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This Subcontract opportunity from California was posted on September 17, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Prior Authorization Workflow Automation

Closed
State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 541512
New
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POSTED

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DEADLINE

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NAICS: 541512
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POSTED

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DEADLINE

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AI Contract Overview

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This subcontract for the California Department of Health Care Services focuses on the design and implementation of automated prior authorization logic. The selected provider will develop rules engines for clinical decision support and automate the submission and adjudication of requests to ensure compliance with CMS-0057-F regulatory requirements. The primary deliverable is a fully functional automated Prior Authorization module. Technical requirements for this engagement include proficiency with CDS Hooks and workflow automation software. The opportunity is listed under NAICS code 541512, with a response deadline of October 1, 2026. This project is intended for prime contractors operating within the California state healthcare infrastructure.

General Info

Subcontract for California DHCS to develop automated prior authorization logic and rules engines.

Documents

This scope was carved out of 26-029.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Advancing Interoperability and Prior Authorization (AIPA) (RFI #26-029)

AI Contract Breakdown

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyCalifornia State Department Hlth Care Services
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs design and implementation of automated prior authorization (PA) logic for prime contractors on California Department of Health Care Services (DHCS) projects. Develops rules engines for clinical decision support and automates the submission and adjudication of PA requests per CMS-0057-F regulatory requirements. Requires experience with CDS Hooks and workflow automation software. Delivers an automated Prior Authorization module.

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