AI Solution

The agency is seeking a technology-enabled, secure, and scalable Artificial Intelligence solution to streamline its prior authorization process and manage 340B program requirements. This initiative addresses a significant increase in authorization volume and complexity, which currently relies on manual workflows that strain staff and risk delaying patient therapies. The requested system must integrate with the agency's electronic medical record system to automatically retrieve clinical information, thereby reducing the time staff spend searching for supportive documentation. The scope of work covers medication authorizations across both pharmacy and medical insurance benefits, specifically including specialty and infusion therapies. The solution must increase throughput, improve operational efficiency, and provide actionable analytics to support department growth without requiring additional staffing. The agency requires the selected vendor to perform all work offsite over a five-year contract period. Eligible bidders must be onshore organizations based entirely in the United States. The agency is open to various budget proposals and will accept bid responses digitally via email or through an online submission portal. Clarifying questions regarding this procurement must be submitted by the deadline of June 23, 2026.