CMS Data Sharing Clause Samples

The CMS Data Sharing clause governs the terms under which data from the Centers for Medicare & Medicaid Services (CMS) can be accessed, used, and shared between parties. Typically, this clause outlines the types of CMS data involved, the permitted purposes for its use—such as research, analysis, or compliance—and the security measures required to protect sensitive information. By clearly defining the boundaries and responsibilities for handling CMS data, this clause ensures compliance with regulatory requirements and protects patient privacy, thereby reducing the risk of unauthorized disclosure or misuse.
CMS Data Sharing. Over the Performance Period of the Model, CMS is willing to accept requests from the GMCB for Medicare data necessary to achieve the purposes of the Model. This Medicare data may include individually-identifiable Medicare eligibility status and demographic information of all Medicare FFS beneficiaries residing in Vermont, and claim and claim line data for services furnished by Medicare-enrolled providers and suppliers to Medicare FFS beneficiaries residing in Vermont. CMS may, upon request of the GMCB, provide additional reports that include the following: utilization, expenditures, quality of care, Medicare FFS eligibility type, VMA ACO alignment, and performance summary comparisons to other states. The GMCB may request individually- identifiable health information that is necessary for carrying out health oversight activities under 45 C.F.R. § 164.512(d)(1). All such requests for individually- identifiable health information must clearly state the HIPAA basis for the requested disclosure and include an assertion that the data requested constitutes the minimum necessary to carry out those activities. CMS will make best efforts to approve, deny, or request additional information regarding data requests within 60 calendar days after the State’s request. CMS will accept or reject such requests on a case-by-case basis and at CMS’s sole discretion. All information will be provided consistent with all applicable laws and regulations, including HIPAA and the regulations governing the confidentiality of substance use disorder patient records under 42 C.F.R. part 2. Appropriate privacy and security protections will be required for any data disclosed under this Agreement.
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CMS Data Sharing i. During the Agreement Term, CMS will offer the State an opportunity to request certain Medicare data and reports using a data request process to be determined in a form, manner, and time by CMS. All such requests for beneficiary-identifiable information must clearly state which provision under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule permits the requested disclosure (e.g., for health oversight activities under 45 C.F.R. § 164.512(d)). The State will ensure that each request for data is limited to the minimum data necessary to accomplish the task. CMS will provide this Medicare data to the State in a manner consistent with all applicable laws and regulations, including HIPAA. CMS will make best efforts to approve, deny, or request additional information within 30 days of receipt. CMS will accept or reject such requests on a case-by-case basis and at CMS’ sole discretion. ii. Medicare data requests may include information that has been de-identified in accordance with the HIPAA Privacy Rule requirements in 45 C.F.R. § 164.514(b). Such Medicare data may also include certain beneficiary-identifiable Medicare eligibility status and demographic information of all Medicare FFS beneficiaries residing in the State and claim line data for items and services furnished to those beneficiaries. CMS may provide additional reports that include the following: utilization, expenditures, quality of care, Medicare eligibility type, and performance summary comparisons to other states.
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CMS Data Sharing. Over the Performance Period of the Model, CMS is willing to accept requests from the GMCB for Medicare data necessary to achieve the purposes of the Model. This Medicare data may include individually identifiable Medicare eligibility status and demographic information of all Medicare FFS beneficiaries residing in Vermont, and claim and claim line data for services furnished by Medicare-enrolled providers and suppliers to Medicare FFS beneficiaries residing in Vermont. Additional reports may be provided upon request that include the following: utilization, expenditures, quality of care, Medicare FFS eligibility type, VMA ACO alignment, and performance summary comparisons to other states. All such requests for individually-identifiable health information must clearly state the HIPAA basis for requested disclosure (e.g., for research purposes under 45 C.F.R. § 164.512(i), to enable GMCB to analyze healthcare utilization, quality, expenditures, and system performance under the Vermont All- payer ACO Model). CMS will make best efforts to approve, deny, or request additional information regarding data requests within a reasonable amount of time. All information will be provided consistent with all applicable laws and regulations, including HIPAA and the Part 2 regulations governing the use of information regarding diagnosis and treatment for substance abuse. Appropriate privacy and security protections will be required for any data disclosed under this Model.
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Related to CMS Data Sharing

  • Data Sharing The GRANTEE BENEFICIARY agrees to share data with the AGENCY as deemed necessary by AGENCY, in its sole discretion, for expenditure validation, trend review, and performance monitoring.

  • Cost Sharing a) With respect to the funding in C6.1a), should there be an amount of employee co-pay, the Trust shall advise boards what that amount shall be. Unless advised otherwise, there will be no deductions upon the Participation Date. b) Any further cost sharing or funding arrangements as per previous local collective agreements in effect as of August 31, 2014 remain status quo.

  • Data shared with Subcontractors If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub- Contractor must be submitted to the DSHS Contact specified for this contract for review and approval.

  • Information Sharing The Bank of New York Mellon Corporation is a global financial organization that provides services to clients through its affiliates and subsidiaries in multiple jurisdictions (the “BNY Mellon Group”). The BNY Mellon Group may centralize functions including audit, accounting, risk, legal, compliance, sales, administration, product communication, relationship management, storage, compilation and analysis of customer-related data, and other functions (the “Centralized Functions”) in one or more affiliates, subsidiaries and third-party service providers. Solely in connection with the Centralized Functions, (i) the Trust consents to the disclosure of and authorizes the Bank to disclose information regarding the Trust (“Customer-Related Data”) to the BNY Mellon Group and to its third-party service providers who are subject to confidentiality obligations with respect to such information and (ii) the Bank may store the names and business contact information of the Trust’s employees and representatives on the systems or in the records of the BNY Mellon Group or its service providers. The BNY Mellon Group may aggregate Customer-Related Data with other data collected and/or calculated by the BNY Mellon Group, and notwithstanding anything in this Agreement to the contrary the BNY Mellon Group will own all such aggregated data, provided that the BNY Mellon Group shall not distribute the aggregated data in a format that identifies Customer-Related Data with a particular customer. The Trust confirms that it is authorized to consent to the foregoing.

  • Data Subjects The categories of Data Subjects who we may collect Personal Data about may include the following where they are a natural person: the Customer, the directors and ultimate beneficial owner(s) of the Customer, your customers, employees and contractors, payers and payees. You may share with Airwallex some or all of the following types of Personal Data regarding Data Subjects: • full name; • email address; • phone number and other contact information; • date of birth; • nationality; • public information about the data subject; • other relevant verification or due diligence documentation as required under these terms; and • any other data that is necessary or relevant to carry out the Agreed Purposes.