- Making a Determination about Exposure Aggravating
Pre-Existing Aerodigestive Disorders
(4 pages, 333 KB)
November 18, 2013
About this document:This document provides information for CCE and NPN physicians about making a determination that 9/11 exposure resulted in aggravating an aerodigestive disorder that existed on September 11, 2001.
Aggravating the pre-existing health condition results in the aerodigestive disorder requiring medical treatment that is (or will be) in addition to, more frequent than, or of longer duration than the medical treatment that would have been required for such condition in the absence of the individual’s 9/11 exposure.
- Policy and Procedures for Recoupment & Coordination of Benefits: Workers’ Compensation Payment
(14 pages, 288 KB)
November 12, 2013
About this document: This document defines the policies and procedures to be used by the World Trade Center (WTC) Health Program to identify and seek recoupment of funds from workers’ compensation when available. It imposes duties on Responders, Clinical Centers of Excellence, Workers’ Compensation Insurers and other employers providing illness and injury benefits to Responders.
The WTC Health Program is delaying the effective date for the component of the policy and procedures relating to recoupment from lump sum settlements of workers’ compensation cases. The policy was originally scheduled to apply to any lump sum settlement entered into after September 1, 2013. The recoupment policy will now apply to proposed settlement agreements filed with the New York Workers’ Compensation Board (NY WCB) on or after October 1, 2013. Any proposed settlement filed with the NY WCB on or after October 1, 2013, and which releases an employer/insurer’s liability for any future medical expenses must be reviewed by the WTC Health Program or the parties may be financially responsible for treatment expenses. The effective date for the policy as it relates to active workers’ compensation cases where the claimant has not filed a lump sum settlement remains September 1, 2013.
- WTC Health Program—Notice of Privacy Practices
(3 pages; 289 KB)
September 30, 2013
About This Document: This notice describes how medical information about WTC Health Program members may be used and disclosed and how WTC Health Program members can get access to this information.
- Minimum Latency & Types or Categories of Cancer
(9 pages, 512 KB)
May 1, 2013
About this document: As new scientific information becomes available to the WTC Program Administrator on minimum latencies for the types or categories of cancers on the List of WTC-Related Health Conditions found at 42 C.F.R. § 88.1, minimum latencies may be modified. The Administrator's May 1, 2013, revision to the White Paper on Minimum Latency & Types or Categories of Cancer changes minimum latencies for mesothelioma and the category of lymphoproliferative and hematopoietic cancers.
- October 17, 2012
(4 pages, 344 KB)
- October 17, 2012
- Evidence of Concluding Dates for Pentagon-Shanksville Response.pdf
(70 pages, 907 KB)
FAQs regarding Recoupment & Coordination of Benefits regarding Workers' Compensation Payment can be found on the FAQ page.