REPORT/RECOMMENDATION TO THE BOARD OF DIRECTORS
OF SAN BERNARDINO COUNTY FIRE PROTECTION DISTRICT
AND RECORD OF ACTION
March 24, 2026
FROM
DAN MUNSEY, Fire Chief/Fire Warden, San Bernardino County Fire Protection District
SUBJECT
Title
Amendments to Memorandum of Understanding with Molina Healthcare of California Related to Emergency Medical Ground Transport Services
End
RECOMMENDATION(S)
Recommendation
Acting as the governing body of the San Bernardino County Fire Protection District:
1. Approve Amendment No. 6 to Memorandum of Understanding No. 15-705 with Molina Healthcare of California, for the Intergovernmental Transfer Program with the California Department of Health Care Services, in which Molina Healthcare of California shall pay San Bernardino County Fire Protection District funds received from the California Department of Health Care Services, for the cost of emergency medical ground transport provided to Medi-Cal recipients enrolled with Molina Healthcare of California, extending the term from January 1, 2023 through December 31, 2025, for a total term of October 1, 2013, through December 31, 2025.
2. Approve Amendment No. 7 to Memorandum of Understanding No. 15-705 with Molina Healthcare of California, for the Intergovernmental Transfer Program with the California Department of Health Care Services, in which Molina Healthcare of California shall pay San Bernardino County Fire Protection District funds received from the California Department of Health Care Services, for the cost of emergency medical ground transport provided to Medi-Cal recipients enrolled with Molina Healthcare of California, extending the term from January 1, 2026 through December 31, 2026, for a total term of October 1, 2013, through December 31, 2026.
3. Direct the Secretary of the Board of Directors to maintain confidentiality of the amendments identified in Recommendation No. 1 and 2 pursuant to Health and Safety Code section 1457(c)(1).
(Presenter: Dan Munsey, Fire Chief/Fire Warden, 387-5779)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Foster Sustainable Development Through Strategic Partnerships.
Provide for the Safety, Health and Social Service Needs of County Residents.
FINANCIAL IMPACT
Approval of the recommended actions will not result in the use of Discretionary General Funding (Net County Cost). The amendments to the Memorandum of Understanding (MOU) with Molina Healthcare of California (Molina) pertains to the Intergovernmental Transfer (IGT) Program with the California Department of Health Care Services (DHCS), which will allow San Bernardino County Fire Protection District (SBCFPD) to continue to receive federal matching funds under the IGT Program. Sufficient appropriation and revenue for the MOU are included in SBCFPD’s 2025-26 budget and will be included in future year budgets as appropriate.
BACKGROUND INFORMATION
Molina is a Medi-Cal Managed Care Plan Provider (MMCPP) offering services to residents eligible for Medi-Cal benefits. Molina contracts with SBCFPD for emergency medical ground transport services provided to residents of SBCFPD. Molina is also an MMCPP under the IGT Program with the DHCS, which authorizes SBCFPD to receive federal matching funds to support the costs of providing emergency medical ground transport services for Medi-Cal managed care beneficiaries.
SBCFPD has been participating in the IGT Program since 2013. The original MOU with Molina was approved by SBCFPD’s Fire Chief on July 14, 2015. Since then, the SBCFPD Board of Directors (Board) has approved the following amendments to extend the term of the agreement and update the State-established period:
|
Amendment No. |
Approval Date |
Item No. |
|
1 |
September 15, 2015 |
78 |
|
2 |
June 14, 2016 |
138 |
|
3 |
May 23, 2017 |
145 |
|
4 |
July 10, 2018 |
41 |
|
5 |
June 9, 2020 |
59 |
Amendment No. 5 covered Medi-Cal recipients enrolled with Molina during the State-established claim period of July 1, 2018 through June 30, 2019. The term of Amendment No. 5 was for the period of September 30, 2020, through December 31, 2022.
Molina wishes to continue the MOU with SBCFPD for emergency medical ground transport services for members enrolled with Molina, retroactively to the State-established claim period starting July 1, 2019. Molina had submitted Amendment No. 6 to SBCFPD in 2020 during the COVID shutdown. However, due to the ongoing pandemic contract negotiations were paused. SBCFPD has been working on the amendments with Molina since 2023, however, Molina had several changes in their operations that lead to additional delays in contract negotiations.
These amendments are retroactive to January 1, 2023, due to SBCFPD receiving the final approved MOU Amendments from Molina on February 18, 2026. Additionally, the IGT Program was postponed from January 1, 2021, through September 12, 2022, by DHCS due to a revision of the capitation rates. SBCFPD continued to provide services during this period. The IGT Program has since been reestablished.
This item is being presented at this time, as this is the first available date following the required operational, fiscal, and legal reviews. Approval of these amendments will allow SBCFPD to receive matching funds for services provided during the IGT Program’s postponement through December 31, 2026.
Pursuant to Health and Safety Code section 1457(c)(1), specific terms related to the rates of payment for health care services are not immediately subject to laws related to public records. Therefore, the Secretary of the Board is directed to maintain confidentiality of this agreement and amendment with DHCS.
PROCUREMENT
Not applicable.
REVIEW BY OTHERS
This item has been reviewed by County Counsel (Rick Luczak, Deputy County Counsel, 387-5455) on March 2, 2026; and County Finance and Administration (Ivan Ramirez, Administrative Analyst, 387-4020) on March 6, 2026.