VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. The Privacy Act requires that each matching agreement specify procedures for verifying information produced in the matching program and an opportunity to contest findings.
VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. A. Verification Procedures
VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. Information maintained or created by CMS regarding any individual that becomes part of the CMS’ XXX system of records can be corrected by an individual at any time by contacting CMS. CMS established and maintains notice and opportunity to contest procedures by which individuals may correct information about them in the match results CMS obtains from SSA before an adverse action is taken on the basis of the match results. CMS will ensure that, prior to any adverse action, the individual is provided proper contact information and instructions for contesting the contents of the information depending on the source and type of information being contested.
VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. The Privacy Act requires that each matching agreement specify procedures for verifying information produced in the matching program and an opportunity to contest findings, as required by subsection (p). 5 U.S.C. § 552a(o)(1)(E).
A. Verification Procedures
(1) In order to protect any individual whose records are used in a matching program, no recipient agency, non-Federal agency, or source agency may suspend, terminate, reduce, or make a final denial of any financial assistance or payment under a Federal benefit program to such individual, or take other adverse action against such individual, as a result of information produced by such matching program, until
(A) (i) the agency has independently verified the information;
(B) the individual receives a notice from the agency containing a statement of its findings and informing the individual of the opportunity to contest such findings; and
(i) the expiration of any time period established for the program by statute or regulation for the individual to respond to that notice; or
(ii) in the case of a program for which no such period is established, the end of the 30-day period beginning on the date on which notice under subparagraph
VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. The Privacy Act at 5 U.S.C. § 552a(o)(1)(E) requires that each matching agreement specify procedures for verifying information produced in the matching program and for providing affected individuals an opportunity to contest findings before an adverse action is taken against them, which procedures must comply with 5 U.S.C. § 552a(p), addressed below.
A. Verification Procedures
(1) In order to protect any individual whose records are used in a matching program, no recipient agency, non-Federal agency, or source agency may suspend, terminate, reduce, or make a final denial of any financial assistance or payment under a Federal benefit program to such individual, or take other adverse action against such individual, as a result of information produced by such matching program, until
(A) (i) the agency has independently verified the information; or . . .
(B) the individual receives a notice from the agency containing a statement of its findings and informing the individual of the opportunity to contest such findings; and
(i) the expiration of any time period established for the program by statute or regulation for the individual to respond to that notice; or
(ii) in the case of a program for which no such period is established, the end of the 30-day period beginning on the date on which notice under subparagraph
VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. The Privacy Act requires that each matching agreement specify procedures for verifying information produced in the matching program and an opportunity to contest findings, as required by 5 U.S.C. § 552a(p).
A. Verification and Opportunity to Contest Procedures. Before an AE may take any adverse action based on the information received from the match, the individual will be permitted to provide the necessary information or documentation to verify eligibility information. When an AE determines that an individual is ineligible for an Insurance Affordability program based on the information provided by the match, and that information is inconsistent with information provided on the streamlined eligibility application or otherwise by an Applicant or Enrollee, the AE will comply with applicable law and will notify each Applicant, or Enrollee of the match findings and provide the following information: (1)The AE received information that indicates the individual is ineligible for an Insurance Affordability Program; and (2) the Applicant, or Enrollee has a specified number of days from the date of the notice to contest the determination that the Applicant or Enrollee is not eligible for the relevant Insurance Affordability Programs.
VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. The Privacy Act at 5 U.S.C. § 552a(p) requires that each matching agreement specify procedures for verifying information produced in the matching program and for providing affected individuals with an opportunity to contest findings.
A. Verification Procedures
(1) The AE received information that indicates the individual is ineligible for an IAP; and (2) the Applicant, or Enrollee has a specified number of days from the date of the notice to contest the determination that the Applicant or Enrollee is not eligible for the relevant IAPs. In complying with applicable law, the AE will in no instance take adverse action in fewer than 30 days after Applicant or Enrollee has received notice.
B. Opportunity to Contest Findings In the event that information attested to by an individual for matching purposes is inconsistent with information received through electronic verifications obtained by the VHA through the Hub, the individual must be provided notice that the information they submitted did not match information received through electronic verifications as follows:
1. If the AE is an Exchange, an individual seeking to resolve inconsistencies between attestations and the results of electronic verification for the purposes of completing an Eligibility Determination should be provided the opportunity to follow the procedures outlined in 45 CFR §§ 155.315 and 155.320. The AE will provide the proper contact information and instructions to the individual resolving the inconsistency.
2. If the AE is an agency administering a Medicaid or CHIP program, an individual seeking to resolve inconsistencies between attestations and the results of electronic for the purposes of completing an Eligibility Determination should be provided the opportunity to follow the procedures outlined in 42 CFR §§ 435.945 through 435.956. The AE will provide the proper contact information and instructions to the individual resolving the inconsistency.
3. Per 42 CFR § 600.345, if the AE is a BHP, it must elect either the Exchange verification procedures set forth in VI.B.1 or the Medicaid verification procedures set forth at VI.B.2.
VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. The Privacy Act’s subsection 552a(o)(1)(E) requires that each CMA outline procedures for verifying information produced in the matching program, as required by 5 U.S.C. § 552a(p). This subsection requires agencies to independently verify the information produced by a matching program and to provide the individual an opportunity to contest the agency’s findings, before an adverse action is taken against the individual, as a result of the match.
A. Verification Procedures
1. CMS will provide USCIS with the following information for the purpose of immigration status or naturalized/derived citizenship verification: Alien Registration Number, I-94 number, or other identifiers as defined in the Records Description in Section 4 of this Agreement, as applicable, of the Applicant or Enrollee seeking an Eligibility Determination.
2. If USCIS cannot verify immigration status on initial electronic verification (i.e., first step verification), AEs will be prompted to institute additional verification, at which time the Administering Entity may submit the case for second step verification or may upload an electronic copy of the applicant’s immigration document if done in accordance with the rules applicable to the AE for which the request is being made. If USCIS cannot verify immigration status on additional verification, AEs will be prompted to submit the verification request for third level verification. If third level verification is required, AE will facilitate the transfer of the Applicant’s or Enrollee’s immigration documentation to USCIS. The SAVE Program requires copies of immigration documentation in order to conduct third-level verification. AE must submit such documentation electronically. Submission of paper documentation by mail as an attachment to Form G-845 is no longer a submission option, unless USCIS expressly requests submission in that format.
3. If an AE is unable to comply with the prompts through the Hub, the AE may implement an approved alternative verification method to verify documents that demonstrate the applicants’ immigration status. Alternative verification methods should use the AE’s independent SAVE access methods to verify immigration and naturalized or derived citizenship status. Alternative access methods that do not use SAVE as an access method to verify immigration and naturalized or derived citizenship status cannot be considered to have received a determination from DHS as to whether the applicant’s information is consistent with ...
VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. A. Verification Procedures VA will verify information obtained under this Agreement prior to initiating any action against an individual, including verification of the identity of VA internal and external providers matched to the CMS' PECOS. VA will reexamine all matches by comparing applicable data elements and will take steps to verify the internal and/or external provider's identity using VA systems and publicly available data sources.
B. Notice of and Opportunity to Contest Findings VA Internal Providers: Before taking any adverse action based on reviews performed after receiving the results of the match, VA will provide due process to all internal providers in accordance with VA Handbook 5021. VA External Providers: Where adverse information is uncovered during independent reviews performed as a result of the match, VA will process the action according to the terms of the program or agreement governing the provider's relationship with VA. When notification to the individual is required, VA will provide an opportunity to explain the circumstances prior to making a final eligibility determination and provide appropriate due process based on the regulations and VA policies governing the VA Healthcare program under which the provider provides care.
VERIFICATION PROCEDURES AND OPPORTUNITY TO CONTEST FINDINGS. As required by the Privacy Act, at 5 U.S.C. § 552a(p), each matching agreement must specify procedures for verifying information produced in the matching program and an opportunity to contest findings.
A. Verification and Opportunity to Contest Findings Correcting information with a relevant data source is not necessary to resolve an inconsistency or complete an eligibility determination. Resolving an inconsistency with an AE will not correct information contained in the records of the relevant data source. Information that is provided via the Hub by other data sources, and information that originates with other data sources and is disclosed by CMS through the Hub, cannot be corrected by contacting CMS. Individuals must contact the relevant data source that provided those records via the Hub in order to correct such records. An individual seeking to contest the content of information that HHS or another data source provided to an Exchange for matching purposes should contact the relevant data source. Under 26 U.S.C. § 7852(e), return information cannot be corrected without filing an amended tax return with the IRS.
