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Federal Register / Vol. 86, No. 14 / Monday, January 25, 2021 / Notices the third party requires the Department provide that information before it will pay for medical care provided by VA.
11. Relevant information may be disclosed to individuals, organizations, private or public agencies, etc., with whom VA has a contract or agreement to perform such services as VA may deem practical for the purposes of laws administered by VA, in order for the contractor and/or subcontractor to perform the services of the contract or agreement.
12. Relevant information from this system of records may be disclosed to the National Practitioner Data Bank and/
or State Licensing Board in the States in which a practitioner is licensed, in which the VA facility is located, and/or in which an act or omission occurred upon which a medical malpractice claim was based when VA reports information concerning: a Any payment for the benefit of a physician, dentist, or other licensed health care practitioner which was made as the result of a settlement or judgment of a claim of medical malpractice if an appropriate determination is made in accordance with agency policy that payment was related to substandard care, professional incompetence or professional misconduct on the part of the individual; b a final decision which relates to possible incompetence or improper professional conduct that adversely affects the clinical privileges of a physician, dentist or other licensed health care practitioner for a period longer than 30 days; or c the acceptance of the surrender of clinical privileges, or any restriction of such privileges by a physician, dentist, or other licensed health care practitioner either while under investigation by the health care entity relating to possible incompetence or improper professional conduct, or in return for not conducting such an investigation or proceeding.
These records may also be disclosed as part of a computer-matching program to accomplish these purposes.
13. Relevant information, including 7332-protected information, may be disclosed from this system of records to any third party or Federal agency such as the Department of Defense, Office of Personnel Management, HHS and government-wide third-party insurers responsible for payment of the cost of medical care for the identified patients, in order for VA to seek recovery of the medical care costs. These records may also be disclosed as part of a computer matching program to accomplish these purposes.
14. Relevant information, including the nature and amount of a financial obligation, may be disclosed in order to
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assist VA in the collection of unpaid financial obligations owed VA, to a debtors employing agency or commanding officer, so that the debtor employee may be counseled by his or her Federal employer or commanding officer. This purpose is consistent with 5 U.S.C. 5514, 4 CFR 102.5, and section 206 of Executive Order 11222 of May 8, 1965 30 FR 6469.
15. Identifying information such as name, address, Social Security number and other information as is reasonably necessary to identify such individual, may be disclosed to the National Practitioner Data Bank at the time of hiring and/or clinical privileging/reprivileging of health care practitioners, and at other times as deemed necessary by VA, in order for VA to obtain information relevant to a Department decision concerning the hiring, privileging/re-privileging, retention or termination of the applicant or employee.
16. Disclosure of individually identifiable health information including billing information for the payment of care may be made by appropriate VA personnel, to the extent necessary and on a need-to-know basis consistent with good medical-ethical practices, to family members and/or the persons with whom the patient has a meaningful relationship.
17. Provider identifying information may be disclosed from this system of records to the NPPES, to obtain an NPI
for any eligible health care professional providing examination or treatment with VA health care facilities.
18. Relevant information may be disclosed to community health care providers or their agents where the community health care provider provides health care treatment to Veterans and requires the Department provide that information in order for that entity or its agent to submit, or in anticipation of submission of, a health care reimbursement claim or, in the case of the NPI, for permissible purposes specified in the HIPAA legislation 45
CFR part 162.
19. Relevant information may be disclosed to an academic affiliate with which VA maintains a business relationship, where the VA provider also maintains an appointment to that academic affiliates medical staff. This disclosure is to support, or in anticipation of supporting, a health care reimbursement claims or, in the case of the NPI, for permissible purposes specified in the HIPAA legislation 45
CFR part 162.
20. VA may disclose any information or records to appropriate agencies, entities, and persons when: 1 VA

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suspects or has confirmed that there has been a breach of the system of records;
2 VA has determined that as a result of the suspected or confirmed breach there is a risk to individuals, VA
including its information systems, programs, and operations, the Federal Government, or national security; and 3 the disclosure made to such agencies, entities, or persons is reasonably necessary to assist in connection with VA efforts to respond to the suspected or confirmed breach or to prevent, minimize, or remedy such harm.
21. VA may disclose information in this system of records to the Department of Justice DoJ, either on VAs initiative or in response to DoJs request for the information, after either VA or DoJ
determines that such information is relevant to DoJs representation of the United States or any of its components in legal proceedings before a court or adjudicative body, provided that, in each case, the agency also determines prior to disclosure that release of the records to the DoJ is limited to circumstances where relevant and necessary to the litigation. VA may disclose records in this system of records in legal proceedings before a court or administrative body after determining that release of the records to the court or administrative body is limited to circumstances where relevant and necessary to the litigation.
22. Disclosure to other Federal agencies may be made to assist such agencies in preventing and detecting possible fraud or abuse by individuals in their operations and programs.
23. VA may disclose information from this system to another Federal agency or Federal entity, when VA determines that information from this system of records is reasonably necessary to assist the recipient agency or entity in 1
responding to a suspected or confirmed breach or 2 preventing, minimizing, or remedying the risk of harm to individuals, the recipient agency or entity including its information systems, programs, and operations, the Federal Government, or national security, resulting from a suspected or confirmed breach.
24. VA may disclose relevant information to attorneys, insurance companies, employers, third parties liable or potentially liable under health plan contracts, and courts, boards, or commissions, to the extent necessary to aid VA in the preparation, presentation, and prosecution of claims authorized under Federal, State, or local laws, and regulations promulgated thereunder.
25. VA may disclose relevant information to health plans, quality
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