WTC Program Definitions

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Across
  1. 2. LHI’s online employee portal
  2. 3. Members and survivors are eligible for _______ after a condition is certified within the program
  3. 5. A division of United Health Care that processes claims for all members.
  4. 6. evaluation order is created for a member when it is determined that they may have a condition that can be certified under the program, but it needs to be diagnosed. These appointments often occur after a Medical Monitoring Exam (or initial health evaluation).
  5. 7. Processes prescription claims and answers prescription claims questions for members
  6. 12. those who were in the WTC disaster area (lived, worked or were in school in the area) but whose eligibility to participate in the National Program may yet need to be determined
  7. 14. A responder who is eligible to participate in this program; this individual may or may not be in treatment for a WTC-related medical condition
  8. 15. combines the Work-Up and Medical Monitoring exam into one appointment.
  9. 16. A comprehensive questionnaire the member must complete prior to scheduling the Medical Monitoring Exam. The questionnaire is typically completed on LHI.Care, and can be completed over the phone.
  10. 17. The original WTC program administrator who is part of the NYC WTC Program and one of the consortium clinics.
Down
  1. 1. One of the appointments needed for the annual Medical Monitoring Exam. The member must attend this appointment prior to their actual medical monitoring exam appointment to have a blood draw, urinalysis, spirometry, chest x-ray (due every two years).
  2. 4. This team oversees contract concerns. They also manage the WTCHNPN mailbox and work on existing claim requests.
  3. 8. An annual assessment of the member’s overall health to determine if the member requires treatment for a WTC-related medical condition.
  4. 9. Someone who participated in rescue, recovery, or clean-up activities at one of the 3 sites but whose eligibility to participate in this program is yet to be determined.
  5. 10. are the group of original providers that performed monitoring exams prior to the start of the current National program.
  6. 11. A team of Care Coordinators, Nurses, Social workers who coordinate WTC services and treatment of members. Members are assigned to a specific Care Coordinate or RN Case Manager.
  7. 13. the first step for survivor members first entering the program. iT provides the same services as the Combined Health Evaluation (or Work-Up and Monitoring if split).