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ROBERT L. EHRLICH, JR., Governor
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Ch. 484
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(3) The methodology developed under paragraph (1) of this subsection
shall:
(i) Take into account:
1. The amount of uncompensated care provided by trauma
physicians;
2. The amount of undercompensated care attributable to the
treatment of Medicaid enrollees in trauma centers;
3. The cost of maintaining trauma physicians on-call;
4. The number of patients served by trauma physicians in
trauma centers;
5. The number of Maryland residents served by trauma
physicians in trauma centers; and
6. The extent to which trauma-related costs are otherwise
subsidized by hospitals, the federal government, and other sources; and
(ii) Include an incentive to encourage hospitals to continue to
subsidize trauma-related costs not otherwise included in hospital rates.
(4) The methodology developed under paragraph (1) of this subsection
shall use the following parameters to determine the amount of reimbursement made
to trauma physicians and trauma centers from the Fund:
(i) 1. The cost incurred by a Level II trauma center to maintain
trauma physicians TRAUMA SURGEONS, ORTHOPEDIC SURGEONS, AND
NEUROSURGEONS on-call shall be reimbursed:
A. At a rate of up to [20%] 30% of the reasonable cost
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, multiplied by 8,760 hours; and
B. For the minimum number of trauma physicians required
to be on-call, as specified by the Maryland Institute for Emergency Medical Services
Systems in its criteria for level II trauma centers; and
2. The cost incurred by a level III trauma center to maintain
trauma physicians TRAUMA SURGEONS. ORTHOPEDIC SURGEONS. NEUROSURGEONS.
AND ANESTHESIOLOGISTS on-call shall be reimbursed:
A. At a rate of up to [30%] 35% of the reasonable cost
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, multiplied by 8,760 hours; and
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- 2477 -
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