EL DORADO COUNTY BOARD OF SUPERVISORS
The EL Dorado County Board of Supervisors is responsible for the fiscal management of County Service Area #7 (CSA7). Annually the JPA prepares a proposed budget for personnel, operating expenses and fixed assets to the Chief Administrative Office. The CAO's Office reviews and approves the proposed budget for ambulance  submits the budget request to the Board of Supervisors.

CHIEF ADMINISTRATIVE OFFICE
The Chief Administrative Office is responsible for medical oversight within the County of El Dorado. The Chief Administrative Office is responsible for the preparation and execution of provider contracts between the County and the JPA. The contracts define the roles and responsibilities of the County and the JPA, which is considered a contractor, to provide ambulance and dispatch services within CSA7. Ambulance Billing, the Medical Director and the EMS Administrator are under the direction of the Chief Administrative Office, These three functions report to the Emergency Medical Services Agency.

EMERGENCY MEDICAL AGENCY ADMINISTRATOR
The EMS Administrator is responsible for administering the master contract between the County of El Dorado and the JPA. These responsibilities include contract compliance, development of policies and procedures that affect the JPA and the County, inspection of equipment and ride-a-long with the paramedics. The position also supervises the staff in ambulance billing.

AMBULANCE BILLING
Ambulance Billing is responsible for the processing of all Patient Care Reports which includes reviewing for accuracy, billing the appropriate health insurance carrier, and following up to assure that payment has been received for services provided. If a bill is not paid in a timely manner, the bill is forwarded to the County Counsel for collection.

EMERGENCY MEDICAL SYSTEM MEDICAL DIRECTOR
The EMS Medical Director is responsible for the overall medical direction of the JPA. These responsibilities include the development of medical protocols, policies and practices. The Medical Director is responsible for medical quality assurance programs that monitor the performance of the medical providers and system.

JPA
The responsibility of the JPA Executive Director is to interface with the Public Health Department to implement the provisions of the Master Contract and develop an annual budget to provide emergency dispatch services to the citizens of CSA7. The Executive Director coordinates with the EMS Agency to develop protocols and procedures that provide medical direction to the firefighter/paramedics and other medical workers.