WTC HEALTH PROGRAM NATIONWIDE PROVIDER NETWORK
Members enrolled in the World Trade Center (WTC) Health Program Nationwide Provider Network (NPN) have access to a network of providers across the United States and its territories. NPN providers are available to provide routine and specialized care for certified conditions as well as initial health evaluations (IHEs) and annual monitoring examinations (AMEs).
If you are not a WTC Health Program member and are interested, learn more about Program eligibility and how to apply.
If you have any questions that are not answered on this page, the NPN is here to help. You can reach the NPN at 1-800-416-2898 or through the NPN Member Portal chat feature, 8 a.m.-8 p.m. EST Monday through Friday.
How are NPN providers different from a Clinical Center of Excellence?
Clinical Centers of Excellence (CCEs) are specialized clinics located in and around the New York metropolitan area. Members who live outside this area have access to providers within their local community through the NPN. Providers in both the CCEs and NPN are equally educated and licensed to provide care. You can find more information on where the Program provides care on the WTC website.
What does it mean if a provider is in or out-of- network?
In-network providers enrolled in the NPN and have agreed to Program policies including not charging members co-pays, deductibles, or other fees. Care provided by in-network providers for approved conditions is covered by the Program. Member’s do not pay any out-of-pocket cost for this covered WTC-related care.
Out-of-network providers not enrolled in the NPN have not agreed to Program policies. Care provided by out-of-network providers is not covered by the Program and you would need to pay out-of-pocket or use other health insurance.
How do I find an in-network provider?
Please contact NPN Member Services at 1-800-416-2898 for assistance in finding an in-network provider and check the network status of any other providers you see. For more information on finding providers and scheduling appointments, visit How to Schedule an Appointment with the NPN.
IMPORTANT: Do not use a provider search tool from the health networks that make up the MCA-Sedgwick network (e.g., First Health, Aetna, Prime Health Services). These tools are not customized to find Program providers and will not accurately present providers available to you through the NPN.
Can the NPN add my provider to the network?
The NPN has a provider recruiting team who is happy to reach out to any providers Program members currently see. If your provider is not enrolled in the NPN, you can nominate your provider to join and a NPN representative will reach out to that provider. We will work to enroll this provider into the NPN, if possible.
Please be aware that this process can take several months and is not guaranteed. Additionally, a provider may choose not to participate in the WTC Health Program NPN. If a provider is unwilling or unable to enroll in the NPN, and your care can be covered by the Program, you will need to transition that care to an in-network provider for it to be covered by the Program. If you continue to see out-of-network providers, you will need to use other health insurance or pay out-of-pocket for any care received from them.
Do I need to change providers?
No action is needed if your current provider is already in network. You may continue to see them as usual. Just make sure that you let your provider know that you are a member of the WTC Health Program and any care for your certified WTC-related health condition(s) should be billed to the NPN, once all other billing requirements have been met.
If you are currently seeing an out-of-network provider, you will need to transition to an in-network provider for WTC-related care to be covered by the Program. In some rare cases, exceptions can be made for members with complex medical needs to see out-of-network providers. These exceptions are uncommon and only when medical needs cannot be met by providers enrolled in the network.
To discuss your care needs and find in-network providers in your area, contact the NPN.
Contact the NPN at 1-800-416-2898, 8 a.m.-8 p.m. EST Monday through Friday. You may also reach out to us during call center hours via the NPN Member Portal chat feature.