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Nationwide Provider Network Transition Information

Starting August 1, 2022, Managed Care Advisors (MCA)-Sedgwick will replace Logistics Health Incorporated (LHI) as the vendor that operates the Nationwide Provider Network (NPN).

The World Trade Center (WTC) Health Program is confident this new vendor will provide you with access to timely, quality WTC-related healthcare.

This change is not immediate. A complex transition process is now underway to transfer NPN operations from LHI to MCA-Sedgwick. Members in the NPN should continue to access WTC Health Program benefits and care through LHI until further notice.

This page will be updated as more information about the NPN transition becomes available.

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Key Information

  • MCA-Sedgwick will become the new NPN vendor on  August 1, 2022. The transition was extended from late spring 2022 to allow for additional transition work to be completed.
  • Current NPN members should continue to access Program benefits through LHI until August 1.
  • Newly enrolled NPN members will start being served by MCA-Sedgwick in late May 2022. New members to the NPN should expect a welcome packet from MCA-Sedgwick shortly after enrollment with more information.
  • Most existing NPN providers will remain in-network under MCA-Sedgwick. Current members in active treatment with out-of-network providers will receive a letter in June from MCA-Sedgwick with next steps.
  • Members actively working with an LHI case manager or care coordinator will receive a letter from MCA-Sedgwick in early July with details on a new case manager or care coordinator with MCA-Sedgwick.

NPN Transition FAQs

What is the Nationwide Provider Network (NPN) and why is the vendor changing?

The NPN is a network of health care providers across the country that provide WTC-related medical care to Program members who live outside the NY metropolitan area and want to receive their WTC-related care locally. Starting August 1, 2022, the NPN will be administered by MCA-Sedgwick.

The WTC Health Program contracts with external organizations to provide certain Program services, such as providing WTC-related health care to Program members nationwide through the NPN. The existing NPN contract ended in 2021. When a contract ends, any qualified vendor may submit a proposal to provide the contracted services. Proposals are evaluated in keeping with Federal acquisitions laws and regulations. MCA-Sedgwick was selected based on multiple factors after a complete review of all proposals.

When will the NPN vendor change?

The change is not immediate. The contract award started a complex, multi-month transition period that is expected to be completed August 1, 2022. MCA-Sedgwick will be sending NPN members more information by mail over the summer.

Current NPN members should continue to access WTC Health Program benefits through LHI as usual until the transition is complete.

I’m new to the WTC Health Program and the NPN. How does this affect me?

In late May 2022, MCA-Sedgwick will start serving newly enrolled members assigned to the NPN. This means as a new member you will receive a welcome kit from MCA-Sedgwick a few weeks after you receive your enrollment decision letter from the WTC Health Program. You will also be contacted by MCA-Sedgwick to schedule your initial health evaluation and complete other items such as a medical health questionnaire. All appointments will be scheduled for after August 1, 2022.

If you have an urgent need for treatment, please contact the WTC Health Program call center at 1-888-982-4748 for assistance.

I’m a current NPN member. What do I need to do?

Continue to access your Program benefits through LHI until August 1, 2022. Starting August 1, you will access all your Program benefits through MCA-Sedgwick.

Look for a welcome packet from MCA-Sedgwick in the mail in mid-July. This packet will include important information such as how to access the NPN Member Portal and how to contact MCA-Sedgwick moving forward.

Will my current care provider change?

Most NPN members will be able to continue care with their current provider(s) after the transition to MCA-Sedgwick. Every effort is being made to keep existing providers, including mental health providers, and to enroll those that aren’t in the new network. MCA-Sedgwick will continue this important work up to and after August 1, 2022.

Some current members will still need to change providers, however. If that is the case and you are in active treatment, MCA-Sedgwick will mail you a notification letter in mid-June with next steps.

Current NPN members that do not receive a letter about an out-of-network provider will be able to look up if a particular provider is in network by calling MCA-Sedgwick or using the provider lookup tool in the MCA-Sedgwick NPN Member Portal. These services will be available later in the transition.

Will my case manager or care coordinator change?

Yes, but not until the transition is complete. In early July, MCA-Sedgwick will send a letter to members actively working with a LHI case manager or care coordinator with the name and contact information for a new case manager or care coordinator. For now, continue to work with your LHI case manager or care coordinator as usual. Starting on August 1, 2022, you will work exclusively with your MCA-Sedgwick case manager or care coordinator.

Note: A case manager or care coordinator—also known as a point of contact—helps address complex care needs. Not all NPN members have a case manager or care coordinator.

Can I transfer into or out of the NPN during the transition?

Yes. However, non-urgent transfer requests from a Clinical Center of Excellence (CCE) into the NPN may take a longer time to process than usual due to the complexity of the transition.

All requests to transfer into the NPN received prior to June 1 will be finalized before August 1. Non-urgent requests received after June 1 may not be finalized until after August 1. Please contact your CCE to initiate the transfer process.

Transfers out of the NPN are not affected during the transition. If you wish to transfer from the NPN to a CCE, please contact the NPN (LHI for existing members; MCA for new members enrolled late May 2022 and after).

Learn more about Transferring Clinics.

How will I be kept up-to-date on the transition?

This page is regularly updated by the WTC Health Program to provide the latest updates on the NPN transition. MCA-Sedgwick will mail welcome packets and other information in June and July as described in the FAQs above.

Notification letters have also been mailed to members in the NPN. Letters are available in English, Español, Polski, and 中文:

Is the NPN vendor change the same as the PBM vendor change?

No. The Pharmacy Benefit Manager (PBM) change is a  separate  change from the NPN change. The PBM vendor for the WTC Health Program is scheduled to change from Optum to Express Scripts on June 1, 2022. More information is available on the PBM Transition Information page.

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