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
Contract Overview
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AI Contract Overview
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
Place of Performance
CA, USASet-Aside
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.
Advancing Interoperability and Prior Authorization (AIPA) (RFI #26-029)
AI Contract Breakdown
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Timeline
Submission Closed
Organization & Contact Information
Full Description
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