Don't show this message again
42 U.S. Code § 1320a-7k. Medicare and Medicaid program integrity provisions
(a) Data matching
(1) Integrated data repository
(A) Inclusion of certain data
(i) In generalThe Integrated Data Repository of the Centers for Medicare & Medicaid Services shall include, at a minimum, claims and payment data from the following:
(I)
The programs under subchapters XVIII and XIX (including parts A, B, C, and D of subchapter XVIII).
(II)
The program under subchapter XXI.
(III)
Health-related programs administered by the Secretary of Veterans Affairs.
(IV)
Health-related programs administered by the Secretary of Defense.
(V)
The program of old-age, survivors, and disability insurance benefits established under subchapter II.
(VI)
The Indian Health Service and the Contract Health Service program.
(ii) Priority for inclusion of certain data
Inclusion of the data described in subclause (I) of such clause [1] in the Integrated Data Repository shall be a priority. Data described in subclauses (II) through (VI) of such clause shall be included in the Integrated Data Repository as appropriate.
(B) Data sharing and matching
(i) In general
The Secretary shall enter into agreements with the individuals described in clause (ii) under which such individuals share and match data in the system of records of the respective agencies of such individuals with data in the system of records of the Department of Health and Human Services for the purpose of identifying potential fraud, waste, and abuse under the programs under subchapters XVIII and XIX.
(ii) Individuals describedThe following individuals are described in this clause:
(I)
The Commissioner of Social Security.
(II)
The Secretary of Veterans Affairs.
(III)
The Secretary of Defense.
(IV)
The Director of the Indian Health Service.
(iii) Definition of system of records
For purposes of this paragraph, the term “system of records” has the meaning given such term in section 552a(a)(5) of title 5.