Emergency Medical Services Fund

The Emergency Medical Services Fund (also known as the Maddy & EMS Appropriation Fund) is a state-funded program that provides reimbursement for uncompensated emergency services provided by physicians and surgeons. To participate in this program, download the forms and documents listed below for your county.

Mendocino County

• Coming soon

Napa County

• Conditions of Participation
• Payee Data Record Form
• Provider Enrollment Form
• List of Patients Form
• Vendor Maintenance Form
• Distribution Schedule, April 2008 through October 2012

Sonoma County

• Conditions of Participation
• Payee Data Record Form
• Provider Enrollment Form
• List of Patients Form
• Distribution Schedule, April 2006 through January 2011

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