[Federal Register: October 4, 2006 (Volume 71, Number 192)]
[Notices]
[Page 58621-58626]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr04oc06-72]
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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 requirements of the Privacy Act of
1974, we are proposing to establish a new SOR titled ``Low Vision
Rehabilitation Demonstration (LVRD),'' System No. 09-70-0582. The
program is mandated by Section 641 of the Medicare Prescription Drug
Improvement and Modernization Act of 2003 (MMA) (Public Law (Pub. L.)
108-173), enacted into law on December 8, 2003, and amended Title XVIII
of the Social Security Act (the Act). The LVRD program seeks to
establish a new demonstration project to examine Medicare beneficiaries
who are diagnosed with moderate to severe visual impairment and who may
be eligible to receive covered vision rehabilitating services.
Rehabilitation may be conducted under general supervision of a
qualified physician in an appropriate setting including in the home of
the beneficiary receiving the services. Improvements in these areas are
expected to generate savings to the Medicare program to offset the
costs of the performance payments.
The primary purpose of the system is to collect and maintain
identifiable information on Medicare beneficiaries who participate in
Medicare Part B fee-for-service coverage, qualified physicians, such as
ophthalmologists or optometrists, qualified occupational therapists,
and vision rehabilitation therapists who are certified by the Academy
for Certification of Vision Rehabilitation Professionals. 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 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) assist 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 litigation involving
the agency; and (5) combat fraud, waste, and abuse in certain 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.
Effective Dates: CMS filed a new system report with the Chair of the
House Committee on Government Reform and Oversight, the Chair of the
Senate Committee on Homeland Security and Governmental Affairs, and the
Administrator, Office of Information and Regulatory Affairs, Office of
Management and Budget (OMB) on 09/27/2006. In any event, we will not
disclose any information under a routine use until 30 days after
publication in the Federal Register or
[[Page 58622]]
40 days after mailings to Congress, whichever is later. We may defer
implementation of this system or on one or more of the routine uses
listed below if we receive comments that persuade us to defer
implementation.
ADDRESSES: The public should address comments to the CMS Privacy
Officer, Division of Privacy Compliance, Enterprise Architecture and
Strategy Group, Office of Information Services, 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: Joel Greer, Social Science Research
Analyst, Division of Beneficiary Research, Research & Evaluation Group,
Office of Research Development and Information, CMS, Mail Stop C3-18-
07, 7500 Security Boulevard, Baltimore, Maryland 21244-1850. The
telephone number is (410) 786-6695 or e-mail joel.greer@cms.hhs.gov.
SUPPLEMENTARY INFORMATION: Section 641 of MMA requires the Secretary of
Health and Human Services to carry out a nationwide outpatient vision
rehabilitation services demonstration project. Under this LVRD,
Medicare will cover vision rehabilitation services for people with a
diagnosis of moderate or severe vision impairment including blindness
that is not correctable by conventional methods, such as glasses or
surgery. Demonstration covered services will only be available to
Medicare beneficiaries who live in one of the specified demonstration
locales and must be prescribed by a qualified physician, such as an
ophthalmologist or an optometrist who also practice in one of the
specified demonstration locales.
LVRD locales will include New Hampshire, New York City (all 5
boroughs), Atlanta, GA., North Carolina, Kansas, and Washington State.
Eligible beneficiaries who live in these areas and receive their
medical eye care from an ophthalmologist or an optometrist who practice
in these areas could be covered for up to 9 hours of rehabilitation
services provided in an appropriate setting, including in the home. For
many with visual impairments, rehabilitation training can help them
maintain their independence and quality of life. Rehabilitation can
help prevent accidents, like falls and burns that often occur when
someone cannot navigate well due to vision loss.
Under LVRD, Medicare will cover vision rehabilitation services for
people with a diagnosis of moderate or severe vision impairment
including blindness that is not correctable by conventional methods,
such as glasses or surgery. Rehabilitation may be conducted under
general supervision of a qualified physician in appropriate settings
including in the home of the beneficiary receiving the services.
Rehabilitation must be prescribed by a qualified physician and
administered under an individualized, written plan or care developed by
a qualified physician or qualified occupational therapist in private
practice (OTPP). The plan of care must contain a specific diagnosis of
visual impairment and must assure that vision rehabilitation services
are medically necessary and the beneficiary receiving vision
rehabilitation is capable of deriving benefit from the rehabilitation.
Under the demonstration, services will be covered when provided by a
qualified occupational therapist, or by a low vision therapist,
orientation and mobility specialist, or vision rehabilitation
therapists (aka rehabilitation teachers) who are certified by the
Academy for Certification of Vision Rehabilitation Professionals
(ACVREP).
Rehabilitation will be judged completed when the treatment goals
have been attained and any subsequent services would be for maintenance
of a level of functional ability or when the patient has demonstrated
no progress on two consecutive visits. All services covered under this
demonstration are one-on-one, face to face services. Group services
will not be covered.
Some areas of the country provide Medicare coverage for vision
rehabilitation services under local coverage decisions (LCDs). LCDs
allow Medicare to pay for vision rehabilitation when provided by
qualified personnel, such as occupational therapists. LCDs may also
allow coverage for vision rehabilitation when provided in the home by a
qualified OTPP under general supervision. The LVRD does not supersede
LCDs whether services are provided in a demonstration locale, or not.
Physicians and other providers who are not practicing in a designated
demonstration locale may submit claims for vision rehabilitation as LCD
covered therapy services, as before. Physicians and providers who are
practicing designated demonstration locale may submit claims as either
demonstration-related services or LCD covered therapy services, or
both. However, in non-demonstration related services, LCD will not
cover services provided by orientation and mobility specialists, low
vision therapists, or vision rehabilitation therapists and only OTPP
can provide rehabilitation services in the home.
I. Description of the New System of Records
A. Statutory and Regulatory Basis for System
The authority for maintenance of this system is given under the
provisions of Section 641 of the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (MMA) (Public Law 108-173),
enacted into law on December 8, 2003, and amended Title XVIII of the
Social Security Act.
B. Collection and Maintenance of Data in the System
The data will be collected and maintained on individual
beneficiaries receiving the services and who participate in Medicare
Part B fee-for-service coverage, qualified physicians, such as
ophthalmologists or optometrists, qualified occupational therapists,
and certified low vision therapists, orientation and mobility
specialists, and vision rehabilitation therapists (aka rehabilitation
teachers) who are certified by the Academy for Certification of Vision
Rehabilitation Professionals.
The data collected will consist of, but not limited to, clinical
quality measures collected from physicians participating in the
demonstration. The collected information will contain provider name,
unique provider identification number, unique demonstration practice
identification number, beneficiary health insurance claim number
(HICN), beneficiary demographic and diagnostic information relevant to
the project.
II. Agency Policies, Procedures, and Restrictions on the Routine Use
A. 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 LVRD 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 LVRD. CMS has the following policies and procedures
concerning disclosures of information that will be maintained in the
system. Disclosure of information from the
[[Page 58623]]
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
identifiable information on Medicare beneficiaries who participate in
Medicare Part B fee-for-service coverage.
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 individually
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. Entities Who May Receive Disclosures Under Routine Use
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, consultants, or grantees who have
been contracted by the agency to assist in the performance of a service
related to this system 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 agency business
functions 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 contractors, consultants, or grantees whatever information
is necessary for the contractor to fulfill its duties. In these
situations, safeguards are provided in the contract prohibiting the
contractors, consultants, or grantees from using or disclosing the
information for any purpose other than that described in the contract
and requires the contractors, consultants, or grantees 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'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
Other Federal or state agencies in their administration of a
Federal health program may require LVRD information in order to support
evaluations and monitoring of Medicare claims information of
beneficiaries, including proper reimbursement for services provided.
3. To assist 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 LVRD data will provide for research or in support of evaluation
projects, 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
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, 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 relationship or
grant 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 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 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
[[Page 58624]]
combat fraud, waste, or abuse in such programs.
Other agencies may require LVRD information for the purpose of
combating fraud, waste, and abuse in such Federally-funded programs.
B. Additional Provisions Affecting Routine Use Disclosures
This system contains Protected Health Information (PHI) as defined
by HHS regulation ``Standards for Privacy of Individually Identifiable
Health Information'' (45 Code of Federal Regulation Parts 160 and 164,
65 Fed. Reg. 82462 (12-28-00), Subparts A and E. Disclosures of PHI
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 population is so small that one could
use this information to deduce the identity of the individual).
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 include 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 New System 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.
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 is 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 maintaining this system.
Dated: September 19, 2006.
John R. Dyer,
Chief Operating Officer, Centers for Medicare & Medicaid Services.
SYSTEM NUMBER 09-70-0582
System Name:
``Low Vision Rehabilitation Demonstration (LVRD)'' HHS/
CMS/ORDI
Security Classification:
Level 3 Privacy Act Sensitive
System Location:
This system is maintained at the Centers for Medicare & Medicaid
Services (CMS) Data Center, 7500 Security Boulevard, North Building,
First Floor, Baltimore, Maryland 21244-1850, and CMS contractors and
agents at various locations.
Categories of Individuals Covered by the System:
The data will be collected and maintained on individual
beneficiaries receiving the services and who participate in Medicare
Part B fee-for-service coverage, qualified physicians, such as
ophthalmologists or optometrists, qualified occupational therapists,
and certified low vision therapists, orientation and mobility
specialists, and vision rehabilitation therapists (aka rehabilitation
teachers) who are certified by the Academy for Certification of Vision
Rehabilitation Professionals.
Categories of Records in the System:
The data collected will consist of, but not limited to, clinical
quality measures collected from physicians participating in the
demonstration. The collected information will contain provider name,
unique provider identification number, unique demonstration practice
identification number, beneficiary health insurance claim number
(HICN), beneficiary demographic and diagnostic information relevant to
the project.
Authority For Maintenance Of The System:
The authority for maintenance of this system is given under the
provisions of Section 641 of the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (Public Law 108-173),
enacted into law on December 8, 2003, and amended Title XVIII of the
Social Security Act.
PURPOSE(S) OF THE SYSTEM:
The primary purpose of the system is to collect and maintain
identifiable information on Medicare beneficiaries who participate in
Medicare Part B fee-for-service coverage, qualified physicians, such as
ophthalmologists or optometrists, qualified occupational therapists,
and vision rehabilitation therapists who are certified by the Academy
for Certification of Vision Rehabilitation Professionals. 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 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) assist 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 litigation involving
the agency; and (5) combat fraud, waste, and abuse in certain health
benefits programs.
[[Page 58625]]
ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES
OR USERS AND THE PURPOSES OF SUCH USES:
A. Entities Who May Receive Disclosures Under Routine Use
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, consultants, or grantees who have
been contracted by the agency to assist in the performance of a service
related to this system and who need to have access to the records in
order to perform the activity.
2. To assist 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
3. To assist 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 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. Aany 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 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, waste, or abuse in such
program.
6. To assist 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.
B. Additional Provisions Affecting Routine Use Disclosures
This system contains Protected Health Information (PHI) as defined
by HHS regulation ``Standards for Privacy of Individually Identifiable
Health Information'' (45 Code of Federal Regulation Parts 160 and 164,
65 Fed. Reg. 82462 (12-28-00), Subparts A and E. Disclosures of PHI
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 population is so small that one could
use this information to deduce the identity of the individual).
POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING,
AND DISPOSING OF RECORDS IN THE SYSTEM:
STORAGE:
All records are stored on magnetic media.
RETRIEVABILITY:
Information collected will be retrieved by the name or other
identifying information of the participating provider, and may also be
retrievable by HICN at the individual beneficiary record level.
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 include 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. Office of Management and Budget
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 information maintained in the LVRD
system of records for a period of 6 years. Data residing with the
designated claims payment contractor shall be returned to CMS at the
end of the project, with all data then being the responsibility of CMS
for adequate storage and security. All claims-related records are
encompassed by the document preservation order and will be retained
until notification is received from the DOJ.
SYSTEM MANAGER AND ADDRESS:
Director, Research and Evaluation Group, Office of Research
Development and Information, CMS, 7500 Security Boulevard, Mail stop
C3-18-07, Baltimore, Maryland, 21244-1850.
[[Page 58626]]
NOTIFICATION PROCEDURE:
For purpose of access, the subject individual should write to the
system manager who will require the system name, and for verification
purposes, the subject individual's name, provider identification
number, and the patient's medical record number.
RECORD ACCESS PROCEDURE:
For purpose 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).
RECORD SOURCE CATEGORIES:
Information maintained in this system will be collected from
physicians volunteering to participate in the LVRD Demonstration.
Additional data will be collected from Medicare claims payment records.
SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS OF THE ACT:
None.
[FR Doc. E6-16329 Filed 10-3-06; 8:45 am]
BILLING CODE 4120-03-P