Uncompensated Trauma Care (UCC) Info

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Uncompensated Trauma Care (UCC) Info Office of EMS/Trauma Systems Coordination

What is UCC? UCC stands for Uncompensated Trauma Care 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 11/18/2018

UCC Application Application usually released in the Fall (October) Released for at least 90 days 3 parts to the application Part A (Word Version or PDF) Part B (PDF, JPG, GIFF, etc) Part C (Excel) Email all 3 parts to: fundingapp@dshs.state.tx.us 11/18/2018

Where UCC Funds Come From Also known as “HB 3588” funds Also known as 1131 funds Also known as 911 funds Funds come from DRP and State Traffic Fine Funds come from DWI/DUI conviction charges Funds come from 911 Equalization Surcharge 96% approp. 27% approp 27% approp. 11/18/2018

What is SDA and Add-On? Standard Dollar Amount (SDA)-A standardized payment amount calculated by HHSC for the costs incurred by prospectively-paid hospitals in Texas for furnishing covered inpatient hospital services Add-On: An amount that is added to the base SDA to reflect high-cost functions and services or regional cost differences 11/18/2018

SDA Trauma Add-On Senate Bill 7 from the 82nd Texas Special Legislative Session S(1) Transfer funds to HHSC to maximize the receipt of federal funds that HHSC receives under the medical assistance program Create a “trauma add on” for designated trauma facilities that qualify for Standard Dollar Amount (SDA) payments from HHSC Statute requires hospitals to be held harmless and receive at a minimum the amount disbursed using the DSHS funding methodology 11/18/2018

SDA Trauma Add-On Amount To determine the trauma add-on amount, HHSC multiplies the base SDA: by 28.3 percent for hospitals with Level 1 trauma designation; by 18.1 percent for hospitals with Level 2 trauma designation; by 3.1 percent for hospitals with Level 3 trauma designation; or by 2.0 percent for hospitals with Level 4 trauma designation. 11/18/2018

UCC End of Year Info 11/18/2018