7A21--InterQual Connect (VA-26-00011338)

Justification for Other Than Full and Open Competition

This document justifies the procurement of brand name InterQual Connect software subscription licenses for the Department of Veterans Affairs (VA). The software is used to determine medical necessity or level of care for radiology orders, aiming to reduce unnecessary patient exposure to radiation and ensure appropriate scheduling of advanced imaging.

• Procurement of brand name InterQual Connect software subscription licenses.

• The software assists in determining medical necessity for radiology orders.

• Aims to reduce unnecessary radiology orders and patient exposure.

• Contract type: Firm-fixed price.

• Period of Performance: 12 months, with four (4), 12-month option periods.

• The total estimated value, inclusive of all option periods, is not explicitly stated but is referenced.

• This is a justification for other than full and open competition, citing 41 U.S.C. 3304(a)(1).

• Market research was conducted, including a Sources Sought Notice (SSN)/Request for Information (RFI) posted on SAM.gov, which yielded no responses.

• Limited competition is available among authorized resellers.

• Any proposals received will be evaluated.

• The justification indicates that limited competition exists, and the procurement is not set aside for small businesses.

• The VA has an existing Memorandum of Understanding (MOU) and interconnection security agreement with Change Healthcare Technologies, the owner of InterQual.

• The justification highlights that an alternate solution would expose the VA to unvetted components.

• Market research identified only one authorized reseller for the brand name licenses.

Solicitation / RFP / RFQ

This is a combined synopsis/solicitation (RFQ) for brand name InterQual Connect software subscription licenses. The Department of Veterans Affairs (VA) is procuring this software to establish medical necessity or level of care determinations, aiming to reduce unnecessary radiology orders and patient exposure to radiation. The software aligns with VA's strategy to ensure appropriate sequencing of tests before advanced imaging.

• Software: Brand name InterQual Connect software subscription licenses.

• Functionality: Establishes medical necessity or level of care determinations, reduces unnecessary radiology orders, and ensures appropriate sequencing of tests.

• Compliance: Must comply with Section 508 accessibility standards for Information and Communication Technology (ICT), VA Technical Reference Model (TRM), VA Critical Security Controls, SSN Reduction Act, and IPv6 requirements.

• Deliverables: URL link to access InterQual Imaging Criteria through InterQual Anonymous Review.

• Contract Type: Firm-Fixed-Price.

• Period of Performance: 12 months base period, with four (4) 12-month option periods.

• Estimated Value: Not explicitly stated, but Block 9 indicates a potential value of $34M.

• Submission Method: Quotes must be submitted via email to Ryan.Sehulster@va.gov and Kimberly.Geran@va.gov.

• Deadline: 2:00 PM EST on February 10, 2026.

• Format: Quotes must follow the format of the Price Schedule in Section B.4.

• Evaluation: Award will be made to the lowest-priced, responsive, responsible offeror whose quote conforms to the requirements. The government may evaluate only the lowest-priced offer if it conforms.

• This acquisition is not set-aside for small business concerns.

• Key Contacts: Contract Specialist Ryan Sehulster (Ryan.Sehulster@va.gov, (848) 377-5190) and Contracting Officer Kimberly Geran (Kimberly.Geran@va.gov, (848) 377-5228).

• Attachments: Attachment A – “Interqual VA System DAS Cloud Assessing MOU ISA” is referenced.

• Governing Law: Federal law and regulations, including the FAR, govern. Commercial license agreements are subordinate to federal law and contract terms unless expressly made an addendum.

Other / Unclassified

This document is a cover page for a PDF portfolio, indicating that it is best viewed with Adobe Acrobat X or Adobe Reader X, or later versions. It prompts the user to download Adobe Reader if they do not have a compatible version.

This document does not contain substantive information related to a SAM.gov opportunity. It is a technical instruction for viewing the attached PDF portfolio.

Amendment / Modification

• The purpose of this amendment is to modify the existing Request for Quotation (RFQ).

• Quantities in Sections B.1 (Price Schedule) and B.2 (Product Description) have been changed.

• Attachment A, titled "Interqual VA System DAS Cloud Assessing MOU ISA," has been incorporated into Section D (Contract Documents, Exhibits, or Attachments).

• The response due date has been extended to Tuesday, February 10, 2026, at 2:00 PM EST.

• All changes are indicated in red text within the amended document.

• Section B.1, Price Schedule

• Section B.2, Product Description

• Section D, Contract Documents, Exhibits, or Attachments

• The deadline for all responses has been extended to February 10, 2026, 2:00 PM EST.

Amendment / Modification

• The due date for all responses to the RFQ has been extended.

• Response Date/Time/Zone has been updated.

• The new response deadline is Tuesday, February 10, 2026, at 10:00 AM EST.

Solicitation / RFP / RFQ

This document is a combined synopsis/solicitation (RFQ) for brand name InterQual Connect software subscription licenses. The Department of Veterans Affairs (VA), Office of Information & Technology (OIT), requires these licenses to establish medical necessity or level of care determinations, aiming to reduce unnecessary radiology orders and patient exposure to unnecessary testing. The acquisition is not set-aside for small businesses.

• Product: InterQual Connect software subscription licenses.

• Functionality: Establishes medical necessity or level of care determinations, aligns with VA's goal to reduce unnecessary exams and ensure appropriate sequencing of tests.

• Technical Requirements: Must comply with Section 508 accessibility standards (WCAG 2.0 Level A and AA, Functional Performance Criteria, Hardware Requirements, Software Requirements, Support Documentation and Services Requirements). Must support IPv6-Only environments and Trusted Internet Connection (TIC) requirements. Must support the VA Technical Reference Model (TRM) and VA Critical Security Controls.

• Software License: Perpetual, nonexclusive license to use the software, with network environment usage permitted.

• Maintenance & Support: Contractor provides software support services including updates, enhancements, corrections, and technical support. Telephone support is at no additional cost. Prolonged delays in resolving issues will be noted in past performance records.

• Disabling Software Code: Software must not contain any code that disables it. Contractor must indemnify the Government for damages caused by such code and remove it upon request.

• Manuals/Publications: Contractor shall furnish the most current user manual and publications at no cost.

• Contract Type: Firm-Fixed-Price.

• Period of Performance: 12 months from date of award, with four (4) 12-month option periods.

• Estimated Value: Not explicitly stated, but pricing is detailed in Section B.

• Offer Due Date: February 10, 2026, 10 AM EST.

• Submission Method: Quotes via email to Ryan.Sehulster@va.gov and Kimberly.Geran@va.gov.

• Quote Format: Must follow the Price Schedule format in Section B.4, with prices to 2 decimal places.

• Evaluation Criteria: Award will be made to the lowest priced, responsive, responsible offeror whose quote conforms to the solicitation requirements. The total evaluated price will be the sum of all items in the Price Schedule. The Government may evaluate quotes sequentially, starting with the lowest priced.

• This acquisition is not set-aside for small business concerns.

• Offerors must comply with limitations on subcontracting as detailed in VAAR 852.219-75.

• Offerors must represent regarding delinquent tax liability or felony conviction (52.209-11).

• Full text of incorporated FAR/VAAR clauses and provisions are available electronically at www.acquisition.gov and www.va.gov/oal/library/vaar/.

• Points of contact for questions include Ryan Sehulster (Contract Specialist) and Kimberly Geran (Contracting Officer).

Solicitation / RFP / RFQ

This document is a combined synopsis/solicitation (RFQ) for brand name InterQual Connect software subscription licenses. The Department of Veterans Affairs (VA), Office of Information & Technology (OIT), requires these licenses to establish medical necessity or level of care determinations, aiming to reduce unnecessary radiology orders and patient exposure to unnecessary testing. The software aligns with the VA's strategy to optimize exam scheduling and sequencing for advanced imaging.

• Brand name InterQual Connect software subscription licenses.

• Specific products include:

  • InterQual(R) Imaging Criteria & InterQual Anonymous Review Annual Subscription License Fee
  • InterQual(R) View (Included)
  • InterQual(R) View (SQL)
  • InterQual Learning Basics
  • InterQual(R) Mobile
  • AMA CPT Codes IQ
  • InterQual(R) InterRater Reliability Standard Testing Tool Annual Subscription License Fee

• Implementation Set-up Fee (one-time)

• End User Web-based Criteria Training Session (one-time fee)

• Software must be perpetual, nonexclusive, and usable in a networked environment.

• Software must not contain disabling code (e.g., viruses, time-outs).

• Compliance with Section 508 accessibility standards for Information and Communication Technology (ICT) is required.

• Support for IPv6-Only and dual stack (IPv6/IPv4) connectivity.

• Adherence to VA Critical Security Controls and Trusted Internet Connection (TIC) requirements.

• Support for Social Security Number (SSN) Reduction.

• The contract type is contemplated to be Firm-Fixed-Price.

• The period of performance is 12 months for the base period, with four (4) 12-month option periods.

• Total duration, including options, shall not exceed five (5) years.

• Offers are due by 10 AM EST on February 6, 2026.

• Quotes must be submitted via email to Ryan.Sehulster@va.gov and Kimberly.Geran@va.gov.

• Quotes must be in the format of the Price Schedule (Section B.4), with prices to two decimal places.

• Award will be made to the lowest priced, responsive, responsible offeror whose quote conforms to the solicitation requirements.

• The Government may evaluate quotes in the most effective manner, potentially evaluating only the lowest priced quote first.

• This acquisition is not set-aside for small business concerns; it is an unrestricted acquisition.

• VAAR 852.219-75 Notice of Limitations on Subcontracting applies, requiring specific percentages of work to be performed by certified SDVOSBs/VOSBs for services, general construction, and special trade construction.

• All questions regarding the solicitation should be directed to Contract Specialist Ryan Sehulster (Ryan.Sehulster@va.gov) or Contracting Officer Kimberly Geran (Kimberly.Geran@va.gov) prior to the closing date.

• The full text of incorporated provisions and clauses can be accessed electronically at www.acquisition.gov and www.va.gov/oal/library/vaar/.

Solicitation / RFP / RFQ

This solicitation is for Data Access Services (DAS) InterQual Connect, identified by VA-26-00011338. The Department of Veterans Affairs, Technology Acquisition Center, is seeking proposals for these services.

Specific requirements and deliverables are detailed in the attached document, which is referenced as the primary source of information for this solicitation.

• Product Service Code: 7A21

• NAICS Code: 541519

• Contracting Office Address: Department of Veterans Affairs, Technology Acquisition Center, 23 Christopher Way, Eatontown NJ 07724.

• Response Date/Time/Zone: February 6, 2026, 10:00 AM Eastern Time, New York, USA.

• Point of Contact: Harold Nice, Harold.Nice@va.gov

No specific set-aside information is provided in this summary section.

• The full details of the solicitation are contained within the attached document.
• The solicitation number is 36C10B26Q0087.