---
kind: "section"
citation: "42 C.F.R. § 88.13"
title: "42"
number: "88.13"
heading: "Disenrollment."
url: "https://uscodex.org/cfr/42/88.13"
---

# §88.13. Disenrollment.

- (a) The disenrollment of a WTC Health Program member may be initiated by the WTC Health Program in the following circumstances:
  - (1) The WTC Health Program mistakenly enrolled an individual under [§ 88.4](/cfr/42/88.4.md) (WTC responders) or [§ 88.8](/cfr/42/88.8.md) (screening-eligible survivors) who did not provide sufficient proof of eligibility consistent with the required eligibility criteria; or
  - (2) **The WTC Health Program member's enrollment was based on incorrect or fraudulent information.**
- (b) The disenrollment of a WTC Health Program member may be initiated by the enrollee for any reason.
- (c) A disenrolled WTC Health Program member will be notified in writing by the WTC Health Program of a disenrollment decision, provided an explanation, as appropriate, for the decision, and provided information on how to appeal the decision. A disenrolled WTC Health Program member disenrolled pursuant to [paragraph (a)](#a) may appeal the disenrollment decision in accordance with [§ 88.14](/cfr/42/88.14.md).
- (d) A disenrolled WTC Health Program member who has been disenrolled in accordance with paragraphs [(a)](#a) or [(b)](#b) of this section may seek to re-enroll in the WTC Health Program using the application and enrollment procedures, provided that the application is supported by new information.

## Notes

### Authority

Authority: 42 U.S.C. 300mm to 300mm-64.

### Source

Source: 81 FR 90938, Dec. 15, 2016, unless otherwise noted.