Professional Documents
Culture Documents
technical evaluations of new, revised, long-term care systems and shift the was submitted to OMB and the
and alternative methods with regulatory historical emphasis from institutional Congress, whichever is later. We may
applicability and promotes the scientific care to community-based care. The defer implementation of this system or
validation and regulatory acceptance of demonstration is based on the premise one or more of the routine use
toxicological test methods that more that many Medicaid beneficiaries statements listed below if we receive
accurately assess the safety and hazards currently residing in institutions want comments that persuade us to defer
of chemicals and products and that to live in the community and could do implementation.
refine, reduce, or replace animal use. so if they had the adequate support, and ADDRESSES: The public should address
The ICCVAM Authorization Act of 2000 that it would cost less than Medicaid comments to the CMS Privacy Officer,
(available at http:// currently spends to care for institutional Division of Privacy Compliance,
iccvam.niehs.nih.gov/docs/about_docs/ care. Enterprise Architecture and Strategy
PL106545.pdf) establishes ICCVAM as a The purpose of this system is to Group, Mail-stop N2–04–27, 7500
permanent interagency committee of the collect and maintain individually Security Boulevard, Baltimore,
NIEHS under NICEATM. NICEATM identifiable information on Medicaid Maryland 21244–1850. Comments
administers ICCVAM and provides recipients, those who participate in the received will be available for review at
scientific and operational support for MFP demonstration and other this location by appointment during
ICCVAM-related activities. NICEATM comparable Medicaid recipients, and to regular business hours, Monday through
and ICCVAM work collaboratively to collect and maintain program level Friday from 9 a.m.–3 p.m., eastern time.
evaluate new and improved test information on grantee implementation
FOR FURTHER INFORMATION CONTACT: Effie
methods applicable to the needs of of the MFP demonstration. Information
Federal agencies. Additional retrieved from this system may be Shockley, Division of Advocacy and
information about ICCVAM and disclosed to: (1) Support regulatory, Special Initiatives, Disabled and Elderly
NICEATM is available on the reimbursement, and policy functions Health Programs Group, Center for
NICEATM–ICCVAM Web site at http:// performed within the agency or by a Medicaid and State Operations, Mail
iccvam.niehs.nih.gov. contractor, grantee, or consultant; (2) Stop S2–14–26, Centers for Medicare &
assist another Federal or state agency Medicaid Services, 7500 Security
Dated: December 12, 2007. Boulevard, Baltimore, MD 21244–1849.
Samuel H. Wilson, with information to contribute to the
accuracy of CMS’s proper payment of She can be reached by telephone at 410–
Acting Director, National Institute of 786–8639, or via e-mail at
Environmental Health Sciences and National Medicaid benefits, enable such agency
to administer a Federal health benefits Effie.Shockley@cms.hhs.gov.
Toxicology Program.
[FR Doc. E7–24799 Filed 12–20–07; 8:45 am] program, or to enable such agency to SUPPLEMENTARY INFORMATION: The
fulfill a requirement of Federal statute demonstration, created by section 6071
BILLING CODE 4140–01–P
or regulation that implements a health of the Deficit Reduction Act of 2005
benefits program funded in whole or in (Pub. L. 109–171), provides states a total
DEPARTMENT OF HEALTH AND part with Federal funds; (3) support an of $1.75 billion in competitive grants to
HUMAN SERVICES individual or organization for a research transition Medicaid beneficiaries who
project or in support of an evaluation need long-term care services from
Centers for Medicare & Medicaid project related to the prevention of institutional-based care to community-
Services disease or disability, the restoration or based care and to use enhanced
maintenance of health, or payment matching funds to continue their work
Privacy Act of 1974; Report of a New related projects; (4) support litigation to restructure their long-term care
System of Records involving the agency; and (5) combat systems. The purpose of the
fraud, waste, and abuse in certain demonstration is to help states continue
AGENCY: Centers for Medicare &
Federally-funded health benefits their efforts to restructure their long-
Medicaid Services (CMS), Department
programs. We have provided term care systems and shift the
of Health and Human Services (HHS).
background information about the new historical emphasis from institutional
ACTION: Notice of a New System of
system in the ‘‘Supplementary care to community-based care. The
Records (SOR). Information’’ section below. Although demonstration is based on the premise
SUMMARY: In accordance with the the Privacy Act requires only that CMS that many Medicaid beneficiaries
requirements of the Privacy Act of 1974, provide an opportunity for interested currently residing in institutions want
we are proposing to establish a new persons to comment on the proposed to live in the community and could do
system titled, ‘‘Money Follows the routine uses, CMS invites comments on so if they had adequate support, and it
Person (MFP) Demonstration (MFPD), all portions of this notice. See ‘‘Effective would cost less than Medicaid currently
System No. 09–70–0593.’’ The Dates’’ section for comment period. spends to care for institutional care.
demonstration, created by section 6071 DATES: Effective Date: CMS filed a new I. Description of the Proposed System of
of the Deficit Reduction Act of 2005 SOR report with the Chair of the House Records
(Pub. L. 109–171), provides to states a Committee on Government Reform and
total of $1.75 billion in competitive Oversight, the Chair of the Senate A. Statutory and Regulatory Basis for
grants. MFP demonstration grants have Committee on Homeland Security & SOR
been awarded to 30 states and the Governmental Affairs, and the The statutory authority for this system
District of Columbia. The states and the Administrator, Office of Information is given under Section 6071 of the
District of Columbia are using the grant and Regulatory Affairs, Office of Deficit Reduction Act of 2005.
mstockstill on PROD1PC66 with NOTICES
VerDate Aug<31>2005 18:37 Dec 20, 2007 Jkt 214001 PO 00000 Frm 00065 Fmt 4703 Sfmt 4703 E:\FR\FM\21DEN1.SGM 21DEN1
72730 Federal Register / Vol. 72, No. 245 / Friday, December 21, 2007 / Notices
state grantees who voluntarily information on grantee implementation the contract prohibiting the contractor,
participate in the MFP demonstration as of the MFP demonstration. consultant or grantee from using or
well as program-level information. The 2. Determines that: disclosing the information for any
individual-level information collected a. The purpose for which the purpose other than that described in the
will include but is not limited to: name, disclosure is to be made can only be contract and requires the contractor,
address, telephone number, health accomplished if the record is provided consultant or grantee to return or
insurance claims number, Medicaid in individually identifiable form; destroy all information at the
identification number, social security b. The purpose for which the completion of the contract.
number, race/ethnicity, gender, date of disclosure is to be made is of sufficient 2. To another Federal or state agency
birth, Medicaid and Medicare eligibility importance to warrant the effect and/or to:
and claims records, and self-reported risk on the privacy of the individual that a. Contribute to the accuracy of CMS’s
quality of life (including living additional exposure of the record might proper payment of Medicaid benefits;
situation, choice and control, respect bring; and b. Enable such agency to administer a
and dignity, access to personal care, c. There is a strong probability that Federal health benefits program, or, as
community integration and inclusion, the proposed use of the data would in necessary, to enable such agency to
satisfaction with quality of life, and fact accomplish the stated purpose(s). fulfill a requirement of a Federal statute
health status). The program-level 3. Requires the information recipient or regulation that implements a health
information will include, but is not to: benefits program funded in whole or in
limited to: program performance a. Establish administrative, technical, part with Federal funds; and/or
measures for mandatory and state- and physical safeguards to prevent c. Assist Federal/state Medicaid
specific benchmarks. States will also unauthorized use of disclosure of the programs within the state.
report progress on outreach and record; Other Federal or state agencies, in
enrollment in the demonstration, b. Remove or destroy, at the earliest their administration of a Federal health
informed consent and guardianship, time, all patient-identifiable program, may require MFPD
benefits and services, self-direction information; and information in order to support
c. Agree to not use or disclose the evaluations and monitoring of Medicaid
programs, quality management systems,
information for any purpose other than claims information of beneficiaries,
housing, and organization factors. This
the stated purpose under which the including proper reimbursement for
information will be primarily narrative,
information was disclosed. services provided.
qualitative information, but will include
4. Determines that the data are valid 3. To an individual or organization for
some aggregate data.
and reliable. a research project or in support of an
II. Agency Policies, Procedures, and evaluation project related to the
III. Proposed Routine Use Disclosures
Restrictions on the Routine Use prevention of disease or disability, the
of Data in the System
A. The Privacy Act permits us to restoration or maintenance of health, or
A. The Privacy Act allows us to payment related projects.
disclose information without an disclose information without an
individual’s consent if the information The MFPD data will provide for
individual’s consent if the information research or support of evaluation
is to be used for a purpose that is is to be used for a purpose that is
compatible with the purpose(s) for projects and a broader, longitudinal,
compatible with the purpose(s) for national perspective of the status of
which the information was collected. which the information was collected.
Any such disclosure of data is known as Medicaid beneficiaries. CMS anticipates
Any such compatible use of data is that researchers may have legitimate
a ‘‘routine use.’’ The Government will known as a ‘‘routine use.’’ The proposed
only release MFPD information that can requests to use these data in projects
routine uses in this system meet the that could ultimately improve the care
be associated with an individual as compatibility requirement of the Privacy
provided for under ‘‘Section III. provided to Medicaid beneficiaries and
Act. We are proposing to establish the the policies that govern their care.
Proposed Routine Use Disclosures of following routine use disclosures of 4. To the Department of Justice (DOJ),
Data in the System.’’ Both identifiable information maintained in the system: court or adjudicatory body when:
and non-identifiable data may be 1. To agency contractors, consultants a. The agency or any component
disclosed under a routine use. We will or grantees, who have been engaged by thereof, or
only collect the minimum personal data the agency to assist in the performance b. Any employee of the agency in his
necessary to achieve the purpose of of a service related to this collection and or her official capacity, or
MFPD. who need to have access to the records c. Any employee of the agency in his
CMS has the following policies and in order to perform the activity. or her individual capacity where the
procedures concerning disclosures of We contemplate disclosing DOJ has agreed to represent the
information that will be maintained in information under this routine use only employee, or
the system. Disclosure of information in situations in which CMS may enter d. The United States Government, is
from the system will be approved only into a contractual or similar agreement a party to litigation or has an interest in
to the extent necessary to accomplish with a third party to assist in such litigation, and, by careful review,
the purpose of the disclosure and only accomplishing CMS function relating to CMS determines that the records are
after CMS: purposes for this system. both relevant and necessary to the
1. Determines that the use or CMS occasionally contracts out litigation and that the use of such
disclosure is consistent with the reason certain of its functions when doing so records by the DOJ, court or
that the data is being collected; e.g., to would contribute to effective and adjudicatory body is compatible with
mstockstill on PROD1PC66 with NOTICES
collect and maintain individually efficient operations. CMS must be able the purpose for which the agency
identifiable information on Medicaid to give a contractor, consultant or collected the records.
recipients, those who participate in the grantee whatever information is Whenever CMS is involved in
MFP demonstration and other necessary for the contractor or litigation, and occasionally when
comparable Medicaid recipients, and to consultant to fulfill its duties. In these another party is involved in litigation
collect and maintain program level situations, safeguards are provided in and CMS policies or operations could be
VerDate Aug<31>2005 18:37 Dec 20, 2007 Jkt 214001 PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 E:\FR\FM\21DEN1.SGM 21DEN1
Federal Register / Vol. 72, No. 245 / Friday, December 21, 2007 / Notices 72731
affected by the outcome of the litigation, 82462 (12–28–00). Disclosures of such requirements of the Privacy Act and will
CMS would be able to disclose PHI that are otherwise authorized by collect, use, and disseminate
information to the DOJ, court or these routine uses may only be made if, information only as prescribed therein.
adjudicatory body involved. and as, permitted or required by the Data in this system will be subject to the
5. To a CMS contractor (including, but ‘‘Standards for Privacy of Individually authorized releases in accordance with
not necessarily limited to, fiscal Identifiable Health Information.’’ (See the routine uses identified in this
intermediaries and carriers) that assists 45 CFR 164.512(a)(1)). system of records.
in the administration of a CMS- In addition, our policy will be to CMS will take precautionary
administered health benefits program, prohibit release even of data not directly measures to minimize the risks of
or to a grantee of a CMS-administered identifiable, except pursuant to one of unauthorized access to the records and
grant program, when disclosure is the routine uses or if required by law, the potential harm to individual privacy
deemed reasonably necessary by CMS to if we determine there is a possibility or other personal or property rights of
prevent, deter, discover, detect, that an individual can be identified patients whose data are maintained in
investigate, examine, prosecute, sue through implicit deduction based on this system. CMS will collect only that
with respect to, defend against, correct, small cell sizes (instances where the information necessary to perform the
remedy, or otherwise combat fraud, patient population is so small that system’s functions. In addition, CMS
waste, and abuse in such program. individuals could, because of the small will make disclosure from the proposed
We contemplate disclosing size, use this information to deduce the system only with consent of the subject
information under this routine use only identity of the beneficiary). individual, or his/her legal
in situations in which CMS may enter representative, or in accordance with an
into a contractual, grantee, cooperative IV. Safeguards
applicable exception provision of the
agreement or consultant relationship CMS has safeguards in place for Privacy Act. CMS, therefore, does not
with a third party to assist in authorized users and monitors such anticipate an unfavorable effect on
accomplishing CMS functions relating users to ensure against unauthorized individual privacy as a result of
to the purpose of combating fraud, use. Personnel having access to the information relating to individuals.
waste, and abuse. CMS occasionally system have been trained in the Privacy
contracts out certain of its functions or Act and information security Dated: December 12, 2007.
makes grants or cooperative agreements requirements. Employees who maintain Charlene Frizzera,
when doing so would contribute to records in this system are instructed not Chief Operating Officer, Centers for Medicare
effective and efficient operations. CMS to release data until the intended & Medicaid Services.
must be able to give a contractor, recipient agrees to implement
SYSTEM NO. 09–70–0593
grantee, consultant or other legal agent appropriate management, operational
whatever information is necessary for and technical safeguards sufficient to SYSTEM NAME:
the agent to fulfill its duties. In these protect the confidentiality, integrity and Money Follows the Person (MFP)
situations, safeguards are provided in availability of the information and Demonstration (MFPD),’’ HHS/CMS/
the contract prohibiting the agent from information systems and to prevent CMSO.
using or disclosing the information for unauthorized access.
This system will conform to all SECURITY CLASSIFICATION:
any purpose other than that described in
the contract and requiring the agent to applicable Federal laws and regulations Level Three Privacy Act Sensitive
return or destroy all information. and Federal, HHS, and CMS policies Data.
6. To another Federal agency or to an and standards as they relate to SYSTEM LOCATION:
instrumentality of any governmental information security and data privacy.
Centers for Medicare & Medicaid
jurisdiction within or under the control These laws and regulations may apply
Services (CMS) Data Center, 7500
of the United States (including any State but are not limited to: the Privacy Act
Security Boulevard, North Building,
or local governmental agency), that of 1974; the Federal Information
First Floor, Baltimore, Maryland 21244–
administers, or that has the authority to Security Management Act of 2002; the
1850 and at various co-locations of CMS
investigate potential fraud, waste, or Computer Fraud and Abuse Act of 1986;
agents.
abuse in, a health benefits program the Health Insurance Portability and
funded in whole or in part by Federal Accountability Act of 1996; the E- CATEGORIES OF INDIVIDUALS COVERED BY THE
funds, when disclosure is deemed Government Act of 2002, the Clinger- SYSTEM:
reasonably necessary by CMS to Cohen Act of 1996; the Medicare This system will collect and maintain
prevent, deter, discover, detect, Modernization Act of 2003, and the individually identifiable and other data
investigate, examine, prosecute, sue corresponding implementing collected on Medicaid recipients and
with respect to, defend against, correct, regulations. OMB Circular A–130, state grantees who voluntarily
remedy, or otherwise combat fraud, Management of Federal Resources, participate in the MFPD demonstration
waste, or abuse in such programs. Appendix III, Security of Federal and evaluation as well as program-level
Other agencies may require MFPD Automated Information Resources also information.
information for the purpose of applies. Federal, HHS, and CMS
CATEGORIES OF RECORDS IN THE SYSTEM:
combating fraud, waste, and abuse in policies and standards include but are
such Federally-funded programs. not limited to: all pertinent National The individual-level information
Institute of Standards and Technology collected will include but is not limited
B. Additional Provisions Affecting to: name, address, telephone number,
publications; the HHS Information
Routine Use Disclosures health insurance claims number (HICN),
Systems Program Handbook and the
mstockstill on PROD1PC66 with NOTICES
To the extent this system contains CMS Information Security Handbook. Medicaid identification number, social
Protected Health Information (PHI) as security number (SSN), race/ethnicity,
defined by HHS regulation ‘‘Standards V. Effects of the Proposed System of gender, date of birth, Medicaid and
for Privacy of Individually Identifiable Records on Individual Rights Medicare eligibility and claims records,
Health Information’’ (45 CFR parts 160 CMS proposes to establish this system and self-reported quality of life
and 164, subparts A and E) 65 Fed. Reg. in accordance with the principles and (including living situation, choice and
VerDate Aug<31>2005 18:37 Dec 20, 2007 Jkt 214001 PO 00000 Frm 00067 Fmt 4703 Sfmt 4703 E:\FR\FM\21DEN1.SGM 21DEN1
72732 Federal Register / Vol. 72, No. 245 / Friday, December 21, 2007 / Notices
control, respect and dignity, access to known as a ‘‘routine use.’’ The proposed administers, or that has the authority to
personal care, community integration routine uses in this system meet the investigate potential fraud, waste, or
and inclusion, satisfaction with quality compatibility requirement of the Privacy abuse in, a health benefits program
of life, and health status). The program- Act. We are proposing to establish the funded in whole or in part by Federal
level information will include, but is following routine use disclosures of funds, when disclosure is deemed
not limited to: program performance information maintained in the system: reasonably necessary by CMS to
measures for mandatory and state- 1. To agency contractors, consultants prevent, deter, discover, detect,
specific benchmarks. States will also or grantees, who have been engaged by investigate, examine, prosecute, sue
report progress on outreach and the agency to assist in the performance with respect to, defend against, correct,
enrollment in the demonstration, of a service related to this collection and remedy, or otherwise combat fraud,
informed consent and guardianship, who need to have access to the records waste, or abuse in such programs.
benefits and services, self-direction in order to perform the activity. B. Additional Provisions Affecting
programs, quality management systems, 2. To another Federal or state agency Routine Use Disclosures—To the extent
housing, and organization factors. This to: this system contains Protected Health
information will be primarily narrative, a. Contribute to the accuracy of CMS’s Information (PHI) as defined by HHS
qualitative information, but will include proper payment of Medicaid benefits; regulation ‘‘Standards for Privacy of
some aggregate data. b. Enable such agency to administer a Individually Identifiable Health
Federal health benefits program, or, as Information’’ (45 CFR Parts 160 and 164,
AUTHORITY FOR MAINTENANCE OF THE SYSTEM: necessary, to enable such agency to Subparts A and E) 65 Fed. Reg. 82462
The statutory authority for this system fulfill a requirement of a Federal statute (12–28–00). Disclosures of such PHI that
is given under section 6071 of the or regulation that implements a health are otherwise authorized by these
Deficit Reduction Act of 2005. benefits program funded in whole or in routine uses may only be made if, and
part with Federal funds; and/or as, permitted or required by the
PURPOSE(S) OF THE SYSTEM: c. Assist Federal/state Medicaid ‘‘Standards for Privacy of Individually
The purpose of this system is to programs within the state. Identifiable Health Information.’’ (See
collect and maintain individually 3. To an individual or organization for 45 CFR 164.512(a)(1)).
identifiable information on Medicaid a research project or in support of an In addition, our policy will be to
recipients, those who participate in the evaluation project related to the prohibit release even of data not directly
MFPD and other comparable Medicaid prevention of disease or disability, the identifiable, except pursuant to one of
recipients, and to collect and maintain restoration or maintenance of health, or the routine uses or if required by law,
program level information on grantee payment related projects. if we determine there is a possibility
implementation of the MFPD. 4. To the Department of Justice (DOJ), that an individual can be identified
Information retrieved from this system court or adjudicatory body when: through implicit deduction based on
may be disclosed to: (1) Support a. The agency or any component small cell sizes (instances where the
regulatory, reimbursement, and policy thereof, or patient population is so small that
functions performed within the agency b. Any employee of the agency in his
individuals could, because of the small
or by a contractor, grantee, or or her official capacity, or
size, use this information to deduce the
consultant; (2) assist another Federal or c. Any employee of the agency in his
identity of the beneficiary).
state agency with information to or her individual capacity where the
contribute to the accuracy of CMS’s DOJ has agreed to represent the POLICIES AND PRACTICES FOR STORING,
proper payment of Medicaid benefits, employee, or RETRIEVING, ACCESSING, RETAINING, AND
enable such agency to administer a d. The United States Government, is DISPOSING OF RECORDS IN THE SYSTEM:
disclose information without an waste, and abuse in such program. in the Privacy Act and information
individual’s consent if the information 6. To another Federal agency or to an security requirements. Employees who
is to be used for a purpose that is instrumentality of any governmental maintain records in this system are
compatible with the purpose(s) for jurisdiction within or under the control instructed not to release data until the
which the information was collected. of the United States (including any State intended recipient agrees to implement
Any such compatible use of data is or local governmental agency), that appropriate management, operational
VerDate Aug<31>2005 18:37 Dec 20, 2007 Jkt 214001 PO 00000 Frm 00068 Fmt 4703 Sfmt 4703 E:\FR\FM\21DEN1.SGM 21DEN1
Federal Register / Vol. 72, No. 245 / Friday, December 21, 2007 / Notices 72733
and technical safeguards sufficient to Department regulation 45 CFR national evaluation of the CBA–PRTF.
protect the confidentiality, integrity and 5b.5(a)(2)). Information retrieved from this system
availability of the information and may be disclosed to: (1) Support
CONTESTING RECORD PROCEDURES:
information systems and to prevent regulatory, reimbursement, and policy
unauthorized access. The subject individual should contact functions performed within the agency
This system will conform to all the system manager named above, and or by a contractor, grantee, or
applicable Federal laws and regulations reasonably identify the record and consultant; (2) assist another Federal or
and Federal, HHS, and CMS policies specify the information to be contested. state agency with information to
and standards as they relate to State the corrective action sought and contribute to the accuracy of CMS’s
information security and data privacy. the reasons for the correction with proper payment of Medicaid benefits,
These laws and regulations may apply supporting justification. (These enable such agency to administer a
but are not limited to: the Privacy Act procedures are in accordance with Federal health benefits program, or to
of 1974; the Federal Information Department regulation 45 CFR 5b.7). enable such agency to fulfill a
Security Management Act of 2002; the RECORDS SOURCE CATEGORIES:
requirement of Federal statute or
Computer Fraud and Abuse Act of 1986; regulation that implements a health
Data will be collected from Medicaid
the Health Insurance Portability and benefits program funded in whole or in
administrative and claims records, and
Accountability Act of 1996; the E- part with Federal funds; (3) support an
from grantee progress reports.
Government Act of 2002, the Clinger- individual or organization for a research
Cohen Act of 1996; the Medicare SYSTEMS EXEMPTED FROM CERTAIN PROVISIONS project or in support of an evaluation
Modernization Act of 2003, and the OF THE ACT: project related to the prevention of
corresponding implementing None. disease or disability, the restoration or
regulations. OMB Circular A–130, maintenance of health, or payment
[FR Doc. E7–24786 Filed 12–20–07; 8:45 am]
Management of Federal Resources, related projects; (4) support litigation
BILLING CODE 4120–03–P
Appendix III, Security of Federal involving the agency; and (5) combat
Automated Information Resources also fraud, waste, and abuse in certain
applies. Federal, HHS, and CMS Federally-funded health benefits
DEPARTMENT OF HEALTH AND
policies and standards include but are programs. We have provided
HUMAN SERVICES
not limited to: all pertinent National background information about the new
Institute of Standards and Technology Centers For Medicare & Medicaid system in the SUPPLEMENTARY
publications; the HHS Information Services INFORMATION section below. Although
Systems Program Handbook and the the Privacy Act requires only that CMS
CMS Information Security Handbook. Privacy Act of 1974; Report of a New provide an opportunity for interested
System of Records persons to comment on the proposed
RETENTION AND DISPOSAL: routine uses, CMS invites comments on
Records will be retained for a period AGENCY: Centers for Medicare & all portions of this notice. See ‘‘Effective
of 10 years after the demonstration and Medicaid Services (CMS), Department Dates’’ section for comment period.
evaluation project has completed. All of Health and Human Services (HHS).
DATES: Effective Date: CMS filed a new
claims-related records are encompassed ACTION: Notice of a New System of SOR report with the Chair of the House
by the document preservation order and Records (SOR). Committee on Government Reform and
will be retained until notification is Oversight, the Chair of the Senate
SUMMARY: In accordance with the
received from DOJ. Committee on Homeland Security &
requirements of the Privacy Act of 1974,
we are proposing to establish a new Governmental Affairs, and the
SYSTEM MANAGER AND ADDRESS
system titled, ‘‘Home and Community- Administrator, Office of Information
Director, Division of Advocacy and and Regulatory Affairs, Office of
Special Initiatives, Disabled and Elderly Based Alternatives (CBA) to Psychiatric
Residential Treatment Facilities (PRTF) Management and Budget (OMB) on
Health Programs Group, Center for December 14, 2007. To ensure that all
Medicaid and State Operations, Mail Demonstration (CBA–PRTF), System
No. 09–70–0594.’’ The demonstration, parties have adequate time in which to
Stop S2–14–26, Centers for Medicare & comment, the new system will become
Medicaid Services, 7500 Security created by section 6063 of the Deficit
Reduction Act of 2005 (Pub. L. 109– effective 30 days from the publication of
Boulevard, Baltimore, MD 21244–1849. the notice, or 40 days from the date it
171), allows up to 10 states (as defined
NOTIFICATION PROCEDURE: for purposes of title XIX of the Social was submitted to OMB and the
Security Act (the Act)) to provide home Congress, whichever is later. We may
For purpose of access, the subject
and community-based services to youth defer implementation of this system or
individual should write to the system
as alternatives to PRTFs. The purpose of one or more of the routine use
manager who will require the system
the demonstration is to test the statements listed below if we receive
name, and for verification purposes, the
effectiveness in improving or comments that persuade us to defer
subject individual’s name (woman’s
maintaining a child’s functional level implementation.
maiden name, if applicable), HICN, and/
or SSN (furnishing the SSN is voluntary, and cost effectiveness of providing ADDRESSES: The public should address
but it may make searching for a record coverage of home and community-based comments to the CMS Privacy Officer,
easier and prevent delay). alternatives to psychiatric residential Division of Privacy Compliance,
treatment for children enrolled in the Enterprise Architecture and Strategy
RECORD ACCESS PROCEDURE: Medicaid program under title XIX of the Group, Mail-stop N2–04–27, 7500
mstockstill on PROD1PC66 with NOTICES
For purpose of access, use the same Act. Security Boulevard, Baltimore,
procedures outlined in Notification The purpose of this system is to Maryland 21244–1850. Comments
Procedures above. Requestors should collect and maintain individually received will be available for review at
also reasonably specify the record identifiable information on Medicaid this location by appointment during
contents being sought. (These recipients, and providers of services regular business hours, Monday through
procedures are in accordance with who voluntarily participate in the Friday from 9 a.m.–3 p.m., eastern time.
VerDate Aug<31>2005 18:37 Dec 20, 2007 Jkt 214001 PO 00000 Frm 00069 Fmt 4703 Sfmt 4703 E:\FR\FM\21DEN1.SGM 21DEN1