Virginia EMS restores millions and implements new oversight after audit report reveals fraud

RICHMOND, Va. (WRIC) -- Nearly a year after an internal audit uncovered millions of dollars in fraud and mismanagement at Virginia’s Office of Emergency Medical Services (EMS), state health officials say the issues have been resolved, debts have been paid and new controls are now in place.
The 2024 audit revealed $33 million in unpaid debts and $4 million in fraudulent charges within the EMS office, including funds meant for local rescue squads and trauma hospitals.
Since the audit, the Virginia Department of Health (VDH) has overhauled leadership, implemented stricter procurement rules and restored critical funding to local EMS providers.
“The public needs to have trust in what the Virginia Department of Health is doing and at the end of the day, this has a direct effect on patient care across Virginia,” said Christopher Lindsay, VDH Chief Operating Officer.
New measures include the creation of a business manager position, the appointment of a new director and rigorous oversight of all contracts.
The department has also reformed the Trauma Fund ensuring timely payments and greater transparency for hospitals providing critical care.
“Over $2 million had been taken out of the trauma fund. We’ve increased transparency and made sure hospitals know exactly how those dollars are calculated and paid,” Lindsay added.
Rescue squads across the state have also seen funds fully restored through the Rescue Squad Assistance Fund which provides essential equipment and training to keep communities safe.
A new online dashboard also allows municipalities to track funding in real time.
“These measures, along with monthly budget oversight and revised contracts through regional councils, will keep the Office of EMS accountable and ensure that money reaches providers and patients,” Lindsay said.
State officials say transparency and oversight will remain the top priority moving forward, reinforcing the public’s trust in Virginia’s EMS system.