7A21--Fraud, Waste and Abuse (FWA) Software (VA-25-00032490)

The Department of Veterans Affairs Technology Acquisition Center is seeking commercial off-the-shelf Fraud, Waste and Abuse (FWA) software and associated operational services to integrate with their healthcare claims adjudication enterprise solution (eCAMS HCE). The software must provide real-time pre-payment fraud detection and post-payment auditing capabilities for medical claims processing. Key technical requirements include processing 36 million claims annually, supporting 5,000 concurrent users, handling 150,000 claims per day, and delivering response times under 3 seconds. The solution must be FISMA-High compliant and support integration with VA systems through web services. The Request for Information (RFI) response deadline was initially set for January 29, 2025, but has been extended to February 15, 2025, at 2:00 PM Eastern Time, with the primary objective of conducting market research to understand potential software solutions.

The procurement is classified under NAICS code 541519 (Other Computer Related Services) with a small business size standard of $27.5 million, and there is no specific set-aside designation for this opportunity. While no funds are currently authorized and this is not a formal solicitation for proposals, the contract structure anticipates a base period not exceeding 24 months for implementation, followed by up to four 12-month option periods. The VA is open to both software-only solutions that can be hosted at FSC or provided as a Software-as-a-Service (SaaS) solution, with an estimated user base of approximately 200 users across VHA and FSC program offices. The software must be compatible with Azure SQL, Microsoft SQL, or Oracle databases, and will be accessed through API connections or web-based service calls to their claims processing system. No specific award value or budget range was disclosed in the pre-solicitation documents.