Notice ID: 75D301-24-RFI-541611
The purpose of this RFI is to identify potential contractors who would provide health program evaluation services to the World Trade Center (WTC) Health Program. Additionally, the WTC Health Program requests information on methods and best practices for evaluating a limited-benefit healthcare program, including understanding utilization and spend, analyzing stakeholder feedback, and conducting medical and pharmacy claims audits.
On January 2, 2011, the President signed into law the James Zadroga 9/11 Health and Compensation Act of 2010 (the Zadroga Act). The Act established the WTC Health Program within the Department of Health and Human Services, to provide medical monitoring, screening, and treatment for responders and survivors of the 9/11 terrorist attacks. Responders include workers or volunteers who provided services in the aftermath of the September 11, 2001, attacks on the World Trade Center, the Pentagon, and the airliner crash site near Shanksville, PA. Survivors include persons who worked, lived, or attended school, childcare, or adult day care in the New York City disaster area, and were adversely affected by the attacks in New York City. In order to enroll in the Program, survivors and responders must meet certain criteria described in the Zadroga Act.
The WTC Health Program is a limited-benefit program: treatment is covered only for a limited set of health conditions and only when a member’s 9/11 exposure is substantially likely to have been a significant factor in aggravating, contributing to, or causing the member’s condition. There is a list of applicable WTC-related health conditions that must be diagnosed by a Program provider; meet specified exposure, latency, and symptom-onset requirements; and be certified by the Program for the Program to cover the member’s treatment. Information on the Program is available at http://www.cdc.gov/wtc.
The WTC Health Program plans to work with an independent health program evaluation contractor to evaluate performance and utilization of the Program, identifying areas for improvement and development. The Program is interested in identifying potential contractors who could provide health program evaluation services to the WTC Health Program and understanding their capacity.
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