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Uncompensated Trauma Care (UCC) Application Info Uncompensated Trauma Care (UCC) Application Info

Uncompensated Trauma Care (UCC) Application Info - PowerPoint Presentation

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Uploaded On 2024-01-29

Uncompensated Trauma Care (UCC) Application Info - PPT Presentation

EMSTrauma 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  ID: 1042414

part trauma application care trauma part care application info data submitted program requests facility ucc criteria texas uncompensated inclusion

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1. Uncompensated Trauma Care (UCC) Application InfoEMS/Trauma SystemsDepartment of State Health Services

2. UCC SummaryUCC – funding a portion of the uncompensated trauma care providedTrauma 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 funds12/14/20232

3. UCC Application OverviewUCC 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 SpreadsheetInfo requested for app is for Calendar Year (CY) 2019Released 11/1/22 and due by 2/10/23 at midnightReferences found in Texas Admin Codes:157.130157.13112/14/20233

4. Part A – Application12/14/20234 Collects general info from facility (i.e. Name, Lic #, etc.)1(a) – requests info on Trauma Activations1(b) – requests info on Race/Ethnicity of trauma pts.1(c) – requests info on the Trauma Program at the facilityInfo 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

5. Part B - Affidavits12/14/20235Five signatures are needed for Part B, three being notarized:NotarizedCEOCFOChairperson of the BoardNot notarizedTrauma Medical DirectorTrauma Program Manager

6. Part C – Supporting Data Submission12/14/20236 Dollar amount and patient count should match what was submitted in Part AInfo requested is same as previous yearsFollows the National Trauma Data Standards (NTDS) for Inclusion CriteriaAdditional request: Injury Severity Breakdown

7. Inclusion Criteria12/14/20237Trauma 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 RegistryAND Underwent treatment specified in at least one of the following International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) codesANDMeets at least one of the following criteria:Transferred into or out of the hospitalUnderwent an operative interventionWere admitted as an inpatient for greater than 23-hoursDied after receiving any emergency department evaluation or treatmentWere dead on arrival to the facility

8. Challenges12/14/20238Accuracy of DataEvery facility has different criteria for a trauma activationSome facilities report uncompensated charges for patients who do not meet trauma criteriaMany facilities submit applications with missing information making data collection difficult

9. Contact InformationEmail: Fundingapp@dshs.Texas.gov 12/14/20239Application can be found on our website.