EMS billing

I’m not sure where the notion that somehow the county must charge patients before they don’t charge patients, comes from. In all the directions and advice on the OIG website, I can find no such requirement for EMS billing. In fact, looking at the advisory opinion archives, there are local governments that apply before implementing an EMS billing arrangement, as well as local governments that start billing “insurance only”, and then apply for an opinion on the existing arrangement.
Do supervisors really believe that county taxes shouldn’t cover the patient’s share of 911 EMS? Do the supervisors really want the extra money? If not, let’s follow Albemarle, Louisa, Nelson, Madison, and all the other counties billing “insurance only,” and submit the OIG request, and bill “insurance only”.