720-5247, RFI Revenue Cycle Modernization

The Department of Behavioral Health & Developmental Services (DBHDS) of the Commonwealth of Virginia has issued Request for Information (RFI) 720-5247 to gather marketplace information on Revenue Cycle Management (RCM) system solutions. This RFI, posted on May 1, 2026, with responses due by June 1, 2026, at 3:00 p.m. local prevailing time, is not a formal procurement but rather an informational inquiry to support future planning and potential solicitation efforts. DBHDS operates twelve facilities comprising eight behavioral health hospitals for adults, one adolescent psychiatric facility, one Intermediate Care Facility for individuals with intellectual and developmental disabilities, and one medical center with skilled nursing and long-term care components. The organization seeks a comprehensive, configurable revenue cycle solution that supports end-to-end processes including patient registration, eligibility verification, documentation integration, charge capture, claims management, payment posting, accounts receivable management, and reporting. The proposed solution must fully integrate with the existing Electronic Health Record (EHR) system and accommodate unique operational and regulatory requirements of psychiatric care environments, including per diem billing, multi-facility charge assignments, clinical documentation integrity specific to psychiatric diagnoses, ICD-10-CM coding expertise, and compliance with federal restrictions on Medicaid Managed Care Organization billing for Institutions of Mental Disease (IMDs). Respondents must submit detailed cost estimates, provide company information including years of RCM service experience to behavioral health facilities, number of current clients, relevant certifications, deployment options offered (licensed, Software-as-a-Service, managed service, or hybrid), and demonstrate compliance with Web Content Accessibility Guidelines (WCAG) 2.0 AA standards and real-time eligibility verification and prior authorization capabilities.

The RFI explicitly states that responding is voluntary and does not represent a pre-requisite for submission in any subsequent formal procurement, nor does it guarantee consideration in future solicitations. No specific set-asides or restrictions on respondent types are mentioned in the RFI documentation; however, respondents should note that DBHDS will not pay for information provided and assumes no liability for vendor costs incurred in responding. All submissions must be made electronically through the eVA system and must include company letterhead, representative contact information, an authorized signature, and a date. Respondents are explicitly cautioned against submitting confidential or proprietary information, as all submissions become the property of the Commonwealth of Virginia. No incumbent vendors, current contractors, or specific budget ranges are identified in the RFI materials. The solution must integrate with state-mandated systems and support the organization's complex revenue cycle operations across multiple facility types and service delivery models.