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Federal Register / Vol. 86, No. 14 / Monday, January 25, 2021 / Notices
or spouse to include annual deductibles and benefits.
3. Diagnostic codes ICD10CM, CPT 4, and any other coding system pertaining to the individuals medical, surgical, psychiatric, dental and/or psychological examination or treatment.
4. Charges claimed to a third-party payer, including insurance companies, other Federal agencies, or foreign governments, based on treatment/
services provided to the patient.
5. Charges billed to those Veterans who are required to meet co-payment obligations for treatment/services rendered by VA.
6. The name, Social Security number, Drug Enforcement Administration DEA number, National Provider Identifier NPI and credentials including providers degree, licensure, certification, registration or occupation of health care providers.
7. Records of charges related to patient care that are created in anticipation of litigation in which the United States is a party or has an interest in the litigation or potential litigation, including a third-party tortfeasor, workers compensation, or nofault automobile insurance cases. Such records are not subject to disclosure under 5 U.S.C. 552ad5.
RECORD SOURCE CATEGORIES:

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The patient, family members or guardian, and friends, employers or other third parties when otherwise unobtainable from the patient or family;
health insurance carriers; private medical facilities and health care professionals; state and local agencies;
other Federal agencies; Social Security Administration; VA regional offices;
Veterans Benefits Administration automated record systems, including Veterans and Beneficiaries Identification and Records Location Subsystem-VA 38VA23 and the Compensation, Pension, Education and Rehabilitation Records-VA 58VA21/22/
28; and various automated systems providing clinical and facilities to include Health Care Provider Credentialing and Privileging RecordsVA 77VA10E2E; Veterans Health Information Systems and Technology Architecture VistA-VA 79VA10A7
and Patient Medical Records-VA
24VA10A7.
ROUTINE USES OF RECORDS MAINTAINED IN THE
SYSTEM, INCLUDING CATEGORIES OF USERS AND
THE PURPOSES OF SUCH USES:

To the extent that records contained in the system include information protected by 45 CFR parts 160 and 164, i.e., individually-identifiable health information, and 38 U.S.C. 7332; i.e.,
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medical treatment information related to drug abuse, alcoholism or alcohol abuse, sickle cell anemia or infection with the human immunodeficiency virus, that information cannot be disclosed under a routine use unless there is also specific statutory authority in 38 U.S.C. 7332
and regulatory authority in 45 CFR parts 160 and 164 permitting disclosure.
1. VA may disclose information, except for the names and home address of Veterans and their dependents, to a Federal, State, local, tribal or foreign agency charged with the responsibility of investigating or prosecuting civil, criminal or regulatory violations of law, or charged with enforcing or implementing the statute, regulation, rule or order issued pursuant thereto.
VA may also disclose the names and addresses of Veterans and their dependents to a Federal agency charged with the responsibility of investigating or prosecuting civil, criminal or regulatory violations of law, or charged with enforcing or implementing the statute, regulation, rule or order issued pursuant thereto.
2. Disclosure may be made to an agency in the executive, legislative, or judicial branch, or the District of Columbia government in response to its request or at the initiation of VA, in connection with the letting of a contract, other benefits by the requesting agency, or the lawful statutory, administrative, or investigative purpose of the agency to the extent that the information is relevant and necessary to the requesting agencys decision. However, names and addresses of Veterans and their dependents will be released only to Federal entities.
3. Disclosure may be made to a Congressional office from the record of an individual in response to an inquiry from the Congressional office made at the request of that individual.
4. Disclosure may be made to National Archives and Records Administration in records management inspections conducted under authority of Title 44
U.S.C.
5. Disclosure may be made to the Department of Justice and United States attorneys in defense or prosecution of litigation involving the United States, and to Federal agencies upon their request in connection with review of administrative tort claims filed under the Federal Tort Claims Act, 28 U.S.C.
2672.
6. Any information in this system of records, including personal information obtained from other Federal agencies through computer-matching programs, may be disclosed for the purposes identified below to any third party, except consumer reporting agencies, in
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connection with any proceeding for the collection of an amount owed to the United States by virtue of a persons participation in any benefit program administered by VA. Information may be disclosed under this routine use only to the extent that it is reasonably necessary for the following purposes: a To assist VA in collection of Title 38
overpayments, overdue indebtedness, and/or costs of services provided individuals not entitled to such services; and b to initiate civil or criminal legal actions for collecting amounts owed to the United States and/
or for prosecuting individuals who willfully or fraudulently obtain Title 38
benefits without entitlement. This disclosure is consistent with 38 U.S.C.
5701b6.
7. The name and address of a Veteran, other information as is reasonably necessary to identify such Veteran, including personal information obtained from other Federal agencies through computer matching programs, and any information concerning the Veterans indebtedness to the United States by virtue of the persons participation in a benefits program administered by VA
may be disclosed to a consumer reporting agency for purposes of assisting in the collection of such indebtedness, provided that the provisions of 38 U.S.C. 5701g4 have been met.
8. The name of a Veteran, or other beneficiary, other information as is reasonably necessary to identify such individual, and any information concerning the individuals indebtedness by virtue of a persons participation in a medical care and treatment program administered by VA, may be disclosed to the Treasury Department, Internal Revenue Service, for the collection of indebtedness arising from such program by the withholding of all or a portion of the persons Federal income tax refund.
These records may be disclosed as part of a computer-matching program to accomplish these purposes.
9. Relevant information excluding medical treatment information related to drug or alcohol abuse, infection with the human immunodeficiency virus or sickle cell anemia may be disclosed to HHS for the purpose of identifying improper duplicate payments made by Medicare fiscal intermediaries where VA was authorized and was responsible for payment for medical services obtained at community health care facilities.
10. The Social Security number, NPI, credentials, and other identifying information of a health care provider may be disclosed to a third party where
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