Federal Register / Vol. 70, No. 193 / Thursday, October 6, 2005 / Notices 58441 

RETRIEVABILITY: 

Information is most frequently 

retrieved by HICN, provider number 

(facility, physician, IDs), service dates, 

and beneficiary state code. 

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 EGovernment Act of 2002, the ClingerCohen 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: 

Records are maintained with 

identifiers for all transactions after they 

are entered into the system for a period 

of 20 years. Records are housed in both 

active and archival files. All claimsrelated records are encompassed by the 

document preservation order and will 

be retained until notification is received 

from the Department of Justice. 

SYSTEM MANAGER AND ADDRESS: 

Director, Division of Program 

Analysis and Performance, Medicare 

Drug Benefit Group, Centers for 

Beneficiary Choices, CMS, Room S1–

06–14, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

NOTIFICATION PROCEDURE: 

For purpose of notification, the 

subject individual should write to the 

system manager who will require the 

system name, and the retrieval selection 

criteria (e.g., HICN, facility/pharmacy 

number, service dates, etc.). 

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: 

Summary prescription drug claim 

information contained in this system is 

obtained from the Prescription Benefit 

Package (PBP) Plans and Medicare 

Advantage (MA-PBP) Plans daily and 

monthly drug event transaction reports, 

Medicare Beneficiary Database (09–70–

0530), and other payer information to be 

provided by the TROOP Facilitator. 

SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS

OF THE ACT: 

None. 

[FR Doc. 05–19905 Filed 10–5–05; 8:45 am] 

BILLING CODE 4120–03–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Privacy Act of 1974; Deletion of 

System of Records 

AGENCY: Department of Health and 

Human Services (HHS), Centers for 

Medicare & Medicaid Services (CMS). 

ACTION: Notice to delete 14 systems of 

records. 

SUMMARY: CMS proposes to delete 14 

systems of records from its inventory 

subject to the Privacy Act of 1974 (Title 

5 United States Code 552a). 

DATES: Effective Date: The deletions will 

be effective on September 27, 2005. 

ADDRESSES: The public should address 

comments to: CMS Privacy Officer, 

Division of Privacy Compliance Data 

Development, Enterprise Databases 

Group, Office of Information Services, 

CMS, Room N2–04–27, 7500 Security 

Boulevard, Baltimore, Maryland 21244–

1850. The telephone number is (410) 

786–5357. 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 zone. 

SUPPLEMENTARY INFORMATION: CMS is 

reorganizing its databases because of the 

amount of information it collects to 

administer the Medicare program. 

Retention and destruction of the data 

contained in these systems will follow 

the schedules listed in the system 

notice. CMS is deleting the following 

systems of records. 

Deletions 

System No. Title System 

manager 

09–70–0030 National Long-Term Care Study Follow-up ......................................................................................................... HHS/CMS/ORDI 

09–70–0039 Evaluation of the Medicare Alzheimer’s Disease Demonstration ....................................................................... HHS/CMS/ORDI 

09–70–0040 Health Care Financing Administration Medicare Heart Transplant Data File ..................................................... HHS/CMS/ORDI 

09–70–0045 Evaluation of the Arizona Health Care Cost Containment and Long Term Care Systems Demonstration ....... HHS/CMS/ORDI 

09–70–0046 Home Health Quality Indicator System ............................................................................................................... HHS/CMS/ORDI 

09–70–0049 Evaluation of the Home Health Agency Prospective Payment Demonstration .................................................. HHS/CMS/ORDI 

09–70–0050 The Medicare/Medicaid Multi-State Case Mix and Quality Data Base for Nursing Home Residents ................ HHS/CMS/ORDI 

09–70–0051 Quality Assurance for the Home Health Agency Prospective Payment Demonstration .................................... HHS/CMS/ORDI 

09–70–0052 Post-Hospitalization Outcomes Studies .............................................................................................................. HHS/CMS/ORDI 

09–70–0057 Evaluation of the Medicaid Extension of Eligibility to Certain Low Income Families Not Otherwise Qualified 

to Receive Medicaid Benefits Demonstration.

HHS/CMS/ORDI 

09–70–0058 Evaluation of the Medicare SELECT Program .................................................................................................... HHS/CMS/ORDI 

09–70–0059 The Medicaid Necessity Appropriateness and Outcomes of Care Study ........................................................... HHS/CMS/ORDI 

58442 Federal Register / Vol. 70, No. 193 / Thursday, October 6, 2005 / Notices 

System No. Title System 

manager 

09–70–0063 Evaluation of the Medicaid Demonstration for Improving Access to Care for Substance Abusing Pregnant 

Women.

HHS/CMS/ORDI 

09–70–0066 Evaluation of and External Quality Assurance for the Community Nursing Organization Demonstration ......... HHS/CMS/ORDI 

Dated: September 27, 2005. 

Charlene Brown, 

Acting Chief Operating Officer, Centers for 

Medicare & Medicaid Services. 

[FR Doc. 05–19906 Filed 10–5–05; 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 

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). 

SUMMARY: In accordance with the 

requirements of the Privacy Act of 1974, 

we are proposing to establish a new 

SOR titled ‘‘Medicare Care Management 

Performance Demonstration (MCMP),’’

System No. 09–70–0562. MCMP 

demonstration tests a payment 

methodology for physician practices 

that combines Medicare fee-for-service 

payments with performance-based 

payments for improvements in 

information technology systems, patient 

education, care management, and 

quality of care. Improvements in these 

areas are expected to generate savings to 

the Medicare program to offset the costs 

of the performance payments. Mandated 

by Section 649 of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (MMA), the 

MCMP Demonstration seeks to provide 

incentives for physicians to adopt and 

integrate information technology 

systems into their practices, and to 

improve quality as defined by key 

measurable outcomes. 

The primary purpose of the system is 

to establish a pay-for-performance three 

year pilot with physicians to promote 

the adoption and use of health 

information technology to improve the 

quality of patient care for chronically ill 

Medicare patients. 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 or consultant; (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 constituent 

requests made to a congressional 

representative; (5) support litigation 

involving the agency; and (6) combat 

fraud 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 Governmental 

Affairs, and the Administrator, Office of 

Information and Regulatory Affairs, 

Office of Management and Budget 

(OMB) on September 27, 2005. In any 

event, we will not disclose any 

information under a routine use until 40 

days after publication. We may defer 

implementation of this system or one or 

more of the routine use statements listed 

below if we receive comments that 

persuade us to defer implementation. 

ADDRESSES: The public should address 

comments to: CMS Privacy Officer, 

Division of Privacy Compliance Data 

Development, 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 

zone. 

FOR FURTHER INFORMATION CONTACT: Jody 

Blatt, Research Analyst, Division of 

Payment Policy, Medicare 

Demonstration Programs Group, Office 

of Research Development and 

Information, CMS, Mail Stop C4–17–27, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. The telephone 

number is (410) 786–6921 or e-mail 

jody.blatt@cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: Section 

649 of (MMA) requires the Secretary of 

Health and Human Services to 

‘‘establish a pay-for-performance 

demonstration program with physicians 

to meet the needs of eligible 

beneficiaries through the adoption and 

use of health information technology 

and evidence-based outcomes 

measures.’’ The resulting 

demonstration, known as MCMP 

Demonstration, provides incentives to 

primary care physician practices for (1) 

clinical systems, which encompasses 

the implementation and use of 

information technology, patient 

education, and care management, and 

(2) clinical quality, which encompasses 

using evidence-based outcome 

measures. The objectives of the 

demonstration are to: (1) Promote 

continuity of care, (2) stabilize medical 

conditions, (3) reduce adverse health 

outcomes, and (4) prevent or minimize 

acute episodes of chronic conditions 

that require an emergency room visit or 

hospitalization. 

In the demonstration, payments will 

be made to physician practices that 

meet or exceed performance standards 

established by CMS. There will be two 

categories of performance payments. 

One payment will be made for clinical 

systems based on the number of patients 

who are Medicare beneficiaries with a 

chronic condition; and the other will be 

made for clinical quality based on the 

number of beneficiaries with the 

specific diseases of diabetes, congestive 

heart failure, or coronary artery disease. 

Payment for clinical quality will also be 

made for meeting standards on various 

screening measures. Payments can vary 

based on performance. 

The three year demonstration project 

will be launched in four states, with up 

to 2,800 physicians from solo and small 

to medium-sized group practices 

participating, including practices in 

both urban and rural areas. The project 

is expected to become operational in 

2006, with physicians being paid in 

2006, 2007, and 2008. It will operate in 

the same four states as initiated the 

Doctor’s Office Quality—Information 

Technology project (California, Utah,