Federal Register / Vol. 76, No. 52 / Thursday, March 17, 2011 / Notices 14669 

SUPPLEMENTARY INFORMATION: 

I. Purpose 

The National Advisory Council for 

Healthcare Research and Quality is 

authorized by Section 941 of the Public 

Health Service Act, 42 U.S.C. 299c. In 

accordance with its statutory mandate, 

the Council is to advise the Secretary of 

the Department of Health and Human 

Services and the Director, Agency for 

Healthcare Research and Quality 

(AHRQ), on matters related to AHRQ’s 

conduct of its mission including 

providing guidance on (A) priorities for 

health care research, (B) the field of 

health care research including training 

needs and information dissemination on 

health care quality and (C) the role of 

the Agency in light of private sector 

activity and opportunities for public 

private partnerships. The Council is 

composed of members of the public, 

appointed by the Secretary, and Federal 

ex-officio members specified in the 

authorizing legislation. 

II. Agenda 

On Friday, April 8, there will be a 

subcommittee meeting for the National 

Healthcare Quality and Disparities 

Report scheduled to begin at 7:30 a.m. 

The Council meeting will convene at 

8:30 a.m., with the call to order by the 

Council Chair and approval of previous 

Council summary notes. The AHRQ 

Director will present her update on 

current research, programs, and 

initiatives. The final agenda will be 

available on the AHRQ Web site at 

http://www.ahrq.gov no later than April 

1, 2011. 

Dated: March 4, 2011. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 2011–5891 Filed 3–16–11; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Privacy Act of 1974; CMS Computer 

Match No. 2011–02; HHS Computer 

Match No. 1007 

AGENCY: Department of Health and 

Human Services (HHS), Centers for 

Medicare & Medicaid Services (CMS). 

ACTION: Notice of computer matching 

program. 

SUMMARY: In accordance with the 

requirements of the Privacy Act of 1974, 

as amended, this notice establishes a 

computer matching agreement between 

CMS and the Department of Defense 

(DoD). We have provided background 

information about the proposed 

matching program in the 

SUPPLEMENTARY INFORMATION section 

below. The Privacy Act requires that 

CMS provide an opportunity for 

interested persons to comment on the 

proposed matching program. We may 

defer implementation of this matching 

program if we receive comments that 

persuade us to defer implementation. 

See ‘‘Effective Dates’’ section below for 

comment period. 

DATES: Effective Dates: CMS filed a 

report of the Computer Matching 

Program (CMP) 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 

March 10, 2011. We will not disclose 

any information under a matching 

agreement until 40 days after filing a 

report to OMB and Congress or 30 days 

after publication, whichever is later. 

ADDRESSES: The public should address 

comments to: Walter Stone, CMS 

Privacy Officer, Division of Information 

Security & Privacy Management 

(DISPM), Enterprise Architecture and 

Strategy Group (EASG), Office of 

Information Services (OIS), CMS, Mail 

stop N1–24–08, 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 daylight time. 

FOR FURTHER INFORMATION CONTACT: 

Walter Stone, CMS Privacy Officer, 

Division of Information Security & 

Privacy Management (DISPM), 

Enterprise Architecture and Strategy 

Group (EASG), Office of Information 

Services (OIS), CMS, Mail stop N1–24– 

08, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

SUPPLEMENTARY INFORMATION: 

I. Description of the Matching Program 

A. General 

The Computer Matching and Privacy 

Protection Act of 1988 (Public Law 

(Pub. L.) 100–503), amended the Privacy 

Act (5 U.S.C. 552a) by describing the 

manner in which computer matching 

involving Federal agencies could be 

performed and adding certain 

protections for individuals applying for 

and receiving Federal benefits. 

Section 7201 of the Omnibus Budget 

Reconciliation Act of 1990 (Pub. L. 101– 

508) further amended the Privacy Act 

regarding protections for such 

individuals. The Privacy Act, as 

amended, regulates the use of computer 

matching by Federal agencies when 

records in a system of records are 

matched with other Federal, state, or 

local government records. It requires 

Federal agencies involved in computer 

matching programs to: 

1. Negotiate written agreements with 

the other agencies participating in the 

matching programs; 

2. Obtain the Data Integrity Board 

approval of the match agreements; 

3. Furnish detailed reports about 

matching programs to Congress and 

OMB; 

4. Notify applicants and beneficiaries 

that the records are subject to matching; 

and 

5. Verify match findings before 

reducing, suspending, terminating, or 

denying an individual’s benefits or 

payments. 

B. CMS Computer Matches Subject to 

the Privacy Act 

CMS has taken action to ensure that 

all CMPs that this Agency participates 

in comply with the requirements of the 

Privacy Act of 1974, as amended. 

Dated: March 10, 2011. 

Michelle Snyder, 

Deputy Chief Operating Officer, Centers for 

Medicare & Medicaid Services. 

CMS Computer Match No. 2011–02 

HHS Computer Match No. 1007 

NAME: 

‘‘Disclosure of Enrollment and 

Eligibility Information for Military 

Health System Beneficiaries Who are 

Medicare Eligible.’’ 

SECURITY CLASSIFICATION: 

Level Three Privacy Act Sensitive. 

PARTICIPATING AGENCIES: 

The Centers for Medicare & Medicaid 

Services (CMS); and Department of 

Defense (DoD), Manpower Data Center 

(DMDC), Defense Enrollment and 

Eligibility Reporting System Office 

(DEERS), and the Office of the Assistant 

Secretary of Defense (Health Affairs)/ 

TRICARE Management Activity (TMA). 

AUTHORITY FOR CONDUCTING MATCHING

PROGRAM: 

This CMA is executed to comply with 

the Privacy Act of 1974 (Title 5 United 

States Code (U.S.C.) 552a), as amended, 

(as amended by Pub. L. 100–503, the 

Computer Matching and Privacy 

Protection Act of 1988), the Office of 

Management and Budget (OMB) 

Circular A–130, titled ‘‘Management of 

Federal Information Resources’’ at 61 


srobinson on DSKHWCL6B1PROD with NOTICES
14670 Federal Register / Vol. 76, No. 52 / Thursday, March 17, 2011 / Notices 

Federal Register (FR) 6435 (February 

20, 1996), and OMB guidelines 

pertaining to computer matching at 54 

FR 25818 (June 19, 1989). 

Prior to 1991, CHAMPUS entitlement 

terminated when any individual became 

eligible for Medicare Part A on a nonpremium basis. The National Defense 

Authorization Act(s) (NDAA) for Fiscal 

Years (FY) 1992 and 1993 (Pub. L. 102– 

190) § 704, provide for reinstatement of 

CHAMPUS as second payer for 

beneficiaries entitled to Medicare on the 

basis of disability/End Stage Renal 

Disease (ESRD) only if they also enroll 

in Part B. 

This agreement implements the 

information matching provisions of the 

NDAA, FY 2001 (Pub. L. 106–398) 

Sections 711 and 712; the NDAA, FY 

1993 (Pub. L. 102–484) Section 705; and 

the NDAA, FY 1992 (Pub. L. 102–190) 

Sections 704 and 713. 

Section 732 of the FY 1996 NDAA 

(Pub. L. 104–106), directed the 

administering Secretaries to develop a 

mechanism for notifying beneficiaries of 

their ineligibility for CHAMPUS when 

loss of eligibility is due to disability 

status. 

PURPOSE (S) OF THE MATCHING PROGRAM: 

The purpose of this agreement is to 

establish the conditions, safeguards and 

procedures under which CMS will 

disclose Medicare enrollment 

information to the DoD, DMDC, DEERS, 

and Health Affairs/TMA. The disclosure 

by CMS will provide TMA with the 

information necessary to determine if 

Military Health System (MHS) 

beneficiaries (other than dependents of 

active duty personnel), who are 

Medicare eligible, are eligible to receive 

continued military health care benefits. 

This disclosure will provide TMA with 

the information necessary to meet the 

Congressional mandate outlined in 

legislative provisions in the NDAA 

listed above. 

Current law requires TMA to 

discontinue military health care benefits 

to MHS beneficiaries who are Medicare 

eligible and under the age of 65 when 

they become eligible for Medicare Part 

A because of disability/ESRD unless 

they are enrolled in Medicare Part B. 

Current law also requires TMA to 

provide health care and medical 

benefits to MHS beneficiaries who are 

Medicare eligible (commonly referred to 

as the dual eligible population) over the 

age of 65 who are enrolled in the 

supplementary medical insurance 

program under Part B of the Medicare 

program. This CMA will combine both 

groups of the MHS beneficiary 

population described above into one 

single database to more effectively carry 

out this matching program. In order for 

TMA to meet the requirements of 

current law, CMS agrees to disclose 

certain Part A and Part B enrollment 

data on this dual eligible population, 

which will be used to determine a 

beneficiary’s eligibility for care under 

CHAMPUS/TRICARE. DEERS will 

receive the results of the computer 

match and provide the information to 

TMA for use in its matching program. 

This computer matching agreement 

supersedes all existing data exchange 

agreements between CMS and DMDC 

applicable to the exchange of personal 

data for purposes of disclosing 

enrollment and eligibility information 

for MHS beneficiaries who are Medicare 

eligible. 

CATEGORIES OF RECORDS AND INDIVIDUALS

COVERED BY THE MATCH: 

DEERS will furnish CMS with an 

electronic file on a monthly basis 

extracted from the DEERS’ systems of 

records containing social security 

numbers (SSN) for all MHS beneficiaries 

who may also be eligible for Medicare 

benefits. CMS will match the DEERS 

finder file against its ‘‘Medicare 

Beneficiary Database’’ system of records 

(System No. 09–70–0536), and will 

validate the identification of the 

beneficiary and provide the Health 

Insurance Claim Number that matches 

against the SSN and date of birth 

provided by DEERS, and also provide 

the Medicare Part A entitlement status 

and Part B enrollment status of the 

beneficiary. CMS’s data will help TMA 

to determine a beneficiary’s eligibility 

for continued care under TRICARE. 

DEERS will receive the results of the 

computer match and provide the 

information provided to TMA for use in 

its program. 

DESCRIPTION OF RECORDS TO BE USED IN THE

MATCHING PROGRAM: 

DoD will use the SOR identified as 

DMDC 02 DoD, entitled ‘‘Defense 

Enrollment Eligibility Reporting 

System,’’ at 74 Federal Register (FR) 

39657 (August 7, 2009). SSNs of DoD 

beneficiaries will be released to CMS 

pursuant to the routine use set forth in 

the system notice, which provides that 

data may be released to HHS ‘‘for 

support of the DEERS enrollment 

process and to identify individuals not 

entitled to health care.’’ 

Identification and Medicare status of 

DoD eligible beneficiaries will be 

provided to TMA to implement the 

statutory program. Therefore, eligibility 

information may also be maintained in 

the SOR identified as DHA 07, entitled 

‘‘Military Health Information System 

(MHIS),’’ at 71 FR 16127 (March 30, 

2006). 

The release of the data for CMS is 

covered under the ‘‘Enrollment 

Database,’’ System No. 09–70–0502 

published in the Federal Register at 73 

FR 10249 (February 26, 2008). Matched 

data will be released to DEERS pursuant 

to the routine use number 2 as set forth 

in the system notice. 

INCLUSIVE DATES OF THE MATCH: 

The Matching Program shall become 

effective no sooner than 40 days after 

the report of the Matching Program is 

sent to OMB and Congress, or 30 days 

after publication in the Federal 

Register, which ever is later. The 

matching program will continue for 18 

months from the effective date and may 

be renewed for an additional 12 month 

period as long as the statutory language 

for the match exists and other 

conditions are met. 

[FR Doc. 2011–6273 Filed 3–16–11; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Affordable Care Act Tribal 

Maternal, Infant, and Early Childhood 

Home Visiting Program Needs 

Assessment and Plan for Responding to 

Identified Needs. 

OMB No.: New Collection. 

Description: Section 511(h)(2)(A) of 

Title V of the Social Security Act, as 

added by Section 2951 of the Patient 

Protection and Affordable Care Act of 

2010 (Pub. L. 111–148, Affordable Care 

Act or ACA), authorizes the Secretary of 

HHS to award grants to Indian Tribes (or 

a consortium of Indian Tribes), Tribal 

Organizations, or Urban Indian 

Organizations to conduct an early 

childhood home visiting program. The 

legislation sets aside 3 percent of the 

total ACA Maternal, Infant, and Early 

Childhood Home Visiting Program 

appropriation (authorized in Section 

511(j)) for grants to Tribal entities and 

requires that the Tribal grants, to the 

greatest extent practicable, be consistent 

with the requirements of the Maternal, 

Infant, and Early Childhood Home 

Visiting Program grants to States and 

territories (authorized in Section 

511(c)), and include conducting a needs 

assessment and establishing 

benchmarks. 

The Administration for Children and 

Families, Office of Child Care, in 


srobinson on DSKHWCL6B1PROD with NOTICES