RFI #2 Veteran Affairs Code Sets Requirement
Closed Pre-Solicitation Posted
- Solicitation number
- 36C10G26Q0088
- Agency
-
Headquarters
Department of Veterans Affairs
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 541219 Other Accounting Services
- PSC
- Q601 Medical Coding And Auditing
- Place of performance
- United States
- Points of contact
Notice details come from SAM.gov. Updated .
About this opportunity
The Department of Veterans Affairs Enterprise Procurement Office is issuing a Request for Information to identify qualified sources capable of developing, maintaining, and regularly delivering comprehensive billing code sets supporting Community Care Referral Guidelines (CCRGs), with responses due September 21, 2026 at 3:00 PM Eastern.
This RFI is for information and planning purposes only; VA is not accepting unsolicited proposals and will not bind itself to issue a solicitation or award a contract based on responses. The scope encompasses approximately 373 active CCRGs across multiple specialties. The contractor must perform technical mapping from CCRG clinical guidance to billable codes (CPT, HCPCS Level II, ICD-10-CM/PCS, NDCs, and related classifications), maintain code sets in response to national coding changes and VA direction, and deliver structured, version-controlled, adjudication-ready files on a recurring schedule. Quality assurance, independent review, and regression testing are required. The contractor shall apply a documented, repeatable mapping methodology respecting VA's sole authority over clinical scope, coverage, authorization, utilization policy, and reimbursement decisions.
VA solicits detailed narrative responses addressing 12 sections: organizational capabilities and socioeconomic designations (Section A); past work on comprehensive healthcare billing code sets with case studies at scale (Section B); proposed code-set development methodology, mapping approaches, and metadata requirements (Sections C–I); technical, operational, staffing, scheduling, licensing, and implementation risks with mitigations (Section J); and pricing structure recommendations including base pricing, per-unit costs, and surge-release pricing (Section K). Respondents must reference RFI number 36C10G26Q0088 in email subject lines. All costs of responding are the respondent's responsibility. Responses become government property and will not be returned.
Notice text
Purpose
In accordance with the FAR 15.201(e) this is a Request for Information (RFI) to determine the availability and technical capabilities of qualified sources capable of developing, maintaining, and regularly delivering comprehensive billing code sets.
VA is not, at this time, seeking proposals and will not accept unsolicited proposals. All responses shall be solely in the form of information.
Responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. The Government is under no obligation to issue a solicitation or to award any contract on the basis of this RFI. All costs associated with responding to this RFI will be the sole responsibility of the respondent.
All submissions will be treated as business confidential materials, become Government property, and will not be returned.
Point of Contact
Contracting Officer: Terri Duenas, Enterprise Procurement Office (EPO),
Email: Terri.Duenas@va.gov
Contract Specialist: Justin Sink, Enterprise Procurement Office (EPO),
Email: Justin.Sink@va.gov
Contract Specialist: Sidney Pennington, Enterprise Procurement Office (EPO),
Email: Sidney.Pennington@va.gov
Responses
It is requested that the above information be provided no later than September 21, 2026 by 3PM Eastern. Responses must be emailed to Terri.Duenas@va.gov, Sidney.Pennington@va.gov and Justin.Sink@va.gov. All email correspondence for this project must reference the RFI Number, Project Identifier and Project Title in the subject line of the email. Example: RFI 36C10G26Q0088, Code Sets.
Disclaimer
The purpose of this RFI is to determine the availability and technical capabilities of qualified sources. This RFI is issued for information and planning purposes only. This does not constitute a solicitation, nor does it bind the government to produce a solicitation or restrict as to the ultimate acquisition approach should a solicitation result from this RFI. In accordance with FAR 15.201(e), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract.
Files
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