 
responsive to CMS' request;'' and
    3. Increase two estimates (total number of batch transactions in 
2014, and total number of batch transactions in the highest month in 
2014) to update the number of transactions approximated for Fiscal Year 
2014.

DATES: Effective Dates: Comments are invited on all portions of this 
notice. Public comments are due 30 days after publication. The 
modifications to the existing matching program will become effective no 
sooner than 40 days after the report of the modifications is sent to 
the 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: Aaron Wesolowski, Director, 
Verifications Policy & Operations Branch, Division of Eligibility and 
Enrollment Policy and Operations, Center for Consumer Information and 
Insurance Oversight, CMS, 7501 Wisconsin Avenue, Bethesda, MD 20814, 
Office Phone: (301) 492-4416, Facsimile: (443) 380-5531, E-Mail: 
[email protected]

SUPPLEMENTARY INFORMATION: CMS proposes to modify the existing CMP as 
follows:
    1. Revise the ``Responsibilities of the Parties'' section at 
IV.A.6. to add that CMS will be responsible for providing and 
publishing ``notice of any modification of this Matching Program'';
    2. Revise the ``Description of Matched Records'' section at VI.B.5. 
by adding Quarters of Coverage to the list of data elements provided by 
SSA; and to replace the phrase ``SSA will provide CMS a response 
including'' with the more limiting phrase ``Depending on CMS's request, 
SSA's response will include each of the following data elements that 
are relevant and responsive to CMS's request''; and
    3. Revise the chart in the ``Description of Matched Records'' 
section at VI.C. to reflect updated estimates of the (1) total number 
of batch transactions in 2014 (increasing the estimate from 5.6 million 
to 18,166,666) and (2) total number of batch transactions in the 
highest month in 2014 (increasing the estimate from 5.6 million to 
11,883,333).
    The proposed modifications to the existing matching program meet 
the requirements of the Privacy Act of 1974, as amended.

    Dated: June 2, 2014.
David Nelson,
Deputy Chief Operating Officer, Centers for Medicare & Medicaid 
Services.
CMS Computer Match No. 2013-12
HHS Computer Match No. 1307
SSA Computer Match No. 1097-1899

NAME:
    ``Modification to Computer Matching Agreement between the 
Department of Health and Human Services, Centers for Medicare & 
Medicaid Services and the Social Security Administration for 
Determining Enrollment or Eligibility for Insurance Affordability 
Programs under the Patient Protection and Affordable Care Act''

SECURITY CLASSIFICATION:
    Unclassified

PARTICIPATING AGENCIES:
    Department of Health and Human Services (HHS), Centers for Medicare 
& Medicaid Services (CMS), and the Social Security Administration (SSA)

AUTHORITY FOR CONDUCTING MATCHING PROGRAM:
    The modifications to the existing CMP are executed to comply with 
the provisions of the Privacy Act of 1974 (5 U.S.C. 552a), as amended, 
OMB Circular A-130, titled ``Management of Federal Information 
Resources'' at 61 Federal Register (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).
    Sections 1411 and 1413 of the Patient Protection and Affordable 
Care Act of 2010 (Pub. L. 111-148), as amended by the Health Care and 
Education Reconciliation Act of 2010 (Pub. L. 111-152) (collectively, 
the ACA) require the Secretary of HHS to establish a program for 
determining eligibility for certain Insurance Affordability Programs, 
certifications of Exemption, and authorize use of secure, electronic 
interfaces and an on-line system for the verification of eligibility. 
Pursuant to 5 U.S.C. 552(b)(3) Federal agencies, such as HHS/CMS and 
SSA, may disclose information from their SORs under a routine use.

PURPOSE(S) OF THE MATCHING PROGRAM:
    SSA and HHS/CMS are parties to a Computer Matching and Privacy 
Protection Act Agreement, CMS Agreement No. 2013-12, HHS Agreement No. 
1307, SSA Agreement No. 1097-1899 (the Agreement), regarding the terms, 
conditions, safeguards, and procedures under which SSA will disclose 
information to CMS in connection with the administration of Insurance 
Affordability Programs under the Patient Protection and Affordable Care 
Act of 2010 (Pub. L. 111-148), as amended by the Health Care and 
Education Reconciliation Act of 2010 (Pub. L. 111-152) (collectively, 
the ACA) and its implementing regulations. Under the Agreement, SSA 
will provide data to CMS and CMS will use SSA data needed to make 
initial Eligibility Determinations, Eligibility Redeterminations and 
Renewal decisions, including appeal determinations, for Insurance 
Affordability Programs (as defined

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under the Agreement) and Certifications of Exemption.

DESCRIPTION OF RECORDS TO BE USED IN THE MATCHING PROGRAM:
    The matching program is conducted with data maintained by CMS in 
the Health Insurance Exchanges System (HIX), CMS System No. 09-70-0560, 
as amended, published at 78 FR 8538 (Feb. 6, 2013), 78 FR 32256 (May 
29, 2013) and 78 FR 63211 (October 23, 2013).
    The matching program is also conducted with data maintained by SSA 
in the following SORs:
     Master Files of SSN Holders and SSN Applications, SSA/
OEEAS, 60-0058, 75 FR 82121 (December 29, 2010), as amended 78 FR 40542 
(July 5, 2013);
     Prisoner Update Processing System (PUPS), SSA/OPB, 60-
0269, 64 FR 11076 (March 8, 1999), as amended 72 FR 69723 (December 10, 
2007) and 78 FR 40542 (July 5, 2013);
     Master Beneficiary Record, SSA/ORSIS, 60-0090, 71 FR 1826 
(January 11, 2006), as amended 72 FR 69723 (December 10, 2007) and 78 
FR 40542 (July 5, 2013);
     Earnings Recording and Self-Employment Income System, SSA/
OEEAS, 60-0059, 71 FR 1819 (January 11, 2006), as amended 78 FR 40542 
(July 5, 2013).

INCLUSIVE DATES OF THE MATCH:
    The modifications to the CMP shall become effective no sooner than 
40 days after the report of the modifications to the matching program 
is sent to OMB and Congress, or 30 days after publication in the 
Federal Register, whichever is later. The modifications to the existing 
matching program will continue for the duration of the Agreement and 
may be extended for an additional 12 months thereafter, if certain 
conditions are met.
[FR Doc. 2014-13249 Filed 6-5-14; 8:45 am]
BILLING CODE 4120-03-P