Health Care Delivery Solutions (HCDS) Electronic Health Record Follow-on (MHS GENESIS)

Questions & Answers / Clarifications

This document provides responses to questions submitted by prospective vendors regarding the Healthcare Delivery Solution (HCDS) Electronic Health Record (EHR) Follow On opportunity.

• Inter-agency Coordination: The government is coordinating with the VA through a Memorandum of Understanding (MOU) signed May 23, 2025, and is formulating an approach that may include joint efforts, though many details are still unknown.
• System Integrator (SI) Model: The government is seeking industry feedback on the benefit of a system integrator, whether multiple SIs are appropriate, or if SI is needed given the system's complexity. The structure and resourcing are not yet finalized.
• Transition Period Overlap: The government is seeking industry feedback on the potential for a mandated overlap or "dual operations" period between current and new contractors.
• Retained Functions During Transition: The government is seeking industry feedback on which functions (e.g., program oversight, change control, cyber authorization, operations) will be retained during the transition period.
• Sustainment Baseline Review: The government has begun a comprehensive sustainment baseline review, including system inventory, workflows, and technical requirements, and views this as a continuous process.
• Direct Contracting with Primary Vendors: The government is exploring how to group capabilities, such as vendor management, for performance, cost, efficiency, and competition, and is seeking industry input.
• OCI Migration Impact: The government acknowledges the OCI migration will run for several more years and is considering its impact on the scope of the procurement.

This Q&A log provides clarifications that may influence vendor understanding of the scope, transition plans, and potential contracting approaches. Vendors should review these responses carefully as they may impact proposal preparation and strategy. The government is actively seeking industry input on several key aspects of the procurement.

Other / Unclassified

This document is a presentation from an Industry Day event for the Health Care Delivery Solutions (HCDS) MHS GENESIS program. It outlines the purpose of the event, introduces the hosts, and provides background on the MHS GENESIS program, including its history, priorities, operations, and architecture.

This presentation is relevant to potential bidders as it:

• Explains the government's objectives for the MHS GENESIS program, including fostering industry collaboration and gathering market insights.
• Details the current state and priorities of MHS GENESIS, offering insight into the program's direction.
• Outlines the acquisition strategy, including initial approaches, updates, and key takeaways from market research.
• Seeks industry feedback on the contracting approach, organizational construct, and compensation plans.
• Provides an estimated timeline for future acquisition activities, including RFP release and contract award.
• Offers guidance on how to submit questions and feedback, and where to find official information.