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

2026-11-03

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   Â

New Jersey

2026-04-29