The MHS GENESIS Industry Day, held on November 5, 2025, focused on modernizing the DOD Healthcare Management System. The event aimed to enhance understanding, foster collaboration, and gather feedback for a streamlined acquisition process. MHS GENESIS, a decade-old electronic health record system, has 9.6 million beneficiaries and 194,000 users. Key priorities include optimizing patient care, advancing health IT, and ensuring interoperability. The government plans a new, competitive contract, seeking industry input on transition strategies, organizational structures, compensation models, and the role of system integrators to achieve cost-efficiency, performance, and innovation. The timeline anticipates a draft RFP in Q1 FY26 and contract award by Q4 FY26, with official information provided via SAM.gov.
The document is a Q&A log for the Healthcare Delivery Solution (HCDS) Electronic Health Record (EHR) Follow On (MHS GENESIS) procurement (HT003826X0000), updated December 4, 2025. It addresses prospective vendors' questions regarding the Department of Defense (DoD) and Department of Veterans Affairs (VA) contract coordination, system integrator (SI) model, transition periods, retained functions, sustainment baseline review, vendor licensing, transaction fee assessment, Oracle Cloud Infrastructure (OCI) migration, help desk support, DHA leverage and control, scope differences between "System Integration" and "Deployment," AI + DevSecOps implementation, incumbent contractors, timing and dollar size of procurements, governance structures, effectiveness measurement, third-party integration validation, workflow standardization, and KPIs for EHR optimization. The DoD is still formulating approaches for many aspects, often requesting industry feedback, with a tight timeline for all HCDS EHR Follow-on requirements to be awarded by July 2026.
The Healthcare Delivery Solution (HCDS) Electronic Health Record (EHR) Follow On (MHS GENESIS) Q&A Log, dated November 19, 2025, addresses key questions from prospective vendors regarding the future of the DoD and VA's healthcare contract activities. A Memorandum of Understanding (MOU) between the Secretaries of Defense and Veterans Affairs aims to strengthen their partnership and explore inter-agency cooperation, possibly including joint contracts. The DoD's structure and resourcing for a new System Integrator (SI) model are not yet finalized, with industry feedback requested on the necessity and configuration of SIs. The government also seeks industry input on a mandated overlap period during transitions and the functions the DoD intends to retain. A comprehensive sustainment baseline review is ongoing. The government is exploring the best approach for vendor management and will seek information on the impact of OCI migration on the procurement scope, noting that the current Service Provider Integrator (SPI) should maintain the system until migration completion.