Third-Party Administrator (TPA) / Care Coordination Services

The contract seeks a third-party administrator to deliver comprehensive care coordination services between the Department of Veterans Affairs and community-based providers, ensuring seamless end-to-end management of veteran healthcare access. Key responsibilities include verifying eligibility for benefits and services, obtaining prior authorizations, routing referrals accurately, scheduling appointments, and overseeing claims processing to minimize delays and administrative errors. The goal is to improve care continuity and patient outcomes by aligning VA systems with external providers through efficient communication and operational support. This subcontract is issued under the NAICS code 561990 for other commercial and professional services and is posted by the Strategic Acquisition Center Fredericksburg. The response deadline is May 8, 2026, at 6:00 PM Eastern Time, with no set-aside classification specified. The place of performance and office address details are not provided, indicating services may be delivered remotely or across multiple locations to support nationwide VA community care initiatives. The contract aims to strengthen interoperability and reduce administrative burden for veterans seeking care outside VA facilities.