Trauma Fund

Senate Bill 290 established the Trauma Care Assistance Revolving Fund (Trauma Fund) in 1999. This Bill provided for reimbursement of uncompensated costs associated with trauma care provided by recognized trauma facilities and emergency medical providers. In 2004, House Bill 1554 added physicians to the list of providers eligible for reimbursement from the Trauma Fund. Administrative rules to implement this statutory change became effective on July 11, 2005.

The Trauma Fund is a continuing fund that will be available from year-to-year to support the public health safety net required to provide appropriate emergency medical care to the severely injured patient. Current sources of revenue for the Trauma Fund included renewal and reinstatement fees for driver licenses; fines for second/subsequent convictions for driving without a license, convictions for driving under the influence, driving without a license, failure to maintain mandatory motor vehicle insurance, violating the open container law, speeding, drug-related convictions and the Tobacco Tax.

Based upon budget projections, collections from all Trauma Fund revenue sources are anticipated to reach between $14 million - $20 million annually. Ninety percent of the funds collected will be distributed among the eligible participants during each future distribution period, with thirty percent of each distribution earmarked specifically for physicians.

Eligible EMS, hospital and physician disbursement entities may be qualified for reimbursement from the Trauma Fund for cases meeting required major trauma clinical criteria, and must be uncompensated after reasonable collection efforts are exhausted.

Major trauma cases meeting the clinical case definition are identified through required data reporting by Hospital Trauma Registrars to the State Trauma Registry. Qualifying clinical case criteria includes those trauma cases reported to the Registry with ICD-9 codes of 800.0 to 959.9 and a defined severity of injury.

The fund is distributed on a pro-rata basis after costs are established and ineligible cases are subtracted. 

Rule making activities, since June 2007:

1. OAC 310:669
   Inclusion of all eligible providers that would be disqualified as a result of rounding of fraction numbers, April 27, 2009.
2. OS §63-1-2530.4
   Increase in Oklahoma Trauma Systems Improvement & Development Council membership to include an oral and maxillofacial surgeon, November 1, 2008.
3. OAC 310:669
   Inclusion of time sensitive traumatic injuries, June 25, 2007.

*** An emergency rulemaking action at Oklahoma Administrative Code 310:669-1-3(2) was approved by the Board of Health deleting existing rule language that would exclude rural hospital and EMS providers from receiving disbursements from the Trauma Care Assistance Revolving Fund for otherwise eligible uncompensated expenses related to the provision of trauma care.  This emergency rule was approved by Governor Brad Henry on April 27, 2009.***

•    Rule Text presented at Board of Health April 9, 2009. (9378kb.pdf)
•    Rule Impact Statement presented at Board of Health, April 9, 2009. (9.54kb.pdf)
•    Governor Henry's notification of Approval. (134kb.pdf)

Title 310 - Oklahoma State Department of Health

•    Chapter 669 - Trauma Care Assistance Revolving Fund (35.5kb.pdf)

Subchapter 1 General Provisions

• • §310:669-1-1 Purpose (9.7kb.pdf)
  • §310:669-1-2 Definitions (17.4kb.pdf)
  • §310:669-1-3 Rounding of Numbers (9.8kb.pdf)

Subchapter 3 Data Accumulations

• • §310:669-3-1 Data Accumulation10.7kb.pdf)

Subchapter 5 Reports and Financial Statements

• • §310:669-5-1 Filing Requirements (23.5kb.pdf)
  • §310:669-5-2 Report Forms(22.2kb.pdf)
  • §310:669-5-3 Verification and Documentation (9.8kb.pdf)
  • §310:669-5-4 Amendments (10.8kb.pdf)

Subchapter 7 Fund Distribution

• • §310:669-7-1 Calculation of Pro Rata Share (11.5kb.pdf)
  • §310:669-7-2 Distribution Procedure (11.1kb.pdf)

Trauma Fund Reports

• Distributions by the year 2001 to 2008 (49.2kb.pdf)
• Timeline-Collections & Distribution 2007-2011 (52.5kb.pdf)
• Past Distributions - Listing of Provider Recipients
  • TF 2008 November (279kb.pdf)
  • TF 2008 April (262kb.pdf)
• Timeline and Activities for Trauma Fund 2009 September (19.3kb.pdf)

 

Trauma Fund September 2009

To apply for Trauma Fund you must submit a complete application.  Please follow the directions and fill out all forms. 

EMS Documents and Forms 

Hospital Documents and Forms

Physician Documents and Forms

 

Request for Appeal/Review for Trauma Fund 2009 March

This is only applicable to claims for the 01/01/2008 - 06/30/2008 time period.

If you had submitted claims for this period and a late collection(s), an audit or its appeal results in revising the data filed for this distribution, you may submit a request by e-mail.  Please include in the subject line "Trauma Fund Appeal".  Further instructions will then be provided.
Requests must be received by August 8, 2009.

 

For inquiries or more information, contact trauma@health.ok.gov
Patrice Greenawalt, Director, patriceg@health.ok.gov
Grace Pelley, Trauma Programs Coordinator, gracep@health.ok.gov
Mechelle Ashcraft, Programs Support Technician, mechellea@health.ok.gov