July 6, 2017 — Federal Register Notice: Revised VCF Private Physician Process Affecting Applicants for Membership in the World Trade Center Health Program
The VCF has updated the criteria for claimants to seek verification of their conditions through the Private Physician Process. On July 6, 2017, the VCF posted information on its website (https://www.vcf.gov/privatephysicianprocess-forms.html) regarding these changes.
If you are a VCF claimant wanting to be certified for a health condition(s) by the WTC Health Program, information for applying to the Program can be found on our How to Apply to the Program page.
- Once a member is enrolled in the Program, the member will then have to make an appointment with their Clinical Center of Excellence (CCE) or the Nationwide Provider Network (NPN) to have a monitoring appointment (responders) or an initial evaluation (survivors).
- The first appointment requires history-taking, medical testing, and physical examination. The initial appointment may sometimes require additional diagnostic testing to determine if the member has a condition on the list of 9/11-related health conditions covered by the Program and meets the Program’s requirements for coverage (certification) of a condition (visit our Administrative Manual to learn more about the certification process).
- If the member has a health condition covered by the WTC Health Program that their Program physician determines is related to the member’s 9/11 exposures, the CCE or NPN will submit a certification request to the Program. It will be reviewed and a decision will be made to approve or deny the certification request. Once a decision is made, the WTC Health Program will notify the member, in writing, of the decision.