Uncompensated Trauma Care (UCC) Application Info EMS/Trauma

Uncompensated Trauma Care (UCC) Application Info EMS/Trauma Systems Department of State Health Services

UCC Summary UCC – funding a portion of the uncompensated trauma care provided Trauma care funding program enacted by House Bill (HB) 3588, 78th Texas Legislature Partial reimbursement to hospitals that incur bad debt/charitable care and cannot obtain reimbursement for care provided Available for hospitals that are designated or “in active pursuit” before the application deadline, and when receiving funds 02/04/2024 2

UCC Application Overview UCC application has 3 parts: Part A – Application (now Microsoft Forms version instead of Word or PDF) Part B – Affidavits (has not changed from previous years). Submit PDF. Part C – Supporting Data Submission submitted as Excel Spreadsheet Info requested for app is for Calendar Year (CY) 2019 Released 11/1/22 and due by 2/10/23 at midnight References found in Texas Admin Codes: 157.130 157.131 02/04/2024 3

Part A – Application Collects general info from facility (i.e. Name, Lic #, etc.) 1(a) – requests info on Trauma Activations 1(b) – requests info on Race/Ethnicity of trauma pts. 1(c) – requests info on the Trauma Program at the facility Info on program support at the facility (personnel, budgets) 1(d) – requests info on the submitted UCC claims This portion should match what is submitted in Part C 02/04/2024 4

Part B Affidavits Five signatures are needed for Part B, three being notarized: Notarized 1.CEO 2.CFO 3.Chairperson of the Board Not notarized 1.Trauma Medical Director 2.Trauma Program Manager 02/04/2024 5

Supporting Data Submission Dollar amount and patient count should match what was submitted in Part A Info requested is same as previous years Follows the National Trauma Data Standards (NTDS) for Inclusion Criteria Additional request: Injury Severity Breakdown 02/04/2024 6

Inclusion Criteria Trauma care is defined as care provided to patients who: Met the facility’s trauma team activation criteria and/or were entered into the facility’s Trauma Registry AND Underwent treatment specified in at least one of the following International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) codes AND Meets at least one of the following criteria: Transferred into or out of the hospital Underwent an operative intervention Were admitted as an inpatient for greater than 23-hours Died after receiving any emergency department evaluation or treatment 02/04/2024 Were dead on arrival to the facility 7

Challenges Accuracy of Data Every facility has different criteria for a trauma activation Some facilities report uncompensated charges for patients who do not meet trauma criteria Many facilities submit applications with missing information making data collection difficult 02/04/2024 8

Application can be found on our website. Contact Information Email: [email protected] 02/04/2024 9