VA RFI: Community Care Referral and Authorization (CCRA) System and Support

Notice ID: 36C10B22Q0100

“Currently, the Community Care Referrals and Authorizations (CCRA) project delivered HealthShare Referral Manager (HSRM), a Section 508 fully compliant Commercial Off-The-Shelf (COTS) Software as a Service (SaaS) product hosted at Amazon Web Services (AWS) Federal Risk and Authorization Management Program (FedRAMP) High Government cloud.  The HSRM product is an enterprise-wide system connected to Veterans Health Information Systems and Technology Architecture (VistA) through HealthConnect middleware servers hosted at Regional data centers. HSRM is used by facility community care staff to generate referrals and authorizations for Veterans receiving care in the community. Clinical and VA community care staff located at VA medical centers, outpatient clinics, community-based outpatient clinics, and Veterans Integrated Service Network offices use this solution to enhance Veteran access to care. Referrals and Authorizations are assigned to non-VA healthcare providers in the HSRM solution and the non-VA healthcare providers can obtain referrals and Veterans’ medical records by accessing the HSRM solution. The HSRM solution is an integral component of the community care information technology architecture that allows Veterans to receive care from community providers. HSRM also provides referral information to downstream VA payment systems and external payment systems to ensure timely and accurately medical claims reimbursements. Additionally, the HSRM solution utilizes the Emergency Care Reporting (ECR) tool which facilitates payments for authorized emergency care. The ECR tool is a software product that allows Veterans and non-VA providers to report episodes of emergent and urgent care provided to facilitate authorization and payment. The ECR tool is currently hosted within the CCRA SaaS workspace and integration of the product shall be included as part of the CCRA solution.”

“The Contractor shall provide a SaaS CCRA solution hosted in a FedRAMP High Government Cloud with operational expertise and support to VA users and non-VA users, external to the VA network, to ensure a successful implementation and continued sustainment of the CCRA solution.  The Contractor provided CCRA solution must also have architectural and technical capabilities to connect with over 155 separate VistA systems…”

“In addition to integrating the CCRA solution with VA end points and integrating ECR with HSRM, the Contractor shall provide support including software maintenance, configuration, development, testing, integration, installation, implementation (product/service), training, customer support, optimization (technical/operational), cloud and network infrastructure sustainment, and adaptive, perfective, and corrective maintenance. The Contractor shall develop and maintain interfaces required to operate the CCRA solution with the VA enterprise, to include newly developed/modified/updated middleware, including Application Program Interfaces (API), and VistA patches. These development items will allow connectivity and data transfer between the CCRA solution and internal VA systems…”

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