Current through Register Vol. 51, No. 19, September 20, 2024
A. Eligibility.
The Fund will reimburse trauma centers' on-call costs to maintain surgeons
on-call in conformance with MIEMSS' regulations at COMAR 30.08.05-30.08.14 for
the minimum number of trauma physicians required to be on-call. Trauma centers
are eligible for on-call payments as follows:
(1) The Level I trauma center and pediatric
trauma center are eligible for on-call payments for on-call hours provided by
trauma specialties designated in §B of this regulation on or after July 1,
2008;
(2) Level II trauma centers
are eligible for on-call payments for on-call hours provided by trauma
specialties designated in §C of this regulation;
(3) Level III trauma centers are eligible for
on-call payments for on-call hours provided by trauma specialties designated in
§D of this regulation; and
(4)
Maryland Trauma Specialty Referral Centers are eligible for on-call payments
for on-call hours provided by trauma specialties designated in §E of this
regulation on or after July 1, 2008.
B. To determine the amount of on-call
payments to a Level I trauma center or pediatric trauma center from the Fund,
the following apply:
(1) The cost incurred by
a Level I trauma center or pediatric trauma center to maintain trauma surgeons,
pediatric trauma surgeons, neurosurgeons, and orthopedic surgeons on-call shall
be reimbursed at the lesser of a trauma center's actual on-call costs, or up to
30 percent of the reasonable compensation equivalent's hourly rate for the
specialty, inflated to the current year by the physician compensation component
of the Medicare Economic Index as designated by the Centers for Medicare and
Medicaid Services;
(2) A Level I
trauma center shall be eligible for a maximum 4,380 on-call hours each fiscal
year beginning July 1, 2008; and
(3) A pediatric trauma center shall be
eligible for a maximum 4,380 on-call hours each fiscal year beginning July 1,
2008.
C. To determine
the amount of on-call payments to a Level II trauma center from the Fund, the
following apply:
(1) The cost incurred by a
Level II trauma center to maintain trauma surgeons, neurosurgeons, and
orthopedic surgeons on-call shall be reimbursed at the lesser of a trauma
center's actual on-call costs or up to 30 percent of the reasonable
compensation equivalent's hourly rate for the specialty, inflated to the
current year by the physician compensation component of the Medicare Economic
Index as designated by the Centers for Medicare and Medicaid Services;
and
(2) A Level II trauma center
shall be eligible for a maximum 24,500 on-call hours each fiscal year beginning
July 1, 2006.
D. To
determine the amount of on-call payments to a Level III trauma center from the
Fund, the following apply:
(1) The cost
incurred by a Level III trauma center to maintain anesthesiologists,
neurosurgeons, orthopedic surgeons, and trauma surgeons on-call shall be
reimbursed at the lesser of a trauma center's actual on-call costs or up to 35
percent of the reasonable compensation equivalents hourly rate for the
specialty, inflated to the current year by the physician compensation component
of the Medicare Economic Index as designated by the Centers for Medicare and
Medicaid Services;
(2) A Level III
trauma center shall be eligible for a maximum 35,040 on-call hours each fiscal
year beginning July 1, 2006.
E. To determine the amount of on-call
payments to a Maryland Specialty Referral Center from the Fund, the following
apply:
(1) The cost incurred by a Maryland
Trauma Specialty Referral Center to maintain trauma surgeons on-call for the
Johns Hopkins Health System Burn Program shall be reimbursed at the lesser of
the trauma center's actual on-call costs or up to 30 percent of the reasonable
compensation equivalent's hourly rate for the specialty, inflated to the
current year by the physician compensation component of the Medicare Economic
Index as designated by the Centers for Medicare and Medicaid
Services;
(2) The cost incurred by
a Maryland Trauma Specialty Referral Center to maintain trauma surgeons on-call
for the Eye Trauma Center at the Wilmer Eye Institute at The Johns Hopkins
Hospital, the cost incurred to maintain ophthalmologists on-call shall be
reimbursed at the lesser of the trauma center's actual on-call costs or up to
30 percent of the reasonable compensation equivalent's hourly rate for the
specialty, inflated to the current year by the physician compensation component
of the Medicare Economic Index as designated by the Centers for Medicare and
Medicaid Services;
(3) The cost
incurred by a Maryland Trauma Specialty Referral Center to maintain trauma
surgeons on-call for the Curtis National Hand Center at Union Memorial
Hospital, shall be reimbursed at the lesser of the trauma center's actual
on-call costs or up to 30 percent of the reasonable compensation equivalent's
hourly rate for the specialty, inflated to the current year by the physician
compensation component of the Medicare Economic Index as designated by the
Centers for Medicare and Medicaid Services; and
(4) A Maryland Specialty Referral Center
trauma center shall be eligible for a maximum 2,190 hours of trauma on-call per
fiscal year, beginning July 1, 2008.
F. The trauma center shall apply for payment
from the Fund by submitting a semiannual on-call services application within 30
days after the end of the reporting cycle.
G. The on-call services application shall
list on-call costs paid to trauma physicians at the trauma center during the
reporting cycle. The on-call services application shall contain at least the
following information:
(1) The name and trauma
level of the trauma center;
(2) The
name of each trauma physician providing on-call coverage;
(3) The specialty of each trauma physician
providing on-call coverage;
(4) The
amount of time available on-call for each physician; and
(5) The amount paid in on-call stipends to
each physician.
