Voluntary Rate
Range Program
Agreements with DHCS & CalOptima
August 18, 2026
Voluntary Rate Range
Program
• What is the VRRP?
• Revenue Benefits
• Recommendation for Action
What is the VRRP?
• Intergovernmental Transfer Program (IGT) through
California Department of Healthcare Services (DHCS)
• Allows for recovery of unreimbursed costs for
providing Emergency Medical Services to CalOptima
patients
• City has participated in VRRP since FY 22/23
• Requires upfront cost match payment of $1,017,485
• Full amount is reimbursed back to City
Revenue Benefits
• Helps offset for unreimbursed costs for EMS
transports
• Payment made to City within 60 days
• Provides additional EMS revenue to general fund
• NET revenue this FY is approximately $1,297,405
• Amount varies year to year based on number of
transports and number of program participants
Recommended Action
• Authorization to execute agreements and approve
payment of $1,017,485 to DHCS to be send by
November 20, 2026
• Alternative Action
• Do not approve the recommended action and direct
staff accordingly
Questions?