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Federal Register / Vol. 86, No. 156 / Tuesday, August 17, 2021 / Notices
Dated: August 11, 2021.
Amy L. Rose, Program Analyst, VA Privacy Service, Office of Information Security, Office of Information and Technology, Department of Veterans Affairs.
SYSTEM NAME AND NUMBER:

Enrollment and Eligibility RecordsVA 147VA10
SECURITY CLASSIFICATION:

Unclassified.
SYSTEM LOCATION:

Records are maintained at the Health Eligibility Center HEC in Atlanta, Georgia; the Austin Information Technology Center AITC in Austin, Texas; at each VA health care facility as described in the VA system of records entitled Patient Medical Records-VA
24VA10A7; and at the Veteran Health Identification Card VHIC located at the AITC and 3M Cogent, Inc. Electronic and magnetic records are also stored at contracted facilities for storage and back-up purposes.
SYSTEM MANAGERS:

Official responsible for policies and procedures: Deputy Under Secretary for Health and Operations, VHA Member Services 10NF, VA Central Office, 810
Vermont NW, Washington, DC 20420.
Official maintaining the system:
Director, Health Eligibility Center, 2957
Clairmont Road, Atlanta, GA 30329.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:

Title 28, United States Code, title 38, U.S.C., sections 501a, 1705, 1710, 1722, and 5317.
PURPOSES OF THE SYSTEM:

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Information in this system of records is used to establish and maintain applicants records necessary to support the delivery of health care benefits;
establish applicants eligibility for VA
health care benefits; operate an annual enrollment system; provide eligible Veterans with an identification card;
collect from an applicants health insurance provider for care of their nonserviceconnected conditions;
provide educational materials related to VA health care benefits, respond to Veteran and non-Veteran inquiries related to VA health care benefits, and compile management reports.
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:

The records contain information on individuals who have applied for or who have received VA health care benefits under Title 38 United States Code U.S.C., Chapter 17, the records also include Veterans, non-Veterans,
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caregivers, their spouses, dependents, and survivors as provided for in other provisions of Title 38, U.S.C or VAs Fourth Mission.
CATEGORIES OF RECORDS IN THE SYSTEM:

The categories of records in this system may include: Medical benefit applications; eligibility and enrollment information, to include information obtained from Veterans Benefits Administrations automated records, such as the Compensation, Pension, Education and Rehabilitation RecordsVA 58VA21/22, and VHIC
information including applicants name, addresses, date of birth, Member ID
numberwhich is Department of Defenses Electronic Data Interchange Personal Identifier EDIPI, Plan ID, special awards and Branch of Service, Internal Control Number ICN, applicants image, preferred facility and facility requesting a VHIC, names, addresses and phone numbers of persons to contact in the event of a medical emergency, family information including spouse and dependents names, addresses and Social Security Number; applicant and spouses employment information, including occupation, employers names and addresses; financial information concerning the applicant and the applicants spouse including family income, assets, expenses, debts; third party health plan contract information, including health insurance carrier name and address, policy number and time period covered by policy; facility locations where treatment is provided;
type of treatment provided i.e., inpatient or outpatient; information about the applicants military service e.g., dates of active duty service, dates and branch of service, and character of discharge, combat service dates and locations, military decorations, POW
status and military service experience including exposures to toxic substances; information about the applicants eligibility for VA
compensation or pension benefits, and the applicants enrollment status and enrollment priority group. These records also include, but are not limited to, individual correspondence provided to the HEC by Veterans, their family members and Veterans representatives, such as Veteran Service Officers VSO;
copies of death certificates; DD Form 214, Certificate of Release or Discharge from Active Duty; disability award letters; VA and other pension applications; VA Form 1010EZ, Application for Health Benefits; VA
Form 1010EZR, Health Benefits Renewal; VA Form 1010EC, Application for Extended Care
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Services; and workers compensation forms.
RECORD SOURCE CATEGORIES:

Information in the systems of records may be provided by the applicant;
applicants spouse or other family members or accredited representatives or friends; Veterans, health insurance carriers; other Federal agencies; Patient Medical Records-VA 24VA10A7
system of records; Veterans Health Information System and Technology Architecture VistA Records-VA
79VA10; Income Verification Records-VA 89VA10NB; and 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.
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., medical treatment information related to drug abuse, alcoholism or alcohol abuse, sickle cell anemia, or infection with the Human Immunodeficiency Virus, that information may not 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 relevant to a claim of a Veteran or beneficiary, such as the name, address, the basis and nature of a claim, amount of benefit payment information, medical information, and military service and active duty separation information, only at the request of the claimant to accredited service organizations, VAapproved claim agents, and attorneys acting under a declaration of representation, so that these individuals can aid claimants in the preparation, presentation, and prosecution of claims under the laws administered by VA.
2. VA may disclose information that, either alone or in conjunction with other information, indicates a violation or potential violation of law, whether civil, criminal, or regulatory in nature, to a Federal, state, local, territorial, tribal, or foreign law enforcement authority or other appropriate entity charged with the responsibility of investigating or prosecuting such violation or charged with enforcing or implementing such law. The disclosure
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