[Federal Register: September 15, 2006 (Volume 71, Number 179)]
[Notices]
[Page 54495-54499]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr15se06-48]
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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), Center for
Medicare & Medicaid Services (CMS).
ACTION: Notice of a New System of Records (SOR).
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SUMMARY: In accordance with the requirements of the Privacy Act of
1974, we are proposing to establish a new system titled, ``Chronic
Condition Data Repository (CCDR), System No. 09-70-0573.'' The program
is mandated by Section 723 of the Medicare Prescription Drug
Improvement and Modernization Act of 2003 (MMA) (Public Law (Pub. L.)
108-173), which was enacted into law on December 8, 2003, and amended
Title XVIII of the Social Security Act (the Act). The CCDR program
seeks to establish a data repository to study chronically ill Medicare
beneficiaries. This data repository will integrate existing data to
support studies for improving the quality of care and studies for
reducing the cost of care for chronically ill Medicare beneficiaries.
The statute is designed to reduce program spending, make current
Medicare program data more readily available to researchers to study
chronic illness in the Medicare population, improve process time for
research data request, focus on analytic prospective verses
operational, and utilize data extraction tools to organize the data.
The data collected and maintained in this system are retrieved from
the following databases: Medicare Drug Data Processing System, System
No. 09-70-0553 (70 Federal Register (FR) 58436 (October 6, 2005));
Medicare Beneficiary Database, System No. 09-70-0536 (66 FR 63392
(December 6, 2001)); Medicare Advantage Prescription Drug System,
System No. 09-70-4001 (70 FR 60530 (October 18, 2005)); Medicaid
Statistical Information System, System No. 09-70-6001 (67 FR 48906
(July 26, 2002)); Retiree Drug Subsidy Program, System No. 09-70-0550
(70 FR 41035 (July 15, 2005)); Common Working File, System No. 09-70-
0526 (67 FR 3210 (January 23, 2002)); National Claims History, System
No. 09-70-0005 (67 FR 57015 (September 6, 2002)); Enrollment Database,
System No. 09-70-0502 (67 FR 3203 (January 23, 2002)); Carrier Medicare
Claims Record, System No. 09-70-0501 (67 FR 54428 (August 22, 2002));
Intermediary Medicare Claims Record, System No. 09-70-0503 (67 FR 65982
(October 29, 2002)); Unique Physician/Provider Identification Number,
System No. 09-70-0525 (69 FR 75316 (December 16, 2004)); Medicare
Supplier Identification File, System No. 09-70-0530 (67 FR 48184 (July
23, 2002)), A Current Beneficiary Survey, System No. 09-70-6002 (66 FR
15496 (March 19, 2001)); National Plan & Provider Enumerator System,
System No. 09-70-0008, (63 FR 40297 (July 28, 1998)); Long Term Care
MDS, System No. 09-70-1517 (67 FR 6714 (February 13, 2002)); HHA
Outcome and Assessment Information Set, System No. 09-70-9002 (66 FR
66903 (December 27, 2001)); and Integrated Data Repository, System No.
09-70-0571 (To be published).
The purpose of this system is to collect and maintain a person-
level view of identifiable data to establish a data repository to study
chronically ill Medicare beneficiaries. This system will utilize data
extraction tools to support accessing data by chronic conditions and
process complex customized research data requests related to chronic
illnesses. Information retrieved from this system may be disclosed to:
(1) Support regulatory, reimbursement, and policy functions performed
within the agency or by a contractor, grantee, consultant or other
legal agent; (2) assist another Federal or state agency with
information to contribute to the accuracy of CMS's proper payment of
Medicare benefits, 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 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) support Quality Improvement Organizations (QIO); (5) support
litigation involving the agency; and (6) combat fraud, waste, and abuse
in certain Federally-funded health benefits programs. 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
proposed routine uses, CMS invites comments on all portions of this
notice. See ``Effective Dates'' section for comment period.
DATES: Effective Date: CMS filed a new SOR report with the Chair of the
House Committee on Government Reform and Oversight, 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 September 6, 2006. To ensure that all
parties have adequate time in which to comment, the new system will
become effective 30 days from the publication of the notice, or 40 days
from the date it was submitted to OMB and the Congress, whichever is
later. We may defer implementation of this system or one or more of the
routine use statements listed below if we receive
[[Page 54496]]
comments that persuade us to defer implementation.
ADDRESSES: The public should address comment to the CMS Privacy
Officer, Division of Privacy Compliance, Enterprise Architecture and
Strategy Group, CMS, Mail-stop 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.
FOR FURTHER INFORMATION CONTACT: Linh Phuong, Health Insurance
Specialist, Information and Methods Group, Office of Research,
Development & Information, Mail Stop C3-18-06, Centers for Medicare &
Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244-1849.
She can be reached by telephone at 410-786-7055 or e-mail
Linh.Phuong@cms.hhs.gov.
SUPPLEMENTARY INFORMATION: The CCDR will house data that will be easily
linked, at the individual patient level, for all Medicare claims,
eligibility data, nursing home and home health assessments, and CMS
beneficiary survey data. This data repository will transform and
summarize this administrative health insurance information into
research data. Part of this process involves transforming diagnostic
information on a beneficiary's Medicare claims into information about
their chronic medical conditions. The data repository will be designed
to support research, policy analysis, quality improvement activities,
and demonstrations that attempt to foster a better understanding of how
to improve the quality of life and contain the health care costs of the
chronically ill.
I. Description of the Proposed System of Records
A. Statutory and Regulatory Basis for SOR
The statutory authority for this system is given under the
provisions of Section 723 of the Medicare Prescription Drug
Improvement, and Modernization Act of 2003.
B. Collection and Maintenance of Data in the System
This system will collect and maintain individually identifiable and
other data collected on Medicare beneficiaries and their providers who
provide service to such beneficiaries. Data will be collected from
Medicare administrative and claims records. The collected information
will include, but is not limited to Medicare claims and eligibility
data, name, address, telephone number, health insurance claims number,
social security number, race/ethnicity, gender, date of birth, date of
death, enrollment in Part A and Part B information, provider name,
unique provider identification number, as well as clinical,
demographic, health/well-being, and background information relating to
Medicare issues.
II. 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 CCDR 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 CCDR.
CMS has the following policies and procedures concerning
disclosures of information that will be maintained in the system.
Disclosure of information from the 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 collect and maintain
a person-level view of identifiable data to establish a data repository
to study chronically ill Medicare beneficiaries.
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 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
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, consultants or grantees, who have been
engaged by the agency to assist in the performance of a service related
to this collection and who need to have access to the records in order
to perform the activity.
We contemplate disclosing 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 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 another Federal or state agency to:
a. Contribute to the accuracy of CMS's proper payment of Medicare
benefits;
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 CCDR information in order to
support evaluations and monitoring of Medicare claims information of
beneficiaries, including
[[Page 54497]]
proper reimbursement for services provided.
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.
The CCDR data will provide for research or support of evaluation
projects and a broader, longitudinal, 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
policies that govern their care.
4. To Quality Improvement Organizations (QIO) in connection with
review of claims, or in connection with studies or other review
activities conducted pursuant to Part B of Title XI of the Act, and in
performing affirmative outreach activities to individuals for the
purpose of establishing and maintaining their entitlement to Medicare
benefits or health insurance plans.
QIOs will work to implement quality improvement programs, provide
consultation to CMS, its contractors, and to state agencies. QIOs will
assist state agencies in related monitoring and enforcement efforts,
assist CMS and intermediaries in program integrity assessment, and
prepare summary information for release to CMS.
5. 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.
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.
6. 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, waste, or abuse in such program.
We contemplate disclosing information under this routine use only
in situations in which CMS may enter into a contractual, grantee,
cooperative agreement or consultant relationship with a third party to
assist in accomplishing CMS functions relating to the purpose of
combating fraud, waste, and abuse. CMS occasionally contracts out
certain of its functions or makes grants or cooperative agreements when
doing so would contribute to effective and efficient operations. CMS
must be able to give a contractor, grantee, consultant or other legal
agent whatever information is necessary for the agent to fulfill its
duties. In these situations, safeguards are provided in the contract
prohibiting the agent from using or disclosing the information for any
purpose other than that described in the contract and requiring the
agent to return or destroy all information.
7. 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,
waste, 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, waste, or abuse in such programs.
Other agencies may require CCDR information for the purpose of
combating fraud, waste, 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, subparts A and E) 65 FR 82462 (12-28-00). 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.'' (See 45 CFR
164.512(a)(1)).
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
because of the small size, use of this information could allow for the
deduction of the identity of the beneficiary).
IV. Safeguards
CMS has safeguards in place for authorized users and monitors of
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
[[Page 54498]]
the routine uses identified in this system of records.
CMS will take precautionary measures 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 this 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: September 1, 2006.
Charlene Frizzera,
Acting Chief Operating Officer, Centers for Medicare & Medicaid
Services.
System No.: 09-70-0573.
System Name:
``Chronic Condition Data Repository (CCDR),'' HHS/CMS/ORDI.
Security Classification:
Level Three Privacy Act Sensitive Data.
System Location:
CMS Data Center, 7500 Security Boulevard, North Building, First
Floor, Baltimore, Maryland 21244-1850 and at various other contractor
locations.
Categories of Individuals Covered by the System:
This system will collect and maintain individually identifiable and
other data collected on Medicare beneficiaries and their providers who
provide service to such beneficiaries. Data will be collected from
Medicare administrative and claims records.
Categories of Records in the System:
The collected information will include, but is not limited to
Medicare claims and eligibility data, name, address, telephone number,
health insurance claims number, social security number, race/ethnicity,
gender, date of birth, date of death, enrollment in Part A and Part B
information, provider name, unique provider identification number, as
well as clinical, demographic, health/well-being, and background
information relating to Medicare issues.
Authority for Maintenance of the System:
The statutory authority for this system is given under the
provisions of Section 723 of the Medicare Prescription Drug
Improvement, and Modernization Act of 2003.
Purpose(s) of the System:
The purpose of this system is to collect and maintain a person-
level view of identifiable data to establish a data repository to study
chronically ill Medicare beneficiaries. This system will utilize data
extraction tools to support accessing data by chronic conditions and
process complex customized research data requests related to chronic
illnesses. Information retrieved from this system may be disclosed to:
(1) Support regulatory, reimbursement, and policy functions performed
within the agency or by a contractor, grantee, consultant or other
legal agent; (2) assist another Federal or state agency with
information to contribute to the accuracy of CMS's proper payment of
Medicare benefits, 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 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) support Quality Improvement Organizations (QIO); (5) support
litigation involving the agency; and (6) combat fraud and abuse in
certain Federally-funded health benefits programs.
Routine Uses of Records Maintained in The System, Including Categories
of Users and The Purposes of Such Uses:
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, consultants or grantees, who have been
engaged by the agency to assist in the performance of a service related
to this collection and who need to have access to the records in order
to perform the activity.
2. To another Federal or state agency to:
a. Contribute to the accuracy of CMS's proper payment of Medicare
benefits;
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 Quality Improvement Organizations (QIO) in connection with
review of claims, or in connection with studies or other review
activities conducted pursuant to Part B of Title XI of the Act, and in
performing affirmative outreach activities to individuals for the
purpose of establishing and maintaining their entitlement to Medicare
benefits or health insurance plans.
5. 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.
6. 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.
7. 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
[[Page 54499]]
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, subparts A and E) 65 FR 82462 (12-28-00). 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.'' (See 45 CFR
164.512(a)(1)).
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
because of the small size, use of this information could allow for the
deduction of 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 electronic media.
Retrievability:
The collected data are retrieved by an individual identifier; e.g.,
beneficiary name or HICN, and unique provider 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 information for a total period not to exceed 6
years and 3 months. All claims-related records are encompassed by the
document preservation order and will be retained until notification is
received from DOJ.
System Manager and Address:
Director, Division of Survey Management & Data Release, Information
and Methods Group, Office of Research, Development & Information, Mail
Stop C3-16-07, Centers for Medicare & Medicaid Services, 7500 Security
Boulevard, Baltimore, MD 21244-1849.
Notification Procedure:
For purposes of access, the subject individual should write to the
system manager who will require the system name, employee
identification number, tax identification number, national provider
number, and for verification purposes, the subject individual's name
(woman's maiden name, if applicable), HICN, and/or SSN (furnishing the
SSN is voluntary, but it may make searching for a record easier and
prevent delay).
Record Access Procedure:
For purposes of access, use the same procedures outlined in
Notification Procedures above. Requestors should also reasonably
specify the record contents being sought. (These procedures are in
accordance with Department regulation 45 CFR 5b.5(a)(2)).
Contesting Record Procedures:
The subject individual should contact the system manager named
above, and reasonably identify the record 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:
The data collected and maintained in this system are retrieved from
the following databases: Medicare Drug Data Processing System, Medicare
Beneficiary Database, Medicare Advantage Prescription Drug System,
Medicaid Statistical Information System, Retiree Drug Subsidy Program,
Common Working File, National Claims History, Enrollment Database,
Carrier Medicare Claims Record, Intermediary Medicare Claims Record,
Unique Physician/Provider Identification Number, Medicare Supplier
Identification File, a Current Beneficiary Survey, National Plan &
Provider Enumerator System, Long Term Care MDS, HHA Outcome and
Assessment Information Set, and Integrated Data Repository.
Systems Exempted from Certain Provisions of the Act:
None.
[FR Doc. E6-15130 Filed 9-14-06; 8:45 am]
BILLING CODE 4120-03-P