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RFP opportunity

Defense Health Agency Enterprise Referral Care Coordination Center Services

Submission deadlineNov 13, 2026See documents for time and submission instructions
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About this opportunity

AI summary

The Defense Health Agency seeks a contractor to establish a standardized, unified Referral Care Coordination Center enterprise solution. This framework integrates patient appointing, referral processing and tracking, clear and legible report retrieval, direct care processing, and care coordination across Military Treatment Facilities worldwide to optimize capacity and improve specialty care access. Only onshore USA organizations are eligible to bid. Interested vendors may submit their responses digitally through email or online.

Buyer and opportunity details

Client
Defense Health Agency

Scope of work

  • Centralize patient direct care appointments utilizing the electronic health record
  • Standardize processing, routing, tracking, and closure of Direct Care, Private Sector Care, and out-of-area referrals
  • Deliver care coordination and specialty navigation support striving for first call resolution
  • Deploy advanced analytics and machine learning algorithms for appointing and referral optimization
  • Provide secure synchronous and 24/7 asynchronous chat capabilities
  • Record and transcribe telephone calls and synchronous chats
  • Retrieve and upload Clear and Legible Reports into the electronic health record
  • Execute a phased transition-in across designated operational waves

Minimum qualifications

  • Contractor nurses must be currently licensed in the state of practice or meet Title 10 USC 1094(d)(2) portability requirements
  • Non-licensed individual professional providers must hold certification at full clinical practice level by a qualified accrediting organization
  • Program Manager must hold a Master's degree in healthcare or business and 10 years program management experience including 5 years managing military health programs
  • Alternate Program Manager must possess a Bachelor's degree at a minimum
  • Quality Assurance Manager must possess a Master's degree in healthcare or business and at least 5 years quality assurance experience
  • Senior Training Manager must hold a Bachelor's degree and a minimum of 5 years training experience in the Military Health System
  • Referral Management Team Lead must hold a Bachelor's degree and minimum 5 years direct healthcare experience with 1 year dedicated to Military Health System
  • Alternate Referral Management Team Lead must have a Bachelor's degree in healthcare or healthcare related field

Contract details

Term
Transition period and an X month base period (sum not exceeding 12 months), plus four 12-month option years, totaling five years
Place of performance
Specified On-Site Support Military Treatment Facilities (Exhibit A1), contractor facilities, or alternate work locations
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