DE10--RFI_eCAMS Software Support (VA-25-00090041)

Request for Information (RFI)

This RFI is issued by the Department of Veterans Affairs (VA) for information and planning purposes only. The VA is seeking information to assist in developing its acquisition strategy and Performance Work Statement (PWS) for Operations and Maintenance (O&M) and change request (CR) support for the eCAMS (electronic Claims Adjudication Management System) software. This is NOT a solicitation, and no proposals should be submitted. The government does not intend to pay for any information submitted.

The VA's Financial Services Center (FSC) adjudicates and pays healthcare claims from private providers. They require a cost and schedule estimate for O&M and CR support for the current eCAMS system.

The VA is seeking sources capable of providing software support, including O&M and implementing change requests, as detailed in the draft PWS. A key requirement is that the work must be performed without invalidating the VA's existing software license with Acentra Health, as the VA does not possess the eCAMS source code.

Interested parties are requested to provide:

• Point of Contact information.

• Company size status based on NAICS code 541519 (or a proposed alternative with rationale).

• Details on joint ventures, teaming arrangements, or other business arrangements.

• Confirmation of ability to perform PWS work without invalidating the software license.

• Estimated time to be ready to perform after contract award.

• Recommended cost range for an appropriate cost estimate.

• Information on availability of services/products under Federal Contract Vehicles (e.g., GWACs, GSA FSS, T4NG).

• Responses must be submitted via email to Evan Lee (Evan.Lee1@va.gov).

• Deadline: November 3, 2025, by 2:00 pm Eastern Daylight Time.

This RFI is for informational and planning purposes only and does not constitute a solicitation. Responses are not offers and cannot be accepted to form a binding contract. All costs associated with responding are the sole responsibility of the vendor.

Performance Work Statement (PWS)

This PWS outlines the requirements for Operations and Maintenance (O&M) support and implementation of change requests for the Department of Veterans Affairs (VA) Financial Services Center's (FSC) Electronic Claims Adjudication System (eCAMS). The goal is to ensure the eCAMS software remains operable, efficient, and effective in adjudicating and processing healthcare claims.

• Operations and Maintenance (O&M): Includes software technical support (24/7/365), bug patching, and software updates/quality improvement. This also covers user access administration, application monitoring, configuration management, and installation support.

• Change Requests (CR): Support for implementing business rule changes, code modifications, integration with new VA interfaces, and incorporating new healthcare program offerings. This includes developing and implementing approved CRs.

• System Features & Capabilities: The contractor must ensure eCAMS maintains specific functionalities related to member management, benefit administration, provider management, fee schedules, authorizations, claims intake, adjudication, customer management, financials, correspondence, data storage, reporting, security, data exchange, capacity, scalability, flexibility, automation, integration, high-availability, technical reference model compliance, and technology stack compatibility.

• Technical Support: Acknowledge requests within 1 hour, commence remediation within 24 hours. Monthly Technical Services Reports and Logs are required.

• Patching: Critical/high security vulnerabilities remediated within 15 days; medium within 30 days; low within 45 days. Patches for performance issues within 15 days.

• Software Updates: Release updates compliant with federal mandates at least three months prior to compliance dates. Integrate updated software within 20 days.

• Change Requests: Government provides approved requirements 10 business days prior to the first of the month. Contractor recommends release timelines based on Level of Effort.

• Automation: Aim for a minimum of 85% of claims transactions to be auto-adjudicated with straight-through processing.

• Performance Metrics: Defined in Section 6.4, focusing on quality, schedule, cost, staffing, and management. A Quality Assurance Surveillance Plan (QASP) will be used.

• Performance Period: One 12-month base period, followed by four 12-month option periods.

• Place of Performance: Primarily at Contractor facilities. Work at the FSC facility in Austin, Texas is allowed for up to 10 contractor personnel, as directed.

• Security: Compliance with FISMA, NIST, FIPS, VA security directives, and privacy requirements. High Impact security categorization level required. PIV card enablement and adherence to FICAM standards are mandatory.

• IT Framework: Compliance with VA Technical Reference Model (TRM), IPv6 support, Trusted Internet Connection (TIC) requirements, and Standard Computer Configuration.

• Deliverables: Includes Technical Services Reports/Logs, Migration/Upgrade Plans, Release Notes, CR Proposed Responses, Code Releases, Implementation Documentation, Testing Methodologies, Proof of Security Compliance, System Documentation, Software Configuration User Guides, Software Training Manuals, User Guides, Contractor Staff Rosters, and GFE Status Reports.

• Personnel: Background investigations and security clearances are required based on task risk designation levels.