Emergency Medical Services

The vendor required to emergency medical services (EMS) ground ambulance transportation system in county is organized into six operating areas 
- The county is soliciting proposals for exclusive operating area (EOA) 1, which includes 9-1-1 emergency response, seven-digit emergency response, interfacility transport (IFT) services, and standby services at both advanced life support (ALS) and basic life support (bls) levels.
- The provision of emergency 9-1-1, seven-digit emergency calls, and interfacility transports (IFTS) at a minimum of basic life support (bls), with preference given to advanced life support (ALS) levels of ground emergency medical (ambulance) transportation services.
- Contract monitoring
•    Response time performance
•    Clinical encounter data
•    System enhancements
•    Provider challenges
•    Clinical and technology issues
- Ambulance service delivery plan (SDP)
•    Proposer’s SDP must outline all resources to be deployed:
o    By the level of service proposed.
o    By hour of the day, day of the week, week of the month, and month of the year schedule.
•    The SDP must include a specific plan for handling multiple 9-1-1 calls for service within EOA, addressing:
o    Use of on-call personnel and backup equipment (“second out”) or mutual aid services. 
o    Associated costs for deploying “second out” resources.
•    The proposer may be required to enter into a contract with bishop fire to ensure surge protection through the availability of a bls ambulance when needed and available.
•    If ALS services cannot be provided 24/7/365, or in cases where ALS units cannot be deployed due to financial constraints, the proposer must:
o    Provide an explanation.
o    Demonstrate an adequate alternative response model at the bls level.
- Replacement and charges for billable medical supplies
•    The successful proposer shall be responsible for restocking ambulances with consumable medical supplies.
- Billing and accounts receivables
•    Include a process for partial payment forgiveness.
•    Outline a proposed system for resolving disputes.
•    Identify the computer system (including software) used for billing.
•    Interface with agency electronic patient care report (EPCR) data system.
•    Provide a usual and customary base rate.
•    Be compliant with all international classification of diseases (ICD) icd-10 requirements.
•    Include any other relevant information that may assist in evaluating the proposal.

- Contract Period/Term: 5 years
- Mandatory Proposer’s Conference Date: January 7, 2026
- Questions/Inquires Deadline: January 16, 2026