RFP 2026-04 - AI Co-Pilot Sercvice
ID: S-X26083-00016789 • State: Oregon
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Description
Background
CareOregon, Inc. is a nonprofit organization founded in 1993, focused on providing integrated managed care services primarily through public programs such as Medicaid and Medicare. The organization aims to ensure quality and equity in healthcare for all individuals, regardless of income or social circumstances. CareOregon is responsible for managing Prior Authorization (PA) determinations across medical, behavioral, and social health services, processing a substantial volume of PA requests annually through various channels. The goal of this RFP is to deploy an AI-enabled workflow-integrated co-pilot to enhance the efficiency and effectiveness of these processes.
Work Details
The selected contractor will provide an AI-enabled solution that supports the end-to-end Prior Authorization process and various components of Utilization Management functions. Key capabilities required include:
- Automated Document Ingestion and Data Extraction
- Policy and Clinical Guidance Surfacing
- Auto-Approval and Streamlined Review Support
- Intelligent Routing and Triage
- Determination Support and Letter Automation
- Reviewer Analytics and Operational Transparency
- AI Governance, Security, and Compliance.
The solution must integrate with existing systems like QNXT, SharePoint, and Excel while maintaining compliance with HIPAA regulations. It should also reduce processing times, overall costs, increase accuracy of assessments, enhance functional capacity, and minimize repetitive human tasks while ensuring that final medical necessity determinations remain under human authority.
Period of Performance
The anticipated contract start date is August 1, 2026, with an initial term of three years and options for two additional one-year renewals.
Place of Performance
The contract will be performed at CareOregon's facilities in Oregon.
Bidder Requirements
Proposers must demonstrate experience providing similar services to nonprofit entities within the past five years. They are required to comply with specific insurance requirements including:
- Commercial General Liability ($1 million per occurrence)
- Professional Liability ($1 million per occurrence)
- Automobile Liability ($1 million per occurrence)
- Cyber Liability ($3 million per occurrence).
Proposers must also adhere to nondiscrimination policies regarding employment practices.
CareOregon, Inc. is a nonprofit organization founded in 1993, focused on providing integrated managed care services primarily through public programs such as Medicaid and Medicare. The organization aims to ensure quality and equity in healthcare for all individuals, regardless of income or social circumstances. CareOregon is responsible for managing Prior Authorization (PA) determinations across medical, behavioral, and social health services, processing a substantial volume of PA requests annually through various channels. The goal of this RFP is to deploy an AI-enabled workflow-integrated co-pilot to enhance the efficiency and effectiveness of these processes.
Work Details
The selected contractor will provide an AI-enabled solution that supports the end-to-end Prior Authorization process and various components of Utilization Management functions. Key capabilities required include:
- Automated Document Ingestion and Data Extraction
- Policy and Clinical Guidance Surfacing
- Auto-Approval and Streamlined Review Support
- Intelligent Routing and Triage
- Determination Support and Letter Automation
- Reviewer Analytics and Operational Transparency
- AI Governance, Security, and Compliance.
The solution must integrate with existing systems like QNXT, SharePoint, and Excel while maintaining compliance with HIPAA regulations. It should also reduce processing times, overall costs, increase accuracy of assessments, enhance functional capacity, and minimize repetitive human tasks while ensuring that final medical necessity determinations remain under human authority.
Period of Performance
The anticipated contract start date is August 1, 2026, with an initial term of three years and options for two additional one-year renewals.
Place of Performance
The contract will be performed at CareOregon's facilities in Oregon.
Bidder Requirements
Proposers must demonstrate experience providing similar services to nonprofit entities within the past five years. They are required to comply with specific insurance requirements including:
- Commercial General Liability ($1 million per occurrence)
- Professional Liability ($1 million per occurrence)
- Automobile Liability ($1 million per occurrence)
- Cyber Liability ($3 million per occurrence).
Proposers must also adhere to nondiscrimination policies regarding employment practices.
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Overview
Agency
Opportunity Type
Open Market
Opportunity ID
S-X26083-00016789
Response Deadline
May 28, 2026
Due in 10 Days
Date Posted
April 30, 2026
Est. Value Range
Experimental
$5,000,000 - $15,000,000
(AI estimate)
Agency Distribution
High
Source
On 4/30/26 CareOregon, Inc. in Oregon issued Open Market AI Co-Pilot Service with ID S-X26083-00016789 due 5/28/26.
Contacts
Documents
Posted documents for RFP 2026-04 - AI Co-Pilot Sercvice
Opportunity Assistant
AI Analysis
AI Generate
Classifications
Opportunity Classification
X2608 - Procurement
Additional Details
Source Department
X2608 - Procurement