78212 Federal Register / Vol. 71, No. 249 / Thursday, December 28, 2006 / Notices 

payments are made, to assist in the 

application of safeguards against 

unnecessary utilization of services 

furnished by providers of services and 

other persons to individuals entitled to 

benefits, and to perform other functions 

as are necessary (Pub. L. 108–173 

section 911, amending Title XVIII, 

section 1874A (42 U.S.C. 1395kk–1). 

Section 1857 of the Act provides that 

the Secretary, or any person or 

organization designated by the Secretary 

shall have the right to ‘‘inspect or 

otherwise evaluate (i) the quality, 

appropriateness, and timeliness of 

services performed under the contract’’

(42 U.S.C. 1395w–27(d)(2)(A)); and 

‘‘audit and inspect any books and 

records of [a Medicare Advantage] 

organization that pertain to services 

performed or determinations of amounts 

payable under the contract.’’ (42 U.S.C. 

1395w–27(d) (2) (B)). 

Furthermore, § 1874(b) of the Act 

authorizes the Secretary to ‘‘contract 

with any person, agency, or institution 

to secure on a reimbursable basis such 

special data, actuarial information, and 

other information as may be necessary 

in the carrying out of his functions 

under Subchapter XVIII.’’ (42 U.S.C. 

1395kk(b).) 

Section 1893 of the Act establishes 

the Medicare Integrity Program, under 

which the Secretary may contract with 

eligible entities to conduct a variety of 

program safeguard activities, including 

fraud review employing equipment and 

software technologies that surpass 

existing capabilities (42 U.S.C. 

1395ddd)). These entities are called 

Program Safeguards Contractors (PSC) 

and Medicare Drug Integrity Contractors 

(MEDIC). 

Pursuant to the applicable state 

statutes and guidelines for the 

Participating State charged with the 

administration of the Medicaid program, 

disclosure of the Medicaid data 

pursuant to this Agreement is for 

purposes directly connected with the 

administration of the Medicaid program, 

in compliance with 42 CFR 431.300 

through 431.307. Those purposes 

include the detection, prosecution, and 

deterrence of fraud, waste and abuse 

(FW&A) in the Medicaid program. 

PURPOSE (S) OF THE MATCHING PROGRAM: 

The purpose of this Agreement is to 

establish the conditions, safeguards, and 

procedures under which CMS will 

conduct a computer matching program 

with Participating States to study 

claims, billing, and eligibility 

information to detect suspected 

instances of Medicare and Medicaid 

FW&A. CMS and the Participating State 

will provide a CMS contractor 

(hereinafter referred to as the 

‘‘Custodian’’) with Medicare and 

Medicaid records pertaining to 

eligibility, claims, and billing which the 

Custodian will match in order to merge 

the information as necessary to conduct 

the match. Utilizing fraud detection 

software, the information will then be 

used to identify patterns of aberrant 

practices and abnormal patterns 

requiring further investigation. Aberrant 

practices and abnormal patterns 

identified in this matching program that 

constitute FW&A will involve 

individuals who are practitioners, 

providers and suppliers of services, 

Medicare beneficiaries, Medicaid 

recipients, and other individuals whose 

information may be maintained in the 

records. 

CATEGORIES OF RECORDS AND INDIVIDUALS

COVERED BY THE MATCH: 

This computer matching program 

(CMP) will enhance the ability of CMS 

and Participating States to detect FW&A 

by matching claims data, eligibility, and 

practitioner, provider, and supplier 

enrollment records of Medicare 

beneficiaries, practitioners, providers, 

and suppliers in the Participating State 

against records of Medicaid recipients, 

practitioners, providers, and suppliers 

in the Participating State. 

DESCRIPTION OF RECORDS TO BE USED IN THE

MATCHING PROGRAM: 

National Claims History (NCH), 

System No. 09–70–0005 was published 

at 71 FR 67137 (November 20, 2006). 

Medicare Multi-Carrier Claims System 

(MCS) (formerly published as the 

Carrier Medicare Claims Record 

(CMCR)), System No. 09–70–0501 was 

published at 71 FR 64968 (November 6, 

2006). 

Enrollment Database (EDB), System 

No. 09–70–0502 was published at 67 FR 

3203 (January 23, 2002). 

Fiscal Intermediary Shared System 

(FISS) (formerly published as the 

Intermediary Medicare Claims Record 

(IMCR), System No. 09–70–0503 was 

published at 71 FR 64961 (November 6, 

2006). 

Unique Physician/Provider 

Identification Number (UPIN), System 

No. 09–70–0525, was published at 71 

FR 66535 (November 15, 2006). 

Medicare Supplier Identification File 

(MSIF), System No. 09–70–0530 was 

published at 71 FR 70404 (December 4, 

2006). 

Provider Enrollment Chain and 

Ownership System (PECOS), System 

No. 09–70–0532 was published at 71 FR 

60536 (October 13, 2006). 

Medicare Beneficiary Database (MBD), 

System No. 09–70–0536 was published 

at 71 FR 70396 (December 4, 2006). 

Medicare Drug Data Processing 

System (DDPS), System No. 09–70–0553 

was published at 70 FR 58436 (October 

6, 2005). 

Medicare Advantage Prescription 

Drug (MARx) System, System No. 09–

70–4001 was published at 70 FR 60530 

(October 18, 2005). 

The records files that will be made 

available for this matching program by 

the Participating State include 

utilization, entitlement, and provider 

records. 

INCLUSIVE DATES OF THE MATCH: 

The CMP shall become effective 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 extended for an additional 12 

months thereafter, if certain conditions 

are met. 

[FR Doc. E6–22253 Filed 12–27–06; 8:45 am] 

BILLING CODE 4120–03–P 

DEPARTMENT OF THE INTERIOR 

Bureau of Indian Affairs 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Submission of Information Collection 

to the Office of Management and 

Budget 

AGENCIES: Bureau of Indian Affairs, 

Interior and Indian Health Services, 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: The Bureau of Indian Affairs 

and Indian Health Service are 

submitting the information collection, 

titled ‘‘Indian Self-Determination and 

Education Assistance Act Programs, 25 

CFR 900’’ to the Office of Management 

and Budget for renewal. The 

information collection, OMB Control 

#1076–0136, is used to process 

contracts, grants or cooperative 

agreements for award by the Bureau of 

Indian Affairs and the Indian Health 

Service as authorized by the Indian SelfDetermination and Education 

Assistance Act, as amended. The 

Department of the Interior and the 

Department of Health and Human 

Services invite you to submit comments 

to the OMB on the information 

collection described below. 

DATES: Interested persons are invited to 

submit comments on or before January 

29, 2007. 


sroberts on PROD1PC70 with NOTICES
Federal Register / Vol. 71, No. 249 / Thursday, December 28, 2006 / Notices 78213 

ADDRESSES: You may submit comments 

on the information collection to the 

Desk Officer for Department of the 

Interior, by facsimile at (202) 395–6566 

or you may send an e-mail to: 

OIRA_DOCKET@omb.eop.gov. 

Please send a copy of your comments 

to Terry Parks, Office of Indian Services, 

Bureau of Indian Affairs, Department of 

the Interior, 1849 C Street NW., Mail 

Stop 4513–MIB, Washington, DC 20240. 

You may telefax comments on this 

information collection to (202) 208–

5113. You may also hand deliver 

written comments or view comments at 

the same address. 

FOR FURTHER INFORMATION CONTACT: You 

may request further information or 

obtain copies of the information 

collection request submission from 

Terry Parks, (202) 513–7625. 

SUPPLEMENTARY INFORMATION: 

Representatives of the Department of the 

Interior and the Department of Health 

and Human Services and Tribes 

developed a joint rule, 25 CFR Part 900, 

to implement section 107 of the Indian 

Self-Determination and Education 

Assistance Act, as amended, Title I, 

Public Law 103–413, the Indian SelfDetermination Contract Reform Act of 

1994. Section 107(a)(2)(A)(ii) of the 

Indian Self-Determination Contract 

Reform Act requires the joint rule to 

permit contracts and grants be awarded 

to Indian tribes without the unnecessary 

burden or confusion associated with 

two sets of rules and information 

collection requirements when 

legislation treats this as a single program 

covering two separate agencies. The 

Bureau of Indian Affairs and the Indian 

Health Service estimate that the base 

burden hours established for this 

Information Collection Request, OMB 

1076–0136, will remain the same. The 

number of base burden hours 

established for information collection 

requirements of 25 CFR Part 900 

remained stationary even though some 

tribes are contracting under 25 CFR 

900.8 which permits tribes to contract 

several programs under a single 

contract. The complexity of the reports 

has offset the contracting multiple 

programs burden hours, therefore the 

burden hours estimates have remained 

stationary. 

The information requirements for this 

joint rule represent significant 

differences from other agencies in 

several respects. Both the Bureau of 

Indian Affairs and the Indian Health 

Service let contracts for multiple 

programs whereas other agencies 

usually award single grants to tribes. 

Under the Indian Self-Determination 

and Education Assistance Act, as 

amended, and the Indian SelfDetermination Contract Reform Act of 

1994, tribes are entitled to contract and 

may renew contracts annually where 

other agencies provide grants on a 

discretionary/competitive basis. 

The proposal and other supporting 

documentation identified in this 

information collection is used by the 

Department of the Interior and the 

Department of Health and Human 

Services to determine applicant 

eligibility, evaluate applicant 

capabilities, protect the service 

population, safeguard Federal funds and 

other resources, and permit the Federal 

agencies to administer and evaluate 

contract programs. Tribal governments 

or tribal organizations provide the 

information by submitting Public Law 

93–638 contract or grant proposals to 

the appropriate Federal agency. No third 

party notification or public disclosure 

burden is associated with this 

collection. 

Request for Comments 

The Bureau of Indian Affairs and 

Indian Health Service requests you to 

send your comments on this collection 

to the locations listed in the ADDRESSES

section. 

Your comments should address: (a) 

The necessity of the information 

collection for the proper performance of 

the agencies, including whether the 

information will have practical utility; 

(b) the accuracy of the agencies’

estimate of the burden (hours and cost) 

of the collection of information, 

including the validity of the 

methodology and assumptions used; (c) 

ways we could enhance the quality, 

utility and clarity of the information to 

be collected; and (d) ways we could 

minimize the burden of the collection of 

the information on the respondents, 

such as through the use of automated 

collection techniques or other forms of 

information technology. 

Please note that an agency may not 

sponsor nor request, and an individual 

need not respond to, a collection of 

information unless it has a valid OMB 

Control Number. 

OMB Control Number: 1076–0136. 

Title: Indian Self-Determination and 

Education Assistance Contracts, 25 CFR 

900. 

Brief Description of collection: A tribe 

or tribal organization may be required to 

respond from 1 to 12 times per year, 

depending upon the number of 

programs they contract from the Bureau 

of Indian Affairs and Indian Health 

Service. Each response may vary in its 

length. In addition, each subpart 

concerns different parts of the 

contracting process. For example, 

Subpart C relates to provisions of the 

contents for the initial contract 

proposal. The burden associated with 

this would not be used when contracts 

are renewed. Subpart F describes 

minimum standards for the management 

systems used by Indian tribes or tribal 

organizations under these contracts. 

Subpart G addresses the negotiability of 

all reporting and data requirements in 

the contract. 

Type of review: Renewal. 

Respondents: 550. 

Total number of responses: 5267. 

Time per response: Varies from 10 to 

50 hours, with an average of 45 hours 

per response. 

Total Annual burden to Respondents: 

219,782 hours. 

Dated: December 21, 2006. 

Michael D. Olsen, 

Principal Deputy Assistant Secretary-Indian 

Affairs, Department of the Interior. 

Dated: October 25, 2006. 

Robert G. McSwain, 

Deputy Director, Indian Health Service, 

Department of Health and Human Services. 

[FR Doc. 06–9907 Filed 12–27–06; 8:45 am] 

BILLING CODE 4310–4J–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Cancer Institute; Notice of 

Meeting 

Pursuant to section 10(a) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. Appendix 2), notice 

is hereby given of a meeting of the 

National Cancer Institute Director’s 

Consumer Liaison Group. 

The meeting will be open to the 

public, with attendance limited to space 

available. Individuals who plan to 

attend and need special assistance, such 

as sign language interpretation or other 

reasonable accommodations, should 

notify the Contact Person listed below 

in advance of the meeting. 

Name of Committee: National Cancer 

Institute Director’s Consumer Liaison 

Group. 

Date: January 25, 2007. 

Time: 1 p.m. 2:30 p.m. 

Agenda: (1) Approval Minutes of 

September 28, 2006 Teleconference and 

October 25, 2006 in-person meeting; (2) 

Introduce new Office of Advocacy 

Relations leadership and Director’s 

charge to the DCLG members (3) Report 

of DCLG Member Activities; (4) 

Preparation for the March in-person 

meeting; (5) Public Comment Public 

Comment; (6) Action Items and 

Conclusion. 


sroberts on PROD1PC70 with NOTICES