Effective Date: March 31, 2004
(69 F.R. 17019)
SOCIAL SECURITY ADMINISTRATION NOTICE OF SYSTEM OF RECORDS REQUIRED BY THE PRIVACY ACT OF 1974
System number: 60-0310
System name:
Medicare Savings Programs Information System, Social Security Administration, Office of Program Benefits
Security classification:
None
System location:
Social Security Administration
Office of Systems Operations
Categories of individuals covered by the system:
All Social Security beneficiaries who have attained age 65 or are about to attain age 65, disabled Social Security beneficiaries who have received 24 months of Social Security benefits, beneficiaries with a disabling impairment(s) who lost entitlement to free Medicare Part A because of work and certain individuals who suffer from end-stage renal disease.
Categories of records in the system:
This system contains information about the beneficiary from records available to SSA. This information may include the individual’s name, Social Security number (SSN), date of birth, address, marital status and income. Information will be obtained from other SSA systems of records (e.g., Master Beneficiary Record, 60-0090, Supplemental Security Income Record and Special Veterans Benefits, 60-0103 and from other databases available to SSA, such as the Veterans Administration and Office of Personnel Management benefits files.
Authority for maintenance of the system:
Section 1144 of the Social Security Act (42 U.S.C. § 1320b-14) as added by Public Law 106-554, the Consolidated Appropriations Act, 2001.
Purpose(s):
Information in this system will be used to determine a beneficiary’s potential eligibility for Medicare Part B buy-in or for subsidized purchase of Medicare Part A. Information kept in the system will be used to increase Medicare buy-in applications and enrollments, and may be used by the General Accounting Office (GAO) for its evaluation of the effort as required by the statute.
Routine uses of records maintained in the system, including categories of users and the purpose of such uses:
Disclosure may be made for routine uses as indicated below. However, disclosure of information constituting “return or return information” within the scope of the Internal Revenue Code (IRC) (26 U.S.C. § 6103) will not be disclosed unless disclosure is authorized by that statute.
1. To the Office of the President for the purpose of responding to an individual pursuant to an inquiry received from that individual or from a third party on his or her behalf.
2. To a congressional office in response to an inquiry from that office made at the request of the subject of a record.
3. To third parties in situations where the party to be contacted has, or is expected to have, information relating to the individual’s eligibility for, or entitlement to, benefits under a Social Security Act program when the data are needed to establish the validity of evidence or to verify the accuracy of information presented by the individual, and it concerns one or more of the following:
a) his or her eligibility for benefits under a Social Security Act program;
b) the amount of his or her benefit payment;
c) any case in which the evidence is being reviewed as a result of suspected fraud, concern for program integrity, quality appraisal, or evaluation and measurement activities.
4. To State or local agencies (or agents on their behalf), for the purpose of assisting SSA in the efficient administration of its programs.
5. To the Department of Justice (DOJ), a court, or other tribunal, or other third party before such tribunal when:
a) SSA, or any component thereof, or
b) any SSA employee in his/her official capacity; or
c) any SSA employee in his/her individual capacity where DOJ (or SSA where it is authorized to do so) has agreed to represent the employee; or
d) the
is party to litigation or has an interest in such litigation, and SSA determines that the use of such records by DOJ, the court or other tribunal is relevant and necessary to the litigation, provided, however, that in each case, SSA determines that such disclosure is compatible with the purpose for which the records were collected.
Wage and other information which are subject to the disclosure provisions of the IRC (26 U.S.C. § 6103) will not be disclosed under this routine use unless disclosure is expressly permitted by the IRC.
6. To student volunteers and other workers, who technically do not have the status of Federal employees, when they are performing work for SSA as authorized by law, and they need access to personally identifiable information in SSA records in order to perform their assigned Agency functions.
7. Non-tax return information which is not restricted from disclosure by Federal law may be disclosed to the General Services Administration (GSA) and the National Archives and Records Administration (NARA) under 44 U.S.C. § 2904 and § 2906, as amended by the NARA Act of 1984, for the use of those agencies in conducting records management studies.
Policies and practices for storing, retrieving, accessing, retaining and disposing of records in the system:
Storage:
Data may be stored in paper form and on magnetic media (e.g., discs).
Retrievability:
Records in this system are indexed and retrieved by the SSN and/or address.
Safeguards:
Security measures include the use of access codes to enter the computer system, which will maintain the data, and storage of the computerized records in secured areas which are accessible only to employees who require the information in performing their official duties. Any paper records will be kept in locked cabinets or in otherwise secured areas. Contractor personnel having access to data in the system of records will be required to adhere to SSA rules concerning safeguards, access and use of the data. SSA and contractor personnel having access to the data will be informed of the criminal penalties of the Privacy Act for unauthorized access to or disclosure of information maintained in this system of records.
Retention and disposal:
Electronic files and other files with personal identifiers are retained in secure areas accessible only to authorized personnel and will be disposed of as soon as they are determined to be no longer needed for contractor or SSA analysis. Means of disposal will be appropriate to the storage medium (e.g., deletion of magnetic discs or shredding of paper records). Records used in administering the demonstration and experimental programs will be retained indefinitely.
System manager(s):
Director
Division of Representative Payment and Evaluation
Office of Program Benefits
Social Security Administration
Notification procedure(s):
An individual can determine if this system of records contains a record about him/her by writing to the systems manager(s) at the above address and providing his/her name, SSN or other information that may be in the system of records that will identify him/her. An individual requesting notification of records in person should provide the same information, as well as provide an identity document, preferably with a photograph, such as a driver's license. If an individual does not have identification documents sufficient to establish his/her identity, the individual must certify in writing that he/she is the person claimed to be and that he/she understands that the knowing and willful request for, or acquisition of, a record pertaining to another individual under false pretenses is a criminal offense.
If notification is requested by telephone, an individual must verify his/her identity by providing identifying information that parallels the record to which notification is being requested. If it is determined that the identifying information provided by telephone is insufficient, the individual will be required to submit a request in writing or in person. If an individual is requesting information by telephone on behalf of another individual, the subject individual must be connected with SSA and the requesting individual in the same phone call. SSA will establish the subject individual’s identity (his/her name, SSN, address, date of birth and place of birth along with one other piece of information such as mother’s maiden name) and ask for his/her consent in providing information to the requesting individual.
If a request for notification is submitted by mail, an individual must include a notarized statement to SSA to verify his/her identity or must certify in the request that he/she is the person claimed to be and that he/she understands that the knowing and willful request for, or acquisition of, a record pertaining to another individual under false pretenses is a criminal offense. These procedures are in accordance with SSA Regulations (20 C.F.R. § 401.40).
Record access procedure(s):
Same as “Notification procedures.” Requesters should also reasonably specify the record contents being sought. These procedures are in accordance with SSA Regulations (20 C.F.R. § 401.50).
Contesting record procedure(s):
Same as “Notification procedures.” Requesters also should reasonably identify the record, specify the information they are contesting, and state the corrective action sought and the reasons for the correction with supporting justification showing how the record is untimely, incomplete, inaccurate or irrelevant. These procedures are in accordance with SSA Regulations (20 C.F.R. § 401.65).
Record source categories:
Data for the system are secured from other SSA systems of records (e.g., Master Beneficiary Record, 60-0090, Supplemental Security Income Record and Special Veterans Benefits, 60-0103 and from other databases available to SSA, such as the Veterans Administration and the Office of Personnel Management benefits files).
Systems exempted from certain provisions of the Privacy Act:
None.