32256 Federal Register / Vol. 78, No. 103 / Wednesday, May 29, 2013 / Notices 

risk adjustment data validation process. 

The stakeholder meeting will focus on 

topics including, but not limited to, data 

validation audit standards, sampling, 

initial and second validation audits, 

appeals, and error rates. The meeting is 

open to the public, but attendance is 

limited to the space available. There are 

capabilities for remote access. Persons 

wishing to attend this meeting must 

register by the date listed in the 

‘‘Registration’’ section above, and by 

visiting www.REGTAP.info. 

III. Security, Building, and Parking 

Guidelines 

The meeting will be held within the 

CMS Complex, which is not open to the 

general public. Visitors to the complex 

are required to show a valid U.S. 

Government issued photo identification, 

preferably a driver’s license, at the time 

of entry. Participants will also be subject 

to a vehicular search before access to the 

complex is granted. Participants not in 

possession of a valid identification or 

who are in possession of prohibited 

items will be denied access to the 

complex. Prohibited items on Federal 

property include, but are not limited to, 

alcoholic beverages, illegal narcotics, 

explosives, firearms or other dangerous 

weapons (including pocket knives), and 

dogs or other animals (except service 

animals). Once cleared for entry to the 

complex, participants will be directed to 

parking by a security officer. 

To ensure expedited entry into the 

building, it is recommended that 

participants have their ID and a copy of 

their written meeting registration 

confirmation readily available and that 

they do not bring laptops or large/bulky 

items into the building. Participants are 

reminded that photography on the CMS 

complex is prohibited. CMS has also 

been declared a tobacco free campus 

and violators are subject to legal action. 

In planning arrival time, we recommend 

allowing additional time to clear 

security. Individuals who are not 

registered in advance will not be 

permitted to enter the building and will 

be unable to attend the meeting. The 

public may not enter the building earlier 

than 45 minutes before the meeting 

convenes. Guest access to the CMS 

complex is limited to the meeting area, 

the main lobby, and the cafeteria. If a 

visitor is found outside of those areas 

without proper escort, they may be 

escorted by a security officer out of the 

complex. 

Please be mindful that, at the meeting, 

and subject to the constraints of the 

meeting agenda and allotted meeting 

time, there will be an opportunity for 

individuals to speak, and we request 

that individuals wait for the appropriate 

time to present their questions or 

comments. Disruptive behavior will not 

be tolerated, and may result in removal 

from the meeting and/or escort from the 

complex. Visitors may not attach USB 

cables, flash/thumb drives, or any other 

equipment to any CMS information 

technology (IT) system or hardware for 

any purpose at anytime. Additionally, 

CMS staff is prohibited from taking such 

actions on behalf of a visitor, or utilizing 

any removable media provided by a 

visitor. 

We cannot assume responsibility for 

coordinating the receipt, transfer, 

transport, storage, set-up, safety, or 

timely arrival of any personal 

belongings or items used for 

demonstration or to support a 

presentation. Special accommodations, 

arrangements, and approvals to bring 

pieces of equipment or medical devices 

are required by June 19, 2013, 5:00 p.m., 

e.d.t. These arrangements need to be 

made with the registrar@REGTAP.info. 

It is possible that certain requests made 

in advance of the public meeting may be 

denied because of unique safety, 

security or handling issues related to the 

equipment. 

CMS policy requires that every 

foreign national (as defined by the 

Department of Homeland Security is 

‘‘an individual who is a citizen of any 

country other than the United States’’) 

is assigned a host (in accordance with 

the Department Foreign Visitor 

Management Policy, Appendix C, 

Guidelines for Hosts and Escorts). The 

host/hosting official is required to 

inform the Division of Critical 

Infrastructure Protection (DCIP) at least 

12 business days in advance of any visit 

by a foreign national. Foreign nationals 

will be required to produce a valid 

passport at the time of entry. 

Attendees that are foreign nationals 

need to identify themselves as such, and 

provide the following information for 

security clearance to the 

registrar@REGTAP.info by the date 

specified in the ‘‘REGISTRATION’’ 

section of this notice: 

• Visitor’s full name (as it appears on 

passport). 

• Gender. 

• Country of origin and citizenship. 

• Biographical data and related 

information. 

• Date of birth. 

• Place of birth. 

• Passport number. 

• Passport issue date. 

• Passport expiration date. 

• Dates of visits. 

• Company Name. 

• Position/Title. 

Dated: May 23, 2013. 

Marilyn Tavenner, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2013–12856 Filed 5–28–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Privacy Act of 1974; Report of an 

Altered CMS System of Records Notice 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Department 

of Health and Human Services (HHS). 

ACTION: Altered System of Records 

Notice (SORN). 

SUMMARY: In accordance with the 

requirements of the Privacy Act of 1974 

(5 USC 552a), CMS proposes the 

following alterations to existing system 

of records (SOR) number 09–70–0560 

‘‘Health Insurance Exchanges (HIX) 

Program,’’ published at 78 Federal 

Register (FR) 8538 (February 6, 2013): 

1. Add ‘‘Relevant Individual(s)’’ as a 

new category of individuals; 

2. Add personally identifiable 

information (PII) pertaining to ‘‘Relevant 

Individual(s)’’ as a new category of 

records; 

3. Add new purposes to describe the 

reason for the above additions; and 

4. Revise existing routine uses to 

authorize the agency to disclose PII of 

‘‘Relevant Individual(s)’’ to parties 

outside the agency. 

DATES: Effective Dates: Effective 30 days 

after publication of this notice in the 

Federal Register unless comments 

received on or before that date result in 

revisions to this notice. 

ADDRESSES: The public should send 

comments to: CMS Privacy Officer, 

Division of Privacy Policy, Privacy 

Policy and Compliance Group, Office of 

E-Health Standards & Services, Offices 

of Enterprise Management, CMS, Room 

S2–24–25, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

Comments received will be available for 

review at this location, by appointment, 

during regular business hours, Monday 

through Friday from 9:00 a.m.–3:00 

p.m., Eastern Time zone. 

FOR FURTHER INFORMATION CONTACT: 

Karen Mandelbaum, JD, MHA, Office of 

Health Insurance Exchanges, Consumer 

Information and Insurance Systems 

Group, Center for Consumer Information 

and Insurance Oversight, 7210 

Ambassador Road, Baltimore, MD 

21244, Office Phone: (410) 786–1762, 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 103 / Wednesday, May 29, 2013 / Notices 32257 

1See also 78 FR 8539, 8540. 

Facsimile: (301) 492–4353, Email: 

karen.mandelbaum@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: CMS 

proposes to alter the SOR to add 

‘‘Relevant Individual(s)’’ as a category of 

individuals whose PII is necessary for 

determining the eligibility of applicants 

for insurance affordability programs or a 

certification of exemption under 

provisions of the Patient Protection and 

Affordable Care Act (Pub. L. 111–148), 

as amended by the Health Care and 

Education Reconciliation Act of 2010 

(Pub. L. 111–152) (collectively referred 

to as the Affordable Care Act) and CMS’ 

implementation of the Affordable Care 

Act. 

For the purpose of this SORN, 

‘‘Relevant Individual(s)’’ means any 

individual listed on an application for 

an insurance affordability program or 

certification of exemption whose PII 

may bear upon the eligibility of an 

individual for an insurance affordability 

program (as defined in 42 CFR 435.4 

and 45 CFR 155.20),1 or certification of 

exemption. These individuals include 

non-applicant household members/ 

family members, certain non-applicant 

tax payers or tax filers, and spouses and 

parents of applicants. Due to the 

potential impact of the Relevant 

Individuals’ PII on an individual’s 

eligibility determination this category of 

individuals is added to the SOR. 

Additionally, Routine Use #3 is 

proposed to be modified to permit CMS 

to disclose information about Relevant 

Individual(s), in addition to applicants, 

in order to obtain information from 

other Federal and State agencies and 

third party data sources that provide 

information to CMS, pursuant to 

agreements with CMS, for purposes of 

determining eligibility of applicants to 

enroll in qualified health plans (QHP) 

through an Exchange, in insurance 

affordability programs, or for a 

certification of exemption from the 

individual responsibility requirement. 

Routine Use #8 is proposed to be 

modified to enable CMS to provide 

information about Relevant 

Individual(s), in addition to applicants, 

to application filers who are filing on 

behalf of those applicants for whom an 

eligibility determination will require 

information about the Relevant 

Individual(s). 

The proposed changes require the 

following alterations to sections of the 

notice. 

1. Categories of Individuals Covered 

by the System: Remove the ‘‘and’’ before 

‘‘(7)’’ and add the following at the end 

of this section: 

‘‘and (8) Individuals, including nonapplicant household members/family 

members, non-applicant tax payers or 

tax filers, and spouses and parents of 

applicants, who are listed on the 

application and whose PII may bear 

upon a determination of the eligibility 

of an individual for an insurance 

affordability program and for 

certifications of exemption from the 

individual responsibility requirement. 

Such individuals will hereafter be 

referred to as ‘‘Relevant Individual(s)’’.’’ 

2. Categories of Records in the 

System: Add the following to the end of 

the first paragraph of this section: 

‘‘The system will collect and maintain 

information pertaining to Relevant 

Individual(s) that includes the 

following: First name, last name, middle 

initial, permanent residential address, 

date of birth, SSN (if the Relevant 

Individual has one or is required to 

provide it as specified in 45 CFR 

155.305(f)(6)), taxpayer status, gender, 

residency, relationship to applicant, 

employer information, and household 

income, including tax information from 

the IRS, income information from the 

Social Security Administration, and 

financial information from other third 

party sources.’’ 

3. Purpose(s) of the System: Replace 

the first sentence of the first paragraph 

of this section with the following 

sentence: 

‘‘The purpose of this system is to 

collect, create, use and disclose PII 

about individuals who apply for 

eligibility determinations for enrollment 

in a QHP through the Exchange, for 

insurance affordability programs, and 

for certifications of exemption from the 

individual responsibility requirement 

and on Relevant Individual(s) whose PII 

may bear upon a determination of the 

eligibility of an individual for an 

insurance affordability program and for 

certifications of exemption from the 

individual responsibility requirement.’’ 

4. Routine Use #3: Delete entry and 

replace with: 

‘‘To disclose information about 

applicants and Relevant Individual(s) in 

order to obtain information from other 

Federal agencies and State agencies and 

third party data sources that provide 

information to CMS, pursuant to 

agreements with CMS, for purposes of 

determining the eligibility of applicants 

to enroll in QHPs through an Exchange, 

in insurance affordability programs, or 

for a certification of exemption from the 

individual responsibility requirement.’’ 

5. Routine Use #8: Delete entry and 

replace with: 

‘‘To provide information about 

applicants and Relevant Individual(s) to 

applicants/enrollees, authorized 

representatives of applicants/enrollees, 

and application filers, who are filing on 

behalf of those applicants, when 

relevant and necessary to determine 

eligibility for enrollment in a QHP 

through an Exchange, insurance 

affordability programs, or a certification 

of exemption from the individual 

responsibility requirement.’’ 

The information collected by this 

system and the purposes for which it is 

used and disclosed by CMS are 

described in the modifications to the 

SORN as stated above. 

Michelle Snyder, 

Deputy Chief Operating Officer, Centers for 

Medicare & Medicaid Services. 

[FR Doc. 2013–12691 Filed 5–28–13; 8:45 am] 

BILLING CODE 4120–03–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Privacy Act of 1974; Report of a New 

Routine Use for Selected CMS 

Systems of Records 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS) Department of 

Health and Human Services (HHS). 

ACTION: Altered System Notice, Adding 

a New Routine Use for Selected CMS 

Systems of Records. 

SUMMARY: In accordance with the 

requirements of the Privacy Act of 1974 

(5 U.S.C. 552a), CMS is adding a new 

routine use to twenty-three CMS 

systems of records to assist in 

preventing and detecting fraud, waste 

and abuse. The new routine use will 

authorize CMS to disclose provider and 

beneficiary-identifiable records to 

representatives of health plans for the 

purpose of preventing and detecting 

fraud, waste and abuse, pursuant to 

section 1128C(a)(2) of the Social 

Security Act (‘‘the Act’’). At section 

1128C(c) of the Act, a health plan is 

defined as a plan or program that 

provides health benefits, whether 

directly, through insurance, or 

otherwise, and includes: (1) A policy of 

health insurance; (2) a contract of a 

service benefit organization; and (3) a 

membership agreement with a health 

maintenance organization or other 

prepaid health plan. 

Disclosures made pursuant to the 

routine use will be coordinated through 

CMS’ Data Sharing and Partnership 

Group, Center for Program Integrity, 

CMS. CMS has identified twenty-three 

systems that contain the data potentially 


tkelley on DSK3SPTVN1PROD with NOTICES