Privacy Act of 1974; Report of a Modified or Altered System of Records

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In accordance with the requirements of the Privacy Act of 1974, CMS is proposing to modify or alter existing system of records titled "Medicare Exclusion Database" (MED), System No. 09-70-0534," established at 67 Federal Register 8810 (February 26, 2002). We propose to modify existing routine use number 1 that permits disclosure to agency contractors and consultants to include disclosure to CMS grantees who perform a task for the agency. CMS grantees, charged with completing projects or activities that require CMS data to carry out that activity, are classified separate from CMS contractors and/or consultants. The modified routine use will remain as routine use number 1. Published routine use number 2 and 3 will be combined as one because both are written to complete the same or similar purpose. Disclosures allowed by published routine uses numbers 2, and 3 will be covered by a new routine use numbered 2 to permit release of information to "another Federal and/or State agency, agency of a State government, an agency established by State law, or its fiscal agent." The scope of this routine use has been broadened to include State Medicaid agencies when disclosure of the information p