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

The California Department of Health Care Services (DHCS) has issued a Request for Information (RFI) to collect insights on interoperable, FHIR‑enabled solutions that can streamline prior‑authorization processes across Medi‑Cal fee‑for‑service programs. This RFI seeks vendor input on technical architectures, standards compliance, data exchange workflows, and related services that can meet CMS‑0057‑F federal requirements. DHCS will use the responses to shape future procurement and implementation strategies for improving health‑care data exchange and prior‑authorization efficiency. • Goal: Identify market‑available interoperability and prior‑authorization technology solutions (FHIR‑based). • Scope: Solutions must support DHCS’s Medi‑Cal programs and comply with CMS Interoperability and Prior Authorization Final Rule. • Deliverables: Vendor‑provided technical descriptions, use‑case scenarios, implementation approaches, and cost/benefit analyses (to be submitted via the DHCS portal).