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Federal Register / Vol. 86, No. 156 / Tuesday, August 17, 2021 / Notices By direction of the Secretary.
Maribel Aponte, VA PRA Clearance Officer, Office of Enterprise and Integration/Data Governance Analytics, Department of Veterans Affairs.
FR Doc. 202117614 Filed 81621; 8:45 am BILLING CODE 832001P

DEPARTMENT OF VETERANS
AFFAIRS
Privacy Act of 1974; System of Records Veterans Health Administration, Department of Veterans Affairs VA.
ACTION: Notice of a modified system of records.
AGENCY:

Community Care Referrals and Authorization CCRA is an enterprise-wide system used by facility community care staff to generate referrals and authorizations for Veterans receiving care in the community. VA
community care staff and non-VA staff use this solution to enhance Veteran access to care. CCRA is an integral component of the community care information technology architecture that allows Veterans to receive care from community providers. CCRA also allows Veterans and non-VA medical facilities to request VA authorization of emergent and urgent Veteran care.
DATES: Comments on this modified system of records must be received no later than 30 days after date of publication in the Federal Register. If no public comment is received during the period allowed for comment or unless otherwise published in the Federal Register by VA, the modified system of records will become effective a minimum of 30 days after date of publication in the Federal Register. If VA receives public comments, VA shall review the comments to determine whether any changes to the notice are necessary.
ADDRESSES: Comments may be submitted through www.Regulations.gov or mailed to VA Privacy Service, 810
Vermont Avenue NW, 005R1A, Washington, DC 20420. Comments should indicate that they are submitted in response to HealthShare Referral Manager HSRMVA 180VA10D.
Comments received will be available at regulations.gov for public viewing, inspection or copies.
FOR FURTHER INFORMATION CONTACT:
Robert Hassinger, Product Manager, Community Care Referrals and Authorization CCRA System, Office of Information and Technology Field Office, 55 Elk Street3rd Floor, Albany,
khammond on DSKJM1Z7X2PROD with NOTICES

SUMMARY:

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NY 12210. Telephone number: 518
4490600. This is not a toll-free number.
CCRA is an enterprise-wide solution in support of the Veterans Access, Choice, and Accountability Act of 2014 Pub. L.
113146 Choice Act, as amended by the VA Expiring Authorities Act of 2014 Pub. L. 113175, to generate referrals and authorizations for Veterans receiving care in the community. VA
clinical providers and Non-VA clinical providers will access a cloud-based software system to request and refer clinical care for Veterans with Community Care providers. This solution will enhance Veteran access to care by utilizing a common and modern system to orchestrate the complex business of VA referral management.
The CCRA solution is an integral component of the VA Community Care CC Information Technology IT
architecture, and will track and share health care information and correspondence necessary for Veterans to be seen for appropriate and approved episodes of CC. Additionally, CCRA
allows Veterans and non-VA-medical facilities to request VA authorization of emergent and urgent Veteran care. The CCRA solution will allow the VA to move to a process that generates standardized referrals and authorizations, according to clinical and business rules.
The CCRA project provides HealthShare Referral manager by InterSystems as the CCRA solution.
HealthShare Referral Manager is a commercial off-the-shelf software product that is hosted in an Amazon Web Services AWS FedRAMP High Gov cloud and is planned for enterprise integration with VA systems, both inside and outside of CC.
Two additional Routine Uses are listed in this Modified SORN and are detailed in a later section. These Routine Uses directly relate to the referral process utilized by the CCRA
solution.

SUPPLEMENTARY INFORMATION:

Signing Authority The Senior Agency Official for Privacy, or designee, approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. Dominic A. Cussatt, Acting Assistant Secretary of Information and Technology and Chief Information Officer, approved this document on July 2, 2021 for publication.

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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:

HealthShare Referral Manager HSRM-VA 180VA10D
SECURITY CLASSIFICATION:

Unclassified.
SYSTEM LOCATION:

Amazon Web Services, LLC, 12900
Worldgate Dr, Herndon, VA 20170.
Community Care Referrals and Authorization CCRA System Product Manager, Office of Information and Technology Field Office, 55 Elk Street 3rd Floor, Albany, NY 12210.
SYSTEM MANAGERS:

Official responsible for policies and procedures: Program ManagerProject & Portfolio Services PPS, Business Operations & Administration BOA
13BOA8, VHA Office of Community Care, U.S. Department of Veterans Affairs. Telephone number: 720 234
5234 or 720 5601452. These are not toll-free numbers..
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:

Title 38 United States Code 7301a;
Title 38 United States Code 1703
Veterans Community Care Program;
Veterans Access, Choice, and Accountability Act of 2014 Pub. L.
113146.
PURPOSES OF THE SYSTEM:

CCRA is an enterprise-wide system used by community care staff to automatically generate referrals and authorizations for all Veterans receiving care in the community. The system is an integral component of the VA
community care information technology IT architecture, and allows Veterans to receive care from community providers within the Community Care Network through the Veterans Choice Program.
The CCRA system allows these providers to view relevant patient and clinical information from Veterans Information Systems and Technology Architecture VistA. The exchange of health care information and authorizations enhances VAs ability to ensure that Veterans receive the best health care available to address their medical needs. The CCRA system also enabled the VA to move from what is currently a largely manual process to an automated process that generates standardized referrals and authorizations according to clinical and business rules. The automated process
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