I know there are a few hexes in central/south central/southeastern, but in PA, I don't think they're super abundant like they are in the Mississippi drainages, and perhaps Lake Erie drainage. Even in the west, it can be a little spotty.
Yes, there are decent hatches on some trout streams. I'm more familiar with the Allegheny drainage from Pitt up to Kinzua. In the northern part of that area, smaller streams generally do harbor wild trout, while larger streams are typically too warm. Like the drakes elsewhere in the state, many smaller streams do have fishable hatches, and the trout fishing can be excellent. But the ridiculous blizzards generally occur on larger, richer streams, which in this area of the state, yes, is typically stocked/warmwater type streams. And they come off pretty late for the stockies. There are no streams the size of Penns/LJR, or even Spring/BFC, which hold significant numbers of wild fish.