Community care network region 4

Active Indefinite Delivery Contract Awarded Last action

Contract number
36C10G19D0038
Awardee
Awarding agency
Task orders
63 $46,696,749,367 obligated

Award facts

Opportunity
Combined order value
  • $96,734,997,811 Current, with exercised options
  • $135,634,672,705 Potential, with all options
Last date to order 94% complete
IDV ceiling 80% used
$58,320,625,677.98
Award type
Single award
Who can order
Only the awarding agency
Set-aside
No set-aside
Competition
Full and Open Competition · 3 offers Negotiated Proposal / Quote
Pricing
Firm Fixed Price
Legislative mandates

Award details come from SAM.gov/FPDS.

About this IDV

The Department of Veterans Affairs awarded an indefinite-delivery contract to Triwest Healthcare Alliance Corp on August 12, 2019, with a ceiling of $58,320,625,677.98 and an ultimate completion date of March 31, 2027. This is a single-award IDIQ with no set-aside.

Place of performance is Phoenix, Arizona 85053, with administrative and reporting operations also at Fredericksburg, Virginia 22401.

The Community Care Network Region 4 contract funds managed healthcare services and community care network administration for Arizona and parts of Nevada. Triwest provides provider network management, medical claims processing, patient care coordination, healthcare quality monitoring, precertification services, and comprehensive financial and operational reporting to expand veterans' access to medical services through community-based providers when VA facilities are unavailable.

The base contract plus option years run through March 31, 2027. The contract is structured as firm fixed price.

Recent delivery order activity under this IDIQ demonstrates sustained utilization. Monthly express report orders issued between June 2024 and May 2026 have ranged from approximately $560.5 million to $1.06 billion per order. A significant option-year funding order issued April 1, 2026, carries a ceiling of $7.911 billion to fund the seventh option year and wage determination adjustments. An express report order issued August 25, 2023, for Region 4 Quarter 3 FY23 carries a ceiling of $2.224 billion and extends through March 31, 2027. Task orders funding option years have also been issued, including a $26.903 billion order for Option Year 2 (first six months) effective April 1, 2021, and an $8.833 billion order for Option Year 5 effective April 1, 2024. The most recent monthly express report order, issued May 1, 2026, carries a ceiling of $902.85 million for May 2026 reporting services performed at Fredericksburg, Virginia.

Task orders

Task order Ordering agency Obligated Awarded
Express report: august 2026 36C10G26K0300 Headquarters $1,200,153,023
Express report: july 2026 36C10G26K0295 Headquarters $798,679,029
Express report: june 2026 36C10G26K0293 Headquarters $983,897,124
Express report: may 2026 36C10G26K0282 Headquarters $902,853,623
Express report april 2026 36C10G26K0281 Headquarters $873,917,490
CCN R4 award of OY7 POP. 36C10G26F0009 Headquarters $0
Express report: march 2026 36C10G26K0268 Headquarters $928,900,086
Express report: february 2026 36C10G26K0266 Headquarters $819,701,547
Express report: january 2026 36C10G26K0254 Headquarters $837,271,971
Express report: december 2025 36C10G26K0213 Headquarters $1,062,977,661
Express report: november 2025 36C10G26K0190 Headquarters $653,419,383
Express report: october 2025 36C10G26K0135 Headquarters $928,047,790
Express report: september 2025 36C10G26K0083 Headquarters $711,388,881
Express report: august 2025 36C10G25K0670 Headquarters $780,242,159
Express report: july 2025 36C10G25K0600 Headquarters $836,212,764
June express report 2025 36C10G25K0481 Headquarters $795,723,889
Express report: may 2025 36C10G25K0373 Headquarters $843,331,825
CCN R4 award of OY7 POP. 36C10G25F0008 Headquarters $0
Express report: april 2025 36C10G25K0372 Headquarters $839,685,688
Express report: march 2025 36C10G25K0371 Headquarters $770,738,874
Express report: march 2025 36C10G25K0244 Headquarters $789,752,406
Express report: january 2025 36C10G25K0187 Headquarters $697,246,010
Express report: december FY2025 Q1 36C10G25K0042 Headquarters $758,047,779
Express report: NOV. 2024 Q3 36C10G25K0028 Headquarters $744,762,072
Express report: (OCT. 2024) 36C10G25K0023 Headquarters $870,766,369
Express report: express report (sept. 2024) Q4 36C10G25K0002 Headquarters $763,871,689
Express report august 2024 36C10G24K0134 Headquarters $776,889,606
Express report: july FY24 R4 express report Q3 36C10G24K0126 Headquarters $766,370,811
Express report: june FY24 R4 express report 36C10G24K0120 Headquarters $718,714,542
Express report: may FY24 R4 express report Q3 36C10G24K0115 Headquarters $809,354,930
Express report: april FY24 express report Q3 36C10G24K0114 Headquarters $857,175,400
Task order to fund option year 5 for region 4. 36C10G24F0030 Headquarters $0
Express report: march FY24 express report Q2 36C10G24K0113 Headquarters $655,284,611
Express report: february FY24 R4 express report Q2 36C10G24K0112 Headquarters $560,534,316
Express report: december express report Q1 36C10G24K0078 Headquarters $696,018,880
Express report for november FY24 Q1 36C10G24K0059 Headquarters $640,380,965
Express report for october FY24 region 4 36C10G24K0058 Headquarters $785,953,061
Express report: january FY24 R4 express report Q2 36C10G24K0079 Headquarters $716,603,859
Express report for september FY23 R4 express report 36C10G23K0079 Headquarters $633,455,207
Express report: region 4 quarter 3 FY23 36C10G23K0058 Headquarters $2,224,839,173
Express report for august FY23 R4 express report 36C10G23K0077 Headquarters $659,954,985
Express report for july FY23 R4 express report 36C10G23K0076 Headquarters $742,892,762
CCN R4 this task order is to fund option year 4. 36C10G23F0011 Headquarters $50,090
Express report: quarter 4 36C10G22K0036 Headquarters $2,110,778,409
The purpose of this task order is to fund option year 3 of the base contract. 36C10G22F0015 Headquarters $0
Task order funding OY3 (1ST semester) for medical services IAW CNN R4 contract 36C10G22F0006 Headquarters $92,933,277
Express report 36C10G22K0022 Headquarters $4,826,052,272
Express report: FY 21 36C10G21K0087 Headquarters $3,602,762,910
Community care network region 4 - option year 2 task order funding option year 2 first (6) months. 36C10G21F0022 Headquarters $1,858,003
Community care network region 4 - P00038 M0DIFICATION adding mission act 122 36C10G21F0016 Headquarters $0
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Transactions

Action Obligated Date
Other Administrative Action P00137 · Add far clause 52.222-90 addressing DEI discrimination by federal contractors (APR 2025) $0
Supplemental Agreement for work within scope P00136 $0
Other Administrative Action P00135 · Correct schedule of services and OY7 task order for clin X048AB. $0
Other Administrative Action P00134 · Make a correction to the schedule of services for clin X050. $0
Exercise an Option P00133 · Exercise option year 7 $0
Supplemental Agreement for work within scope P00132 · Annual dental CDT codes updates FY2026 $0
Supplemental Agreement for work within scope P00130 · Precertification enhancements $0
Other Administrative Action P00131 · Review board timeline change $0
Supplemental Agreement for work within scope P00129 · Medical documentation updates $0
Supplemental Agreement for work within scope P00128 · Add clin X049 for SCA wage determination adjustment OY6 $0
Supplemental Agreement for work within scope P00099 · Provider profile management system (ppms) updates $0
Other Administrative Action P00126 · Add vaar clause 852.222-71 $0
Supplemental Agreement for work within scope P00125 · The purpose of this modification is to add 2025 CDT codes to R4 CCN contract. $0
Other Administrative Action P00127 · CCN R4 admin MOD to correct clin X045. $0
Exercise an Option P00124 · CCN R4 award of OY6 POP. $0
Supplemental Agreement for work within scope P00122 · Descope attachment w for the region 4 base contract. $0
Other Administrative Action P00121 $0
Funding Only Action P00120 · Adding fiscal year funding to clins 5016CA and 5012PA for region 4. $0
Other Administrative Action P00104 · Seoc claims processing logic $0
Supplemental Agreement for work within scope P00117 · The purpose of this modification is to update extended DME to the R4 CCN contract. $0
Supplemental Agreement for work within scope P00110 · The purpose of this modification is to add abortion medical services to the R4 CCN contract. $0
Supplemental Agreement for work within scope P00115 · The purpose of this administrative modification is to update the cleland-dole act clin number. $0
Supplemental Agreement for work within scope P00107 · The purpose of this modification is to allow the TPA to reprocess claims VA incorrectly denied. $0
Supplemental Agreement for work within scope P00114 · The purpose of this modification is to update IVF language and definitions in the base contract IAW 38 CFR part 17. $0
Supplemental Agreement for work within scope P00109 · This modification is to add cleland-dole act section 141 credentialing (38 USC 1703F) language in the base contract. $0
Supplemental Agreement for work within scope P00097 · The purpose of this modification is to map the pharmacy pmpm for collateral art/IVF patients. $0
Supplemental Agreement for work within scope P00112 · Updates pricing and incentives language to the CCN R4 contract for OY5. $0
Other Administrative Action P00108 · Updates SCA wage determinations for OY5 of the contract. $0
Supplemental Agreement for work within scope P00111 · Modification to extend the current definition of durable medical equipment to include new/future medical technologies. $0
Supplemental Agreement for work within scope P00113 · Modification to exercise option year 5 $0
Supplemental Agreement for work within scope P00106 · Modification to increase the contract ceiling. $0
Supplemental Agreement for work within scope P00105 · Updates the algorithm for determining high performing providers (HPP). $0
Supplemental Agreement for work within scope P00102 · Updates the incentive calculation methodology for optional task appointment scheduling. $0
Other Administrative Action P00101 · Attachment t and t/a updates $0
Supplemental Agreement for work within scope P00072 · Attachment BA qasp(PO17-23) $0
Supplemental Agreement for work within scope P00098 · Descoping two (2) attachment u requirements. $0
Supplemental Agreement for work within scope P00081 $0
Supplemental Agreement for work within scope P00096 · Addition of far 52.204-27 prohibition on a bytedance covered application (june 2023) $0
Supplemental Agreement for work within scope P00095 · CCN R4 adding and deleting 2023 CDT dental codes $0
Supplemental Agreement for work within scope P00094 · CCN R4 change language to clin X016CA $0
Exercise an Option P00089 · CCN R4 exercise option year 4 $0
Supplemental Agreement for work within scope P00091 · The purpose of this modification is to update wage determinations for this contract in accordance with EO 14026 and far 52.222-43 fair labor standard act. $0
Supplemental Agreement for work within scope P00093 $0
Supplemental Agreement for work within scope P00092 · CCN R4 art/IVF pharmacy $0
Supplemental Agreement for work within scope P00087 · CCN R4 incentive/disincentive clin structure $0
Supplemental Agreement for work within scope P00090 · The purpose of this modification is to align P02 (performance objective) calculation methods with already existing P04 PE (performance element) calculations for… $0
Supplemental Agreement for work within scope P00088 · Supplemental modification clarifying due date for a contract deliverable. $0
Supplemental Agreement for work within scope P00086 · CCN R4 supplemental modification to add out of region providers to the contract. $0
Supplemental Agreement for work within scope P00080 · MOD for provider satisfaction survey (PSS) $0
Supplemental Agreement for work within scope P00085 · CCN R4 supplemental modification to add ketogenic diabetes telehealth services to the contract. $0
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Quick answers

Who was awarded contract 36C10G19D0038?

36C10G19D0038 was awarded to Triwest Healthcare Alliance Corp by Headquarters (Department of Veterans Affairs) on August 12, 2019.

How much is contract 36C10G19D0038 worth?

Orders under 36C10G19D0038 have obligated $46,696,749,367. Their combined current value, with exercised options, is $96,734,997,811. Their combined potential value, with all options, is $135,634,672,705. 36C10G19D0038's own ceiling is $58,320,625,678.

How many orders have been placed under contract 36C10G19D0038?

63 orders have been placed under 36C10G19D0038, the latest on August 1, 2026.

Who can order from contract 36C10G19D0038?

36C10G19D0038 is a single award indefinite delivery contract. Only the awarding agency can place orders on it.

Was contract 36C10G19D0038 competed?

The extent of competition for 36C10G19D0038 was full and open competition. The government received 3 offers.

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