DATA USE ATTESTATION. The sponsor shall restrict its use and disclosure of Medicare data obtained from CMS information systems (listed in Attachment A) to those purposes directly related to the administration of the Medicare managed care and/or outpatient prescription drug benefits for which it has contracted with the Centers for Medicare & Medicaid Services (CMS) to administer. The sponsor shall only maintain data obtained from CMS information systems that are needed to administer the Medicare managed care and/or outpatient prescription drug benefits that it has contracted with CMS to administer. The sponsor (or its subcontractors or other related entities) may not re-use or provide other entities access to the CMS information system, or data obtained from the system, to support any line of business other than the Medicare managed care and/or outpatient prescription drug benefit for which the sponsor contracted with CMS. The sponsor further attests that it shall limit the use of information it obtains from its Medicare plan members to those purposes directly related to the administration of such plan. The sponsor acknowledges two exceptions to this limitation. First, the sponsor may provide its Medicare members information about non-health related services after obtaining consent from the members. Second, the sponsor may provide information about health-related services without obtaining prior member consent, as long as the sponsor affords the member an opportunity to elect not to receive such information. CMS may terminate the sponsor's access to the CMS data systems immediately upon determining that the sponsor has used its access to a data system, data obtained from such systems, or data supplied by its Medicare members beyond the scope for which CMS has authorized under this agreement. A termination of this data use agreement may result in CMS terminating the sponsor's Medicare contract(s) on the basis that it is no longer qualified as a Medicare sponsor. This agreement shall remain in effect as long as the sponsor remains a Medicare managed care organization and/or outpatient prescription drug benefit sponsor. This agreement excludes any public use files or other publicly available reports or files that CMS makes available to the general public on our website.
DATA USE ATTESTATION. The ICO shall restrict its use and disclosure of Medicare data obtained from CMS and the State of Michigan information systems (listed in Attachment A) to those purposes directly related to the administration of the Medicare/Medicaid managed care and/or outpatient prescription drug benefits for which it has contracted with the CMS and the State of Michigan to administer. The ICO shall only maintain data obtained from CMS and the State of Michigan information systems that are needed to administer the Medicare/Medicaid managed care and/or outpatient prescription drug benefits that it has contracted with CMS and the State of Michigan to administer. The ICO (or its First Tier, Downstream or other Related Entities) may not re-use or provide other entities access to the CMS information system, or data obtained from the system or the State of Michigan, to support any line of business other than the Medicare/Medicaid managed care and/or outpatient prescription drug benefit for which the ICO contracted with CMS and the State of Michigan. The ICO further attests that it shall limit the use of information it obtains from its Enrollees to those purposes directly related to the administration of such plan. The ICO acknowledges two exceptions to this limitation. First, the ICO may provide its Enrollees information about non- health related services after obtaining consent from the Enrollees. Second, the ICO may provide information about health-related services without obtaining prior Enrollee consent, as long as the ICO affords the Enrollee an opportunity to elect not to receive such information. CMS may terminate the ICO’s access to the CMS data systems immediately upon determining that the ICO has used its access to a data system, data obtained from such systems, or data supplied by its Enrollees beyond the scope for which CMS and the State of Michigan have authorized under this agreement. A termination of this data use agreement may result in CMS or the State of Michigan terminating the ICO’s Medicare-Medicaid contract(s) on the basis that it is no longer qualified as an ICO. This agreement shall remain in effect as long as the ICO remains an ICO sponsor. This agreement excludes any public use files or other publicly available reports or files that CMS or the State of Michigan make available to the general public on their websites. Attachment A The following list contains a representative (but not comprehensive) list of CMS information systems to which the Data Use A...
DATA USE ATTESTATION. The ICDS Plan shall restrict its use and disclosure of Medicare data obtained from CMS and ODM information systems (listed in Attachment A) to those purposes directly related to the administration of the Medicare/Medicaid managed care and/or outpatient prescription drug benefits for which it has contracted with the CMS and ODM to administer. The ICDS Plan shall only maintain data obtained from CMS and ODM information systems that are needed to administer the Medicare/Medicaid managed care and/or outpatient prescription drug benefits that it has contracted with CMS and ODM to administer. The ICDS Plan (or its First Tier, Downstream or other Related Entities) may not re-use or provide other entities access to the CMS information system, or data obtained from the system or ODM, to support any line of business other than the Medicare/Medicaid managed care and/or outpatient prescription drug benefit for which the ICDS Plan contracted with CMS and ODM. The ICDS Plan further attests that it shall limit the use of information it obtains from its Medicare-Medicaid Beneficiaries to those purposes directly related to the administration of such plan. The ICDS Plan acknowledges two exceptions to this limitation. First, the ICDS Plan may provide its Medicare-Medicaid Beneficiaries information about non- health related services after obtaining consent from the Beneficiaries. Second, the ICDS Plan may provide information about health-related services without obtaining prior Beneficiary consent, as long as the ICDS Plan affords the Beneficiary an opportunity to elect not to receive such information. CMS may terminate the ICDS Plan’s access to the CMS data systems immediately upon determining that the ICDS Plan has used its access to a data system, data obtained from such systems, or data supplied by its Medicare-Medicaid Beneficiaries beyond the scope for which CMS and the ODM have authorized under this agreement. A termination of this data use agreement may result in CMS or ODM terminating the ICDS Plan’s Medicare-Medicaid contract(s) on the basis that it is no longer qualified as an ICDS Plan. This agreement shall remain in effect as long as the ICDS Plan remains an ICDS Plan sponsor. This agreement excludes any public use files or other publicly available reports or files that CMS or ODM make available to the general public on their websites.
DATA USE ATTESTATION. The STAR+PLUS MMP shall restrict its use and disclosure of Medicare data obtained from CMS and HHSC information systems (listed in Attachment A) to those purposes directly related to the administration of the Medicare/Medicaid managed care and/or outpatient prescription drug benefits for which it has contracted with CMS and HHSC to administer. The STAR+PLUS MMP shall only maintain data obtained from CMS and HHSC information systems that are needed to administer the Medicare/Medicaid managed care and/or outpatient drug benefits that it has contracted with CMS and HHSC to administer. The STAR+PLUS MMP (or its First Tier, Downstream, or other Related Entities) may not re-use or provide other entities access to the CMS information system, or data obtained from the system or HHSC, to support any line of business other than the Medicare/Medicaid managed care and/or outpatient prescription drug benefit for which the STAR+PLUS MMP contracted with CMS and HHSC. The STAR+PLUS MMP further attests that it shall limit the use of information it obtains from its Enrollees to those purposes directly related to the administration of such plan. The STAR+PLUS MMP acknowledges two exceptions to this limitation. First the STAR+PLUS MMP may provide its Enrollees information about non-health related services after obtaining consent from the Enrollees. Second, the STAR+PLUS MMP may provide information about health-related services without obtaining prior Enrollee consent, as long as the STAR+PLUS MMP affords the Enrollee an opportunity to elect not to receive such information. Without written consent from HHSC, the STAR+PLUS MMP will perform all work under this Contract exclusively within the United States. All information obtained by the STAR+PLUS MMP or a First Tier, Downstream, or Related Entity under this Contract will be stored and maintained exclusively within the United States. CMS may terminate the STAR+PLUS MMP’s access to the CMS data systems immediately upon determining that the STAR+PLUS MMP has used its access to a data system, data obtained from such systems, or data supplied by its Enrollees beyond the scope for which CMS and the HHSC have authorized under this agreement. A termination of this data use agreement may result in CMS or HHSC terminating the STAR+PLUS MMP’s Medicare-Medicaid Contract(s) on the basis that it is no longer qualified as a STAR+PLUS MMP. This agreement shall remain in effect as long as the STAR+PLUS MMP remains a STAR+PLUS MMP sponsor. This ...
