Texas Health and Human Services Commission
EDW/BI Solution - RFP No. 529-16-0001
Exhibit B
Exhibit B: Federally-mandated Special Terms and Conditions
I. Access to Records:
Code of Federal
Regulations (CFR)
Verbiage
45 CFR Part 95
Subpart F §95.615

The State agency must allow the Department access to the system
in all of its aspects, including pertinent state staff, design
developments, operation, and cost records of contractors and
subcontractors at such intervals as are deemed necessary by the
Department to determine whether the conditions for approval are
being met and to determine the efficiency, economy and
effectiveness of the system.
42 CFR Part
433.112(b)(5) –
(9)

The State owns any software that is designed, developed, installed
or improved.
The Department has a royalty free, non-exclusive, and irrevocable
license to reproduce, publish, or otherwise use and authorize to use,
for Federal Government purposes, software, modifications to
software, and documentation that is designed, developed, installed
or enhanced.
The costs of the system are determined in accordance with 45 CFR
74.27(a).
The Medicaid agency agrees in writing to use the system for the
period of time specified in the advance planning document approved
by CMS or for any shorter period of time that CMS determines
justifies the Federal funds invested.
The agency agrees in writing that the information in the system will
be safeguarded in accordance with subpart F, part 431 of this
subchapter.




45 CFR Part 95
Subpart F §95.615

The State agency must allow the Department access to the system
in all of its aspects, including pertinent state staff, design
developments, operation, and cost records of contractors and
subcontractors at such intervals as are deemed necessary by the
Department to determine whether the conditions for approval are
being met and to determine the efficiency, economy and
effectiveness of the system.
State Medicaid
Manual Section
11267


Copies of progress reports, as requested, will be delivered to HCFA.
All deliverables, interim reports, data collection forms,
questionnaires, and other working papers which support the final
system acceptance will be made available on request to HCFA.
Page B-1
Texas Health and Human Services Commission
EDW/BI Solution - RFP No. 529-16-0001
Exhibit B
II. Software & Ownership Rights, Federal Licenses, Information Safeguarding, HIPAA Compliance,
and Progress Reports:
Code of Federal
Regulations
(CFR)
45 CFR Part 95
Subpart F
§95.617
Verbiage



42 CFR Part
431.300


45 CFR Part 164

The State or local government must include a clause in all
procurement instruments that provides that the State or local
government will have all ownership rights in software or
modifications thereof and associated documentation designed,
developed or installed with Federal financial participation under this
subpart.
The Department reserves a royalty-free, nonexclusive, and
irrevocable license to reproduce, publish, or otherwise use and to
authorize others to use for Federal Government purposes, such
software, modifications, and documentation.
Proprietary software. Proprietary operating/Vendor software
packages which are provided at established catalog or market prices
and sold or leased to the general public shall not be subject to the
ownership provisions in paragraphs (a) and (b) of this section. FFP
is not available for proprietary applications software developed
specifically for the public assistance programs covered under this
subpart.
Section 1902(a)(7) of the Social Security Act (Title XIX – Grants to
States for Medical Assistance Programs) requires that a State plan
must provide safeguards that restrict the use or disclosure of
information concerning applicants and recipients to purposes directly
connected with the administration of the plan. This subpart specifies
State plan requirements, the types of information to be safeguarded,
the conditions for release of safeguarded information, and
restrictions on the distribution of other information.
Section 1137 of the Act, which requires agencies to exchange
information in order to verify the income and eligibility of applicants
and recipients (see §435.940ff), requires State agencies to have
adequate safeguards to assure that—
o Information exchanged by the State agencies is made available
only to the extent necessary to assist in the valid administrative
needs of the program receiving the information, and information
received under section 6103(l) of the Internal Revenue Code of
1954 is exchanged only with agencies authorized to receive that
information under that section of the Code; and
o The information is adequately stored and processed so that it is
protected against unauthorized disclosure for other purposes
HHS Administrative Data Standards and Related Requirements Part
164-Security and Privacy.
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