Federal Health IT IDIQ Tracker

Track the vehicles, ceilings, and re-compete windows that shape the federal health IT competitive landscape. Updated monthly.

11Vehicles tracked
6Agencies covered
April 2026Last updated

Sample entry

Re-compete · ~8 months

T4NG2 (Transformation Twenty-One Total Technology Next Generation 2)

Department of Veterans Affairs · Multi-Award IDIQ

The primary vehicle through which VA buys IT professional services. T4NG2 is the follow-on to the $22.3B T4NG contract.

Ceiling
★ Premium
Awardees
★ Premium
Ceiling burn rate
★ Premium
NAICS
★ Premium
MMT Intel
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28 IDIQ vehicles. Behind this lock.

VA, DHA, GSA, NIH, and mixed-agency vehicles — tracked with ceiling, awardees, NAICS, burn rate, and MMT analysis on each one.

Tracked
28
vehicles
Combined ceiling
$540B+
across vehicles
Refresh cadence
Weekly
+ on-demand
Per vehicle
ceiling · awardees · NAICS · burn · recompete · MMT intel
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All tracked vehicles

Re-compete · ~8 months

T4NG2 (Transformation Twenty-One Total Technology Next Generation 2)

Department of Veterans Affairs · Multi-Award IDIQ

The primary vehicle through which VA buys IT professional services. T4NG2 is the follow-on to the $22.3B T4NG contract.

Ceiling
$36.2B (estimated)
Awardees
TBD (solicitation pending)
Ceiling burn rate
N/A (not yet awarded)
NAICS
541512, 541519, 541611, 541690
MMT Intel

T4NG2 draft RFP expected Q3 FY2026. VA intends to expand the scope beyond T4NG to include cloud migration, cybersecurity, and AI/ML capabilities. Incumbent T4NG holders have a significant advantage. SDVOSB set-aside pool likely to be preserved.

Active

ITES-3H (IT Enterprise Solutions 3 — Hardware)

Army / CHESS · Multi-Award IDIQ

DoD-wide hardware and related services vehicle managed by Army CHESS. Used by DHA and MHS for infrastructure purchases.

Ceiling
$12.1B
Awardees
17 prime contractors
Ceiling burn rate
48% ($5.8B obligated)
NAICS
334111, 334118, 541512
MMT Intel

Significant DHA task order activity for MHS GENESIS infrastructure. Burn rate accelerating as Oracle Health deployment expands. PoP extends through 2028.

Active

CIO-SP4 (Chief Information Officer — Solutions and Partners 4)

NIH NITAAC · Government-Wide GWAC

Government-wide IT solutions contract. Primary vehicle for HHS and NIH health IT acquisitions. Accessible to all federal agencies.

Ceiling
$50B
Awardees
500+ (all pools)
Ceiling burn rate
12% (ramping)
NAICS
541512, 541519, 518210, 541611
MMT Intel

CIO-SP4 awards completed in 2024. Task order activity is ramping across HHS, VA, and DoD health. Protest-driven delays resolved. Small business pool is highly competitive. Watch for AI/ML-specific task orders in FY2026-2027.

Active

EHR II (Electronic Health Record II)

Defense Health Agency · Single-Award IDIQ

The MHS GENESIS deployment and sustainment contract. Oracle Health (Cerner) is the sole prime. Covers deployment, training, optimization, and interoperability.

Ceiling
$9.4B (cumulative modifications)
Prime
Oracle Health (Cerner)
Ceiling burn rate
72% ($6.8B obligated)
NAICS
541512
MMT Intel

Deployment to all DoD sites nominally complete but optimization and sustainment costs continue to climb. Congressional scrutiny on cost overruns. Sub-contracting opportunities exist for interoperability, data migration, and training support. DOGE review flagged this contract for audit.

Upcoming

Alliant 3

GSA · Government-Wide GWAC

The follow-on to Alliant 2 GWAC. Will be a primary IT services vehicle across all federal agencies including health IT.

Ceiling
$75B (estimated)
Awardees
TBD (solicitation in progress)
Timeline
Final RFP expected mid-2026, awards late 2026
NAICS
541512, 541519, 541611, 518210
MMT Intel

GSA revised evaluation criteria after industry feedback. Self-scoring methodology will carry forward from Alliant 2 but with updated categories. Health IT task orders through Alliant are significant across VA, HHS, and DHA. Prepare past performance packages now.

Active

OASIS+

GSA FAS · Best-in-Class Professional Services IDIQ

GSA's consolidated professional services IDIQ (successor to OASIS and OASIS SB). Six contractor pools: unrestricted, small business, 8(a), WOSB, SDVOSB, and HUBZone. Engineering, R&D, consulting, technical services.

Ceiling
No ceiling (on-ramp enabled)
Awardees
Multi-award across 6 pools
Primary NAICS spend
541330 ($13.7B), 541715 ($12.7B), 541611 ($2.7B)
Status page
MMT Intel

GSA's workhorse professional-services vehicle. Heavy use across HHS, VA, DHA for pre-competed engineering, R&D, and technical services. On-ramp windows are the BD lever — watch GSA FAS announcements.

Upcoming / Proposals closed

CCN Next Gen (36C10G26R0003)

VA Veterans Health Administration · Multi-Award IDIQ (MOSA)

Next-generation Community Care Network IDIQ replacing current CCN regional contracts. Introduces value-based payments (starting with lower-extremity joint replacement episodes) and utilization management requiring clinical decision support at point of authorization.

Ceiling
Est. $700B IDIQ
Status
Proposals due April 17, 2026
FY2027 account
$56.2B community care (+17%)
NAICS
524292
MMT Intel

Corporate Experience gate is binary across three references: implementation, program management, and IT integration across multiple states — missing any one = Unacceptable. Forces teaming between healthcare payers and systems integrators. MOSA structure with No-Bid provision allows specialized firms to win bench positions and respond only to matching task orders.

Live · Proposals due April 21

PEO DHMS Deployment Solutions IDIQ (HT003826RE001)

DHA Contracting on behalf of PEO DHMS · Multiple-Award IDIQ

On-demand deployment services for DHMS products: site preparation, deployment execution, training, user adoption, change management, post-installation support across MHS GENESIS and related systems. Supersedes DHITUC-era deployment services.

Ceiling
$300M / 5 years
Set-aside
Unrestricted / full and open
Key dates
Amendment 0001 Apr 8; proposals due Apr 21, 2026 @ 4pm ET; award ~June 2026
NAICS / PSC
541512 / DA01
MMT Intel

Scope rewards deployment execution and user-enabled outcomes over advisory labor. Teaming decisions for non-primes are effectively locked this week. Sources: SAM.gov.

Upcoming

SEWP VI (Solutions for Enterprise-Wide Procurement VI)

NASA Goddard Space Flight Center · Government-Wide IT Products IDIQ

Successor to SEWP V. Mandatory-use in some circumstances; heavily used by DHA, VA, and HHS for hardware, software, and IT services procurement.

Ceiling
TBD (SEWP V ceiling $80B)
Status
Not yet awarded
Use
IT hardware + commercial software across federal
NAICS
334111, 334118, 541512
MMT Intel

As of the most recent MMT reporting, SEWP VI had not yet been awarded. DHA refresh cycles track SEWP availability closely — incumbents on SEWP V should be preparing transition narratives now.

Active

ITES-SW2 (IT Enterprise Solutions Software 2)

Army CHESS · Multi-Award Software IDIQ

Army CHESS software reseller IDIQ. Multi-award vehicle used by DHA, VA (via cross-agency authority), and DoD customers for commercial software licenses.

Ceiling
$13.0B
Use
Commercial software licenses
Access
Army + cross-agency
NAICS
511210, 541519
MMT Intel

Strong pull-through for DoD and DHA software procurements where OEM relationships matter. Reseller margins are tight; partner enablement drives win rates.

Active

DHITSC (Defense Health Information Technology Services Contract)

DHA J6 · Enterprise IT Services

DHA's enterprise IT services contract supporting J6 infrastructure and clinical system operations.

Scope
J6 infra + clinical system ops
Agency
DHA
NAICS
541512, 541511
Related
DHITUC, HITDSS, PEO DHMS
MMT Intel

Underlying J6 IT operations contract. Burn rate driven by DHA infrastructure modernization pace. Watch for re-compete signals in FY2027.

Transitioning

DHITUC (Defense Health IT Universal Contract)

DHA J6 · IT services bridge

DHA vehicle that precedes Health IT Deployment Support Services follow-ons. Work is migrating into PEO DHMS Deployment Solutions and the AIX Tech DHA Acquisition Support IDIQ.

Status
Winding down
Follow-ons
PEO DHMS Deployment Solutions, AIX Tech Acquisition Support
Agency
DHA
NAICS
541512
MMT Intel

DHITUC incumbents should not wait for a formal DHITUC 2 — the work is being split across PEO DHMS (deployment) and AIX Tech (acquisition support). Bid both.

Active

VETS 2 (Veteran Technology Services 2)

GSA FAS · SDVOSB Government-Wide IDIQ

Exclusive SDVOSB IT services vehicle used across federal agencies. Small-business prime pathway with cross-agency authority.

Ceiling
$5B
Set-aside
SDVOSB exclusive
Awardees
~70 primes
NAICS
541512, 541519
MMT Intel

Structurally stronger in the current set-aside cycle. Agencies leaning on SDVOSB to hit small-business goals under tighter obligation ceilings.

Active

8(a) STARS III

GSA FAS · 8(a) Government-Wide IDIQ

8(a)-exclusive IT services vehicle. Used by DHA, VA, HHS, and other agencies for small-business prime task orders.

Ceiling
$50B
Set-aside
8(a) exclusive
Awardees
~1,100 primes
NAICS
541512, 541511
MMT Intel

Highly competitive pool. Directed awards and competitive call orders both flow here. Past performance with the specific contracting office is the decisive factor.

Active

VA ECMS (Enterprise Contract Management Services)

VA OIT · IT modernization IDIQ

VA OIT IDIQ used for enterprise IT modernization task orders. Waves track VA modernization priorities; most recent focused on user-facing digital services and claims modernization.

Status
Active with rolling task orders
Watch
Wave 3 forecast (MMT Analysis)
Scope
Veteran-facing digital services, claims, interoperability
NAICS
541512
MMT Intel

Do not confuse with VA OIT WAVE (Workforce Analysis) solicitation on SAM.gov — separate procurement. Wave 3 ECMS details are MMT Analysis pending formal release.

Active

VA EHRM (Electronic Health Record Modernization)

VA EHRMIO · Program integration + sustainment

VA's EHR modernization program migrating from VistA to Oracle Cerner Millennium (same platform as MHS GENESIS). Deployment has had multiple pauses and restarts; integration and sustainment task orders run alongside deployment.

EHR contract (FY2027)
$2.768B
Infrastructure (FY2027)
$745M
PMO (FY2027)
$727M · ~250 of 313 FTE filled
Next gates
Michigan go-live April 11 · June 1 withhold gate
MMT Intel

13 MTF go-lives scheduled Q3-Q4 FY2026, 26 additional sites FY2027. Scope expansion briefs to DHA program office this quarter are the BD lever for incumbents. Subcontract path: align PP to specific go-live sites.

Sources: SAM.gov, USASpending.gov, agency acquisition forecasts, and Mission Meets Tech subscriber coverage. Updated monthly; flag data discrepancies to mary@missionmeetstech.com. Ceiling figures marked (estimated) or TBD are analyst forecasts pending final RFP release.

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