WTC Health Program: Policies and Procedures

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Listed below are the policies used by the WTC Health Program:
  • Policy and Procedures for Cancer Screening
    (4 pages, 348 KB)
    Issue Date: April 2, 2014

    About this document: This document describes the purpose and procedure for cancer screening

  • Policy and Procedures for Adding Non-Cancer Conditions To the List of WTC-Related Health Conditions
    (6 pages, 352 KB)
    Issue Date: March 21, 2014

    About this document: This document describes the process for adding non-cancer conditions to the list of WTC-related health conditions.

  • Policy and Procedures for Coordination of Benefits for Treatment Costs for Non-Work-Related, Certified WTC-Related Health Conditions: Coordination with Health Insurance
    (7 pages, 359 KB)
    Revised Date: February 18, 2014
    Original Issue Date: February 1, 2014

    About this document: This document defines the policies and procedures to be used by the World Trade Center (WTC) Health Program to coordinate benefits for treatment costs for non-work related, certified WTC-related health conditions with health insurance programs. These Policy and Procedures are effective on March 31, 2014, except Section IV, pertaining to the maintenance of minimum essential health insurance coverage, which is effective on July 1, 2014.

  • Health Conditions Medically Associated with WTC-Related Health Conditions
    (5 pages, 450 KB)
    Revised Date: February 10, 2014
    Original Issue Date: January 2, 2014

    About this document: This document provides information for Clinical Center of Excellence (CCE) and Nationwide Provider Network (NPN) physicians about the determination and certification of categories of health conditions covered by the WTC Health Program.

  • Myeloid Malignancies
    (9 pages, 381 KB)
    February 1, 2014

    About this document: Beginning on February 1, 2014, the World Trade Center (WTC) Health Program will consider blood or bone marrow disorders of the myeloid line to be slow-growing blood cancers. Accordingly, they will be considered WTC-related health conditions, making them available for WTC Health Program medical treatment services for eligible members. These cancers had been considered non-malignant by the Administrator because they were referred to as “pre-leukemic” hematopoietic disorders in the medical literature. Recent scientific advances, however, characterize these “pre-leukemic” myeloid neoplasms as slow-growing blood cancers, and authoritative scientific sources now consider them to be malignant myeloid neoplasms.


  • Policy and Procedures for Recoupment & Coordination of Benefits: Workers’ Compensation Payment
    (14 pages, 288 KB)
    December 16, 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.
  • Previous versions:


    FAQs regarding Recoupment & Coordination of Benefits regarding Workers' Compensation Payment can be found on the FAQ page.

  • Time Intervals for New Onset Aerodigestive Disorders
    (14 pages, 535 KB)
    December 16, 2013

    About this document: The Administrator of the World Trade Center (WTC) Health Program has determined that no minimum time interval will be applied to the five categories of new onset aerodigestive disorders that meet the temporal sequence of symptoms requirement for certification of a WTC-related health condition.

  • 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.

  • Malignant Neuroendocrine Neoplasms
    (4 pages, 352 KB)
    October 4, 2013

    About this document: This document provides information regarding the certification of malignant neuroendocrine neoplasm as a “rare cancer,” regardless of the anatomic site where identified. Each determination of any malignant neoplasm must be considered for certification as a WTC-related health condition under the minimum latency requirements for solid cancers, and the exposure requirements specified by the WTC Health Program in the WTC-3 Certification Request form.

  • 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.

    Previous version:

  • Evidence of Concluding Dates for Pentagon-Shanksville Response.pdf
    (70 pages, 907 KB)
    February 18, 2012

    About this document: This document: (1) identifies the important response and cleanup events after the attacks at the Pentagon and Shanksville sites, (2) identifies the dates that response cleanup activities ended at the Pentagon and Shanksville sites, and (3) provides information on the potential exposures to responders and volunteers during response and cleanup activities at the Pentagon and Shanksville sites after the attacks.
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