DA01--RFI for CCR&A Vendor Demonstrations (VA-26-00031811)

Closed Pre-Solicitation Posted

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Solicitation number
36C10B26Q0120
Agency
Responses due
Set-aside
No set-aside

Opportunity facts

Notice details come from SAM.gov. Updated .

About this opportunity

The Department of Veterans Affairs Technology Acquisition Center is seeking vendor demonstrations for a modern Community Care Referral, Authorization, Utilization Management and Care Coordination System to replace the current CCRA system expiring in August 2027. This Request for Information (RFI) is part of a two-phase market research process designed to gather industry insights on next-generation solutions that align with Community Care Next Generation (CCN NG) processes. Vendors must submit live demonstrations of fully deployable systems by January 26, 2026, at 12:00 PM Eastern Time showcasing capabilities across seven key focus areas: referral and authorization management, utilization management, care coordination, clinical review integration, interoperability, medical documentation, and reporting and analytics with member referral tracking. The evaluation will emphasize the vendor's ability to support modern technologies including artificial intelligence and automation, ensure compatibility with commercial off-the-shelf (COTS) solutions, meet VA technical standards for security and interoperability using HL7 and FHIR protocols, and enhance the overall Veteran experience through seamless care transitions between direct and community care settings. Key objectives include achieving zero-trust security architecture, Federal Identity Credential and Access Management (FICAM) compliance, and support for up to 7,500 concurrent users processing over 8.5 million annual care referrals.

This procurement carries no set-aside designations and involves replacing the incumbent HealthShare Referral Manager (HSRM) system. The Performance Work Statement specifies a base performance period of 12 months from award with four potential 12-month option periods, extending the contract up to 62 months total. While specific budget information is not disclosed in the RFI stage, the scope indicates a large-scale enterprise solution requiring hosting in AWS FedRAMP High Government Cloud with middleware integration at VA Regional Data Centers. The VA's emphasis on leveraging advanced analytics, clinical decision support, and role-based access control reflects the complexity and mission-critical nature of this system, which must maintain seamless interoperability with VA's complex ecosystem of electronic health record systems while supporting VA-specific processes including Standard Episodes of Care (SEOC) and Request for Services (RFS) workflows. Interested vendors should review the draft Performance Work Statement, rubric criteria for referral management, and detailed RFI cover documentation to understand the comprehensive technical and business capability requirements.

Notice text

PRE-DECISIONAL

PRE-DECISIONAL

Community Care Referral, Authorization, and Utilization Management and Care Coordination Systems

Situation:

The Community Care Referral and Authorization (CCRA) system contract ends in August 2027. To align with Community Care Next Generation (CCN NG) processes, VA seeks a modern solution that supports community care requirements, specifically Utilization Management (UM) and Care Coordination, and integrates these capabilities, enhances interoperability, and improves Veteran experience. A summary of the goals and approach for the RFIs are described below:

Goals:

Align with CCN NG Requirements

Incorporate lessons learned and leverage automation and AI for efficiency.

Enhance Veteran Experience

Enable referral tracking via VA.gov

Adopt Industry Standards

Ensure compatibility with commercial off-the-shelf (COTS) solutions.

Support Seamless Care

Enable transitions between direct and community care settings.

Methodology/Approach

Two-Phase RFI Process

RFI #1: Vendor demos of industry-standard systems (see attached draft and market research)

RFI #2: Refined requirements based on demo insights

Focus Areas for Evaluation:

Referral & Authorization Management

Utilization Management

Care Coordination

Clinical Review Integration

Interoperability

Medical Documentation

Reporting & Analytics

Member tracking of referrals

Proposed Timeline

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Files

File Type Posted
Rubric Criteria for Referral Managment.xlsx XLSX spreadsheet
PWS CCRA- final draft.docx DOCX document
RFI Cover CCRA Demos- final.docx DOCX document
36C10B26Q0120.docx DOCX document

Notice history

Notice Type Posted
DA01--RFI for CCR&A Vendor Demonstrations (VA-26-00031811) Latest pre-solicitation Pre-Solicitation
DA01--RFI for CCR&A Vendor Demonstrations (VA-26-00031811) Special Notice
This notice Original Pre-Solicitation

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