Capture Intelligence:
Q4 FY2026 Close-Out & the FY2027 Pipeline
The fiscal year closes September 30 and FY2027 opens October 1 into one of the deepest federal health IT recompete waves in years. Every row in the summary table is a live signal — what is funded, what is competing, who holds incumbent position, and the window that decides whether you move now or miss it. Every material claim carries a confidence label and a primary source.
Full Capture Sheet — This Issue
24 live signals · 11 agencies · Last reviewed July 26, 2026 · Next review August 2, 2026
| Agency | Program | FY2027 Signal | Confidence | Window |
|---|---|---|---|---|
| VA | CCN Next Gen Medical (36C10G26R0003) | ~$88.9B est. contract value; ~$700B statutory IDIQ ceiling; $56.2B FY2027 community care account (+17%). Value-based payments and utilization management enter the contract — neither exists in current CCN. | Verified | In evaluation. IDIQ award targeted August 2026; orals October; Regional TOPRs January 2027. |
| DHA | HCDS — Health Care Delivery Solutions (MHS GENESIS follow-on) | Competitive Federal EHR follow-on modernizing MHS GENESIS across 4,386 locations / 9.6M beneficiaries. Sole-source bridge to the incumbent, then open competition; scope spans integration, product management, help desk, deployment, end-user support. | Verified | Planning / RFI stage. Industry input deadline August 30, 2026 — last structured window before the solicitation. |
| DHA | PEO DHMS Deployment Solutions IDIQ (HT003826RE001) | $300M multiple-award IDIQ, 5-year, 6-9 expected primes; CONUS/OCONUS deployment including austere/limited-connectivity sites. CMMC Level 2, strict data-rights and OCI terms. | Verified | Proposals closed April 21, 2026; June 2026 start. Awards imminent — the task-order specialty-sub window opens on award. |
| VA | EHRM / Oracle Health (Federal EHR) | VA awarded Oracle Health its second option period on the Federal EHR contract. 13 sites go live in 2026 (Michigan April, Chillicothe June); 26 more scheduled for 2027; full deployment as early as 2031. | Verified | Active. FY2027 go-live wave scheduling now; watch the site list and appropriations gates. |
| VA | FY2027 OIT Recompete Wave (EDGE, Cloud Broker, ERP, HTMSS, CSOC, OMEGA, App Hosting) | A stacked wave of VA Office of Information Technology recompetes and new starts — EDGE ($1B-$1.9B), Cloud Broker ($1B-$1.9B), ERP ($1B-$1.7B), HTMSS ($300M-$500M), CSOC ($332M), OMEGA ($500M-$999M), App Hosting Compute/Storage — several billion in aggregate TCV. | Directional | Solicitations rolling across FY2027 (begins Oct 1, 2026). Draft RFPs and industry days are the near-term signals. |
| SBA / Gov-wide | 8(a) Restructuring & Set-Aside Vehicle Migration | Race-neutral eligibility determinations and continued pressure on 8(a) sole-source positions are pushing small-business work toward vehicle-based competition (OASIS+ SB, SEWP VI, GSA MAS). ANC/tribally-owned firms positioned to capture a larger share of remaining 8(a) dollars. | MMT Projection | Ongoing audit + migration window through FY2026 close and into FY2027. |
| VA | CCN Next Gen Dental (36C10G26R0004) | ~$47M companion national dental-network MA-IDIQ to the CCN Medical vehicle; multi-year, firm-fixed-price plus incentives. | Verified | In evaluation; award tracks the Medical vehicle timeline. |
| VA | Enterprise Imaging (NEIS) + NTP NextGen PACS | National Enterprise Imaging System plus National Teleradiology Program NextGen PACS. Est. $365M-$620M combined. VA is running Industry Days / market research to shape the acquisition strategy. | Directional | Pre-solicitation. RFP release window late FY2026 / early FY2027. |
| DHA | Medical Q-Coded Support Staffing Recompete | DHA selected 11 companies for the unrestricted pool of a potential 10-year, ~$43B follow-on for medical staffing support across military health facilities. | Verified | Pool established; task-order competition ahead over the POP. |
| VA | Financial Services Center Software Support (recompete) | Tria Federal (via subsidiary Softrams) won a 5-year, $174M recompete for expanded software engineering support at VA's Financial Services Center; full-and-open with 15 offers. | Verified | Awarded (July 2026). Subcontracting and adjacent-scope positioning now. |
| HHS/ONC | TEFCA Interoperability & Information-Blocking Enforcement | QHIN participation is now de facto required; information-blocking enforcement and the HTI rule series continue to tighten. Governance authority sits at HHS. | Verified | Enforcement expanding; January 1, 2027 as a practical lock date for QHIN alignment. |
| DHA | MHS GENESIS Sustainment / DHMSM Bridge | Sole-source bridge to the incumbent ($1.131B IDIQ + $263.34M nine-month transition option) sustains deployed MHS GENESIS sites while HCDS competes the follow-on. | Verified | Bridge active; the competitive follow-on (HCDS) is the real prize — see signal #2. |
| ARPA-H | ADVOCATE (Agentic AI-Enabled Cardiovascular Care) | Program to produce the first FDA-authorized clinical agentic AI. Three Technical Areas; the TA2 winner owns the oversight layer for subsequent clinical agentic AI. Funded from FY2026 appropriations regardless of the FY2027 budget outcome. | Verified | Awards expected mid-2026; monitor for follow-on solicitations and the oversight-layer build-out. |
| NIH | Scientific & Technical Support Services IDIQ | $3B ceiling, 5-year vehicle; performance period 9/15/2026-9/14/2031. | Verified | Solicitation stage; POP starts September 15, 2026 — a fast runway. |
| CMS | SPARC II (Strategic Partners Acquisition Readiness — recompete) | Recompete of the $25B-ceiling SPARC vehicle for CMS enterprise systems and data work; SPARC II ceiling TBD. | Directional | Solicitation stage; a foundational CMS IT vehicle for the next decade. |
| CMS | RMADA 3 (Research, Measurement, Assessment, Design & Analysis) | ~$5B ceiling recompete (5-year ordering once open) for CMS research, measurement, and model-evaluation work. | Directional | Solicitation stage. |
| IHS | Health IT Modernization / PATH EHR (RPMS replacement) | $2.5B IDIQ ceiling through ~2033; commercial-EHR migration off RPMS via per-task-order deployment (e.g., TO #9 at $325.7M). | Verified | Task-order pipeline (sustainment + deployment) rolling through the POP. |
| FDA | SIRCE II (Inspection, Recalls, Compliance & Enforcement Systems) | Est. ~$218M+ (floor; full scope may approach $400M) to modernize FDA inspection/recall/compliance systems. | Directional | Solicitation stage. |
| HHS | HOPSS — HHS One Professional Services Solutions | Reported ~$3.6B ceiling department-wide professional-services vehicle consolidating HHS advisory and support work. | Directional | Solicitation stage. |
| TRICARE | T-5 Managed Care Support (MCS) + TPharm5 | Humana (East) $7.34B CY2026 option and Evernorth pharmacy $719.4M executing; TPharm5 pharmacy award reported ~$4.29B. Option-year execution across the T-5 portfolio. | Verified | Option years in execution; recompete positioning is a longer-cycle play. |
| CMS | Rural Health Transformation Program | $50B FY2026-FY2030 program routing funds through states for rural health delivery and infrastructure, including health IT and telehealth. | Verified | State awards rolling; sub-award and vendor opportunities follow state plans. |
| HHS | NGITS BPA Recompete (Hosting, Operations, Engineering) | Est. ~$485M+ aggregate across three BPAs (application hosting ~$139M, operations ~$207M, engineering ~$139M). | Directional | Program watch; recompete approaching. |
| CMS | CIO-CS Follow-On / "The Store" & MPSM | Reported ~$20B-$25B NITAAC CIO-CS follow-on plus ongoing Medicare Payment Systems Modernization task orders — the commodity-plus-services and claims-modernization backbone. | Directional | Solicitation / task-order stages. |
| Gov-wide | FY2026 Close (Sep 30) & FY2027 Start (Oct 1) | The end-of-year obligation push runs now through September 30. FY2027 begins October 1 and opens the recompete pipeline above; a continuing-resolution scenario would delay new-start awards and stretch bridge contracts. | Analytical | Q4 FY2026 obligation window is open now; watch the FY2027 appropriations/CR track. |
Deep Dive: Priority Signals
The highest-priority signals expanded with sourced intelligence — what is funded, what changed, the competitive read, and the action window. Every material claim carries a confidence label and a primary source. The remaining signals are summarized in the table above; reply to the newsletter to request a deep dive on any of them.
01
CCN Next Gen — Medical (36C10G26R0003)
What it funds
The vehicle through which VA pays for veteran care delivered in the private sector. The FY2027 Medical Community Care account sits at $56.2B, up about 17% year over year and roughly 44% of all VA care delivery. Industry analysis pegs the contract value near $88.9B; the statutory IDIQ ceiling is reported around $700B over ten years — the legal maximum to hold projected volume, not a spending forecast. Verified — SAM.gov 36C10G26R0003
What changed
Two mechanisms enter that do not exist in the current CCN: value-based payments (episode-based, beginning with lower-extremity joint replacement, with more models added over the performance period) and utilization management requiring clinical decision support at the point of authorization. The firm that later proposes the next payment model shapes the contract's economics for its full run.
Competitive landscape
Structured as an East/West regional MA-IDIQ with up to five awards. The Corporate Experience gate is effectively binary — the proposal must collectively show multi-state network implementation, multi-state program management, and multi-state IT integration or be rated Unacceptable, which forces teaming between payers and systems integrators. The MOSA/No-Bid bench lets a specialized firm win a seat and respond only to matching task orders.
Timeline
Response deadline was extended into early April 2026; proposals are in evaluation. Industry trackers show IDIQ award targeted August 2026, orals October, Regional TOPR awards January 2027.
In evaluation. The near-term positioning is post-award: VBP-model task orders are where the long game is won. Specialty subs should lock teaming with a regional prime before award.
02
HCDS — Health Care Delivery Solutions (MHS GENESIS Follow-On)
What it funds
The competitive follow-on to modernize the Federal EHR (MHS GENESIS) currently deployed across 4,386 locations serving 9.6M beneficiaries. Scope spans technical integration, human-centered design, product management, help desk, deployment, and end-user support, with an explicit emphasis on VA interoperability. Verified — DHA Special Notice, Oct 29, 2025
What changed
DHA is pairing a sole-source bridge to the incumbent with an open competition for the successor — the strategy explicitly targets a faster commercial-tech refresh cycle and shorter recompete timelines. This is the largest DoD health-IT recompete on the board.
Timeline
Currently in planning / RFI. The industry input deadline is August 30, 2026 — the last structured window to shape the acquisition before the solicitation.
Submit substantive RFI feedback by August 30; it shapes the evaluation criteria. Build the past-performance narrative around VA interoperability and large-scale deployment. Incumbent (Leidos) holds the bridge; challengers must prove a faster refresh cycle.
03
PEO DHMS Deployment Solutions IDIQ (HT003826RE001)
What it funds
A $300M multiple-award IDIQ, five-year, with 6-9 expected primes, for deployment of DHMS health-IT products — planning and execution, hardware delivery, connectivity, training, data management, and post-installation support across CONUS and OCONUS including austere / limited-connectivity environments. Verified — SAM.gov HT003826RE001
What changed
Strict cybersecurity, data-rights, and OCI requirements with CMMC Level 2 considerations — a hard gate on who can hold a seat.
Timeline
Proposals closed April 21, 2026; anticipated start June 2026. Awards are imminent if not already made.
This is a multiple-award bench — target the task orders, not the base. Identify deployment/training/hardware niches and approach winning primes as award lands. Get CMMC Level 2 in motion now; it gates participation.
04
EHRM / Oracle Health (Federal EHR)
What it funds
VA's replacement of VistA with the Oracle Health Federal EHR (the same platform as MHS GENESIS). VA awarded Oracle its second option period on the contract. Verified — VA EHR Modernization
What changed
Deployments restarted in 2026: 13 sites go live in 2026 (four Michigan sites in April, Chillicothe in June, plus Ohio, Alaska, and Indiana), with 26 more scheduled for 2027 and full deployment as early as 2031.
Timeline
Active and accelerating. The FY2027 go-live wave is being scheduled now; watch the site list and the appropriations gates that have conditioned prior funding tranches.
Subcontractors: map past performance to specific 2026-2027 go-live sites and open teaming conversations with the prime now, not at task-order release. New entrants: this is a sustainment-and-deployment market — position for the FY2028 wave.
05
VA FY2027 OIT Recompete Wave
What it funds
A stacked wave of VA Office of Information Technology recompetes and new starts hitting in overlapping windows: EDGE ($1B-$1.9B), Cloud Broker ($1B-$1.9B), ERP ($1B-$1.7B), HTMSS ($300M-$500M), CSOC ($332M), OMEGA ($500M-$999M), and Application Hosting Compute & Storage — several billion in aggregate total contract value. Directional — TCV bands are MMT estimates from tracked ranges
What changed
These recompetes cluster into the FY2027 window (which opens October 1, 2026). The timing overlap is the strategic problem: capture teams cannot resource all of them at once.
Timeline
Draft RFPs and industry days across FY2027 are the near-term signals to watch on SAM.gov.
Pick your two or three best-fit vehicles and commit capture resources now. Defending incumbents: lock your team early. Challengers: the FY2026 close is your last window to build the past-performance and relationship case before draft RFPs land.
06
8(a) Restructuring & Set-Aside Vehicle Migration
What is happening
Race-neutral eligibility determinations and sustained pressure on 8(a) sole-source positions are pushing small-business work toward vehicle-based competition — OASIS+ Small Business, SEWP VI, and GSA MAS. ANC and tribally-owned firms, protected under distinct statutory authority, are positioned to capture a larger share of the 8(a) dollars that remain. MMT Projection — direction confirmed; share estimates are MMT analysis
Why it matters
A pipeline built on 8(a) sole-source assumptions carries a structural risk most firms have not audited. The migration to competed vehicles changes who you compete against and how you price.
Run the pipeline audit against every 8(a) position: constitutional vulnerability, subcontracting exposure, vehicle dependency, and termination contingency. If you are not ANC/tribally owned, begin race-neutral documentation and vehicle migration now. If you are, position for market-share capture as firms exit.
07
VA Enterprise Imaging (NEIS) + NTP NextGen PACS
What it funds
A VA-wide National Enterprise Imaging System, plus the National Teleradiology Program NextGen PACS — the imaging backbone across VISNs. Combined estimate $365M-$620M. Directional — combined estimate
What changed
The Strategic Acquisition Center is running Industry Days and market research (SAM.gov National Enterprise Imaging Systems notice) to shape the acquisition strategy. This is pre-solicitation — the window to influence eval criteria.
Timeline
RFP release window is late FY2026 / early FY2027; the NTP NextGen PACS RFI runs in parallel.
Engage the market-research Industry Days now — this is where the requirements get set. Imaging vendors: stress MOSA/interoperability and enterprise-scale migration. Clinical-AI imaging partners: initiate teaming before the draft RFP.
08
DHA Medical Q-Coded Support Staffing Recompete
What it funds
Medical staffing support across military health facilities. DHA selected 11 companies for the unrestricted pool of a potential 10-year, ~$43B follow-on. Verified — GovCon Wire
What changed
With the pool set, competition now moves to the task-order level, where awards concentrate among the fastest, best-priced responders.
Pool members: build your task-order capture engine now. Everyone else: pursue subcontracting with pool primes — behavioral health and specialty-provider niches are the entry.
09
VA Financial Services Center Software Support (Recompete)
What happened
Tria Federal, through its subsidiary Softrams, won a five-year, $174M recompete for expanded software engineering and development support at VA's Financial Services Center. The award was full-and-open with 15 offers received. Verified — GovCon Wire
Why it matters
A competitive, 15-offer FSC recompete is a read on how VA is running full-and-open software procurements — and a marker for adjacent financial-operations modernization scope.
The unsuccessful offerors: watch the protest window and look for adjacent FSC modernization scope. New entrants: approach the winner for niche subcontracting in AI-enabled financial operations.
10
FY2026 Close (Sep 30) & FY2027 Start (Oct 1)
The condition every signal operates inside
This is not a solicitation — it is the calendar that governs all of them. The federal fiscal year ends September 30. The end-of-year obligation push is on now: agencies move to obligate expiring FY2026 money, and in-scope task orders and modifications move fastest. Analytical — MMT framing of the appropriations calendar
The FY2027 fork
FY2027 begins October 1 and opens the recompete pipeline in this issue. But a continuing-resolution scenario would delay new-start awards, stretch bridge contracts, and push agencies toward fast-obligation task orders on existing vehicles rather than new competitions.
Chase in-scope task orders and mods against expiring FY2026 money now — this is the last obligation window of the year. Then model a CR into your FY2027 forecast: new-starts slip, incumbents get bridged, and task-order agility beats new-award positioning until appropriations land.
Strategic Context: The FY2027 Recompete Wall
This is not a single solicitation. It is the structural condition every signal in this issue operates inside.
Two of the largest health-IT competitions on the board — VA CCN Next Gen and DHA HCDS — reach decision points inside the same six months, and they land on top of a stacked VA OIT recompete wave (EDGE, Cloud Broker, ERP, HTMSS, CSOC, OMEGA) that opens across FY2027. The scarce resource is not opportunity. It is capture capacity.
Layered on top: the fiscal year closes September 30. A continuing resolution into FY2027 would not stop this pipeline — it would reorder it, pushing new-start awards right and rewarding firms positioned to win fast-obligation task orders on existing vehicles.
Teams chasing every signal in this issue will win none of them. Pick the two or three where you hold a real advantage, and commit before the draft RFPs force the choice for you.
Source: MMT Contract Tracker (verified July 2026) and the primary sources cited per signal above. Confirm current status on SAM.gov before making procurement decisions.
Confidence Key
Confirmed by primary government source: budget documents, GAO reports, statutory text, SAM.gov, Federal Register, or congressional testimony.
Direction confirmed from primary sources; specific dollar figure is MMT analysis derived from primary data.
Requires legislative or regulatory action to take effect. Not yet enacted or in force.
MMT calculation from primary source data. Sourcing and methodology shown in the deep dive.
Confirmed by secondary sources consistent with the pattern; no single definitive primary source.
Primary Sources Consulted
Solicitations & Awards (SAM.gov / agency)
- SAM.gov 36C10G26R0003 — CCN Next Gen Medical
- SAM.gov 36C10G26R0004 — CCN Next Gen Dental
- SAM.gov HT003826RE001 — PEO DHMS Deployment Solutions
- SAM.gov — National Enterprise Imaging Systems (VA)
- DHA HCDS pre-solicitation / Special Notice (Oct 29, 2025)
Department of Veterans Affairs
- VA News — Oracle Health second option period, Federal EHR
- VA EHR Modernization — 2026 / 2027 deployment site announcements
- VA Financial Services Center software recompete award
- VA OIT recompete roster (EDGE, Cloud Broker, ERP, HTMSS, CSOC, OMEGA)
Defense Health Agency
- GovCon Wire — DHA $300M deployment IDIQ
- GovCon Wire — DHA ~$43B medical Q-coded staffing pool (11 vendors)
- MHS GENESIS / DHMSM sole-source bridge documentation
HHS / CMS / NIH / FDA / IHS / ARPA-H
- ONC / healthit.gov — TEFCA & information-blocking / HTI rules
- CMS — SPARC II, RMADA 3, Rural Health Transformation, MPSM
- NIH — Scientific & Technical Support Services IDIQ ($3B)
- FDA — SIRCE II; HHS — HOPSS, NGITS BPA
- IHS — PATH EHR / Health IT Modernization; ARPA-H — ADVOCATE
Market Intelligence
- GovCon Wire; Washington Technology; Nextgov/FCW; Federal News Network
- HigherGov; G2Xchange; OrangeSlices AI
- MMT Contract Tracker — 63-vehicle roster, verified July 2026
The views expressed are those of the author and do not represent the official position of any organization. This content is for informational purposes only. Verify current solicitation status directly on SAM.gov before making procurement decisions. Confidence levels reflect the author's assessment of sourcing quality — not legal or investment advice.