CA AB2118

Exempts government-operated emergency medical transport providers (state, city, county, fire districts, special districts, community services districts, health care districts, and federally recognized Indian tribes) from quality assurance fees imposed on private providers under the Medi-Cal Emergency Medical Transportation Reimbursement Act.

Requires government providers to participate in a managed care intergovernmental transfer program, with combined reimbursement payments equaling 100% of projected costs for ground emergency medical transportation services.

Allows government providers to annually request rate changes due to changes in service scope, intensity, or mix, with the department required to review and evaluate such requests and adjust rates accordingly.

Requires the department to be reimbursed for administrative costs of administering the modified program and for state revenue not obtained from exempting government providers from quality assurance fees.

Establishes that Medi-Cal managed care plans must pay noncontracting government emergency transportation providers using the same fee-for-service rates as private providers, with nonfederal share paid through intergovernmental transfer from participating government entities.