36C24825Q0568 0002.pdf

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Q201--FY26 Miami Home Oxygen Service
Solicitation number
36C24825Q0568
Issued by

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This document is an Amendment (0002) to a federal solicitation for Home Oxygen Services for VA Beneficiaries in the Miami VA Healthcare System. The Department of Veterans Affairs is seeking a Service-Disabled Veteran-Owned Small Business (SDVOSB) to provide home oxygen equipment and services for patients in Broward, Dade, and Monroe Counties. The contract will have a base period of 12 months with four 12-month option years, covering an estimated 197 monthly patients, with services including equipment delivery, setup, installation, maintenance, and respiratory therapy visits.

Key modifications in this amendment include updates to the Performance Work Statement, line items, and pricing schedule, extending the offer due date to July 30, 2025, at 4:00 PM EDT. The solicitation covers a comprehensive range of medical equipment and services such as oxygen concentrators (5-10 LPM), ventilators, portable oxygen systems, cylinders, respiratory therapy visits, and associated supplies. The primary NAICS code is 621610 (Home Health Care Services) with a size standard of $19 million, and the contract will be awarded on a fixed-price basis. Contractors must be registered in the System for Award Management (SAM) and possess appropriate state oxygen licenses.

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5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 106

0002 07-17-2025 None

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8) VA Sunshine Healthcare Network 13000 Bruce B. Downs Blvd Tampa FL 33612 VISN 8 South Team (Contracting Office)

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8) Attn: Jessica Kiser 2500 S. Lakemont Ave.

Orlando FL 38314

To all Offerors/Bidders 36C24825Q0568

06-17-2025 X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 07-30-2025 16:00 EDT

See CONTINUATION Page

X 1

The purpose of this amendment is to update performance work statement, line items, respond to questions and update due date offer. As a result:

a. The hour and date of receipt of offers is extended from July 22, 2025, 4:00 PM EDT to July 30, 2025, 4:00 PM EDT.

b. Reference page two Section B.2 Price/Cost Schedule for updated line items, use this section for quote submission.

c. Reference page 39 for updates to Section B.3 Performance Work Statement and the revised copy on page 56.

d. Reference response to questions on page 44.

e. Request for information or questions shall be submitted to Jessica Kiser, jessica.kiser@va.gov no later than

07/21/2025, 12:00 PM EDT.

f. All offers are due to Jessica Kiser no later than 07/30/2025 at 4:00 PM EDT.

36C24825Q0568 0002

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE

ESTIMATED

AMOUNT

200.00 EA __________________ __________________

Delivery, set up and education for initial home oxygen equipment includes cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies as prescribed.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

MANUFACTURER PART NUMBER (MPN): NONE

15.00 EA __________________ __________________

Delivery, set up and education of volume ventilator alternated current with battery back up, alarms, monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapy visits. Includes:

disposable circuits with oxygen cumulator capabilities; back up ventilator;

ambu bag, heated moisture exchange (HME), suction machine with three

(3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Stationary Oxygen Concentrator 5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Stationary Oxygen Concentrator 10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

5,640.00 CY __________________ __________________

Cylinder, Aluminum, E-tank, rental.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

7,380.00 CY __________________ __________________

Cylinder, Aluminum, D-tank, rental

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,080.00 CY __________________ __________________

Cylinder, Aluminum, MM-tank, rental

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

4,000.00 CY __________________ __________________

Cylinder, Aluminum, M-6, rental

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

10.00 CY __________________ __________________

Cylinder, Aluminum, H rental

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

5,640.00 CY __________________ __________________

Cylinder, Aluminum, E-tank, refill

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

7,380.00 CY __________________ __________________

Cylinder, Aluminum, D-tank, refill

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,080.00 CY __________________ __________________

Cylinder, Aluminum, MM-tank, refill

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

4,000.00 CY __________________ __________________

Cylinder, Aluminum, M-6, refill

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Cylinder, Aluminum, H refill

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,500.00 EA __________________ __________________

Demand Nasal Cannula (e.g. Oximyzer) Reservoir or Pendant/equivalent

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,292.00 EA __________________ __________________

Rental of oxygen conserving device: Pneumatic Demand/Conserving

Regulators Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

20.00 EA __________________ __________________

Rental of Contractor-owned ventilator system includes initial setup by

Respiratory Thereapist and routine preventative maintenance per manufacturer guidelines, battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; heated humidifier, ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

Daily Rental of contractor owned Portable Oxgyen Concentrator (POC) w/two batteries. For travel not to exceed 30 days.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

10.00 EA __________________ __________________

Rental "E" cylinders (aluminum, each) complete portable system (e.g., tank, regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointsments and/or to send home with new start-up (e.g., discharged from inpatient wards).

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,000.00 EA __________________ __________________

Oxygen Fire Safety Valve

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

300.00 EA __________________ __________________

1-4Ft Cannula's with oxygen tubing changed weekly (4) per patient monthly as prescribed.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

40,000.00 EA __________________ __________________

5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly as prescribed.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

300.00 HR __________________ __________________

8-13Ft Cannulas w/ Oxygen Tubing changed weekly (4) per patient monthly as prescribed.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

20,000.00 HR __________________ __________________

14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly as prescribed.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,500.00 EA __________________ __________________

50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly as prescribed.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Rental of contractor owned high volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times and maintenance.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

100.00 EA __________________ __________________

Rental humidified compressed air with disposables and heated system to include a temperature sensor, maintenance. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026

2,400.00 EA __________________ __________________

Delivery Fee and/or Relocation of equipment (example due to change in beneficiary’s residence).

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

200.00 HR __________________ __________________

Respiratory Therapy Visit

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

200.00 HR __________________ __________________

Emergency/ After-Hour/Weekend/Holiday/Non-Scheduled Respiratory

Visits Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

100.00 HR __________________ __________________

Labor Fee for reconditioning/repair of VA owned equipment per manufacturer’s requirements. Contractor is required to notify the COR to obtain approval prior to fixing/repairing of VA equipment under this line item.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

One time delivery fee for any purchased items, per delivery, per patient.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Delivery or Pick up of government owned property, each, per delivery, per patient Contract Period: Base POP Begin: 10-01-2025

1.00 EA __________________ __________________

Ambu Bag/ Resusication Bag

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Bacterial Filter

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Yankauers, Non Vented

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Tracheal Suction Catheter, 14 FR Closed System

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Trach Tube Holder, Adult

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Suction Pump Table Top

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

6FT PAP Tubing for Ventilator

POP Begin: 10-01-2025

PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

Passive Ventilator Circuits

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Portable Concentrator Additional Battery

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

204.00 EA __________________ __________________

cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies as prescribed.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

18.00 EA __________________ __________________

battery back up, alarms, monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapy visits. Includes:

disposable circuits with oxygen cumulator capabilities; back up ventilator;

ambu bag, heated moisture exchange (HME), suction machine with three

(3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Option 1

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

5,753.00 CY __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

7,528.00 CY __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,102.00 CY __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

4,080.00 CY __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 1 POP Begin: 10-01-2026

5,753.00 CY __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

7,528.00 CY __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,102.00 CY __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

4,080.00 CY __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,550.00 EA __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,338.00 EA __________________ __________________

Regulators

POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

18.00 EA __________________ __________________

Respiratory Thereapist and routine preventative maintenance per manufacturer guidelines, battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; heated humidifier, ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services w/two batteries. For travel not to exceed 30 days.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointsments and/or to send home with new start-up (e.g., discharged from inpatient wards).

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,020.00 EA __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

306.00 EA __________________ __________________

monthly as prescribed.

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

40,800.00 EA __________________ __________________

prescribed.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

306.00 HR __________________ __________________

monthly as prescribed.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

20,400.00 HR __________________ __________________

as prescribed.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,550.00 EA __________________ __________________

prescribed.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times and maintenance.

PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

102.00 EA __________________ __________________

include a temperature sensor, maintenance. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,448.00 EA __________________ __________________

beneficiary’s residence).

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

204.00 HR __________________ __________________

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

204.00 HR __________________ __________________

Visits Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

104.00 HR __________________ __________________

manufacturer’s requirements. Contractor is required to notify the COR to obtain approval prior to fixing/repairing of VA equipment under this line item.

Contract Period: Option 1 POP Begin: 10-01-2026

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services patient Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

208.00 EA __________________ __________________

cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies as prescribed.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services battery back up, alarms, monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapy visits. Includes:

disposable circuits with oxygen cumulator capabilities; back up ventilator;

ambu bag, heated moisture exchange (HME), suction machine with three

(3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

5,868.00 CY __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

7,678.00 CY __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,124.00 CY __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028

4,162.00 CY __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

5,868.00 CY __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

7,678.00 CY __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,124.00 CY __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

4,162.00 CY __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2

POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

2,601.00 EA __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,385.00 EA __________________ __________________

Regulators Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Respiratory Thereapist and routine preventative maintenance per manufacturer guidelines, battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; heated humidifier, ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services w/two batteries. For travel not to exceed 30 days.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointsments and/or to send home with new start-up (e.g., discharged from inpatient wards).

POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

1,040.00 EA __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

312.00 EA __________________ __________________

monthly as prescribed.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

41,616.00 EA __________________ __________________

prescribed.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

312.00 HR __________________ __________________

monthly as prescribed.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

20,808.00 HR __________________ __________________

as prescribed.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,601.00 EA __________________ __________________

prescribed.

POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times and maintenance.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

104.00 EA __________________ __________________

include a temperature sensor, maintenance. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,497.00 EA __________________ __________________

beneficiary’s residence).

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

208.00 HR __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

208.00 HR __________________ __________________

Visits

POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

108.00 HR __________________ __________________

manufacturer’s requirements. Contractor is required to notify the COR to obtain approval prior to fixing/repairing of VA equipment under this line item.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services patient Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

212.00 EA __________________ __________________

cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies as prescribed.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

22.00 EA __________________ __________________

battery back up, alarms, monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapy visits. Includes:

disposable circuits with oxygen cumulator capabilities; back up ventilator;

ambu bag, heated moisture exchange (HME), suction machine with three

(3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

5,985.00 CY __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029

7,832.00 CY __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,146.00 CY __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

4,245.00 CY __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

11.00 CY __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

5,985.00 CY __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

7,832.00 CY __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,146.00 CY __________________ __________________

Contract Period: Option 3

POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

4,245.00 CY __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,653.00 EA __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,432.00 EA __________________ __________________

Regulators Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

22.00 EA __________________ __________________

Respiratory Thereapist and routine preventative maintenance per manufacturer guidelines, battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; heated humidifier, ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 3 POP Begin: 10-01-2028 w/two batteries. For travel not to exceed 30 days.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

11.00 EA __________________ __________________

regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointsments and/or to send home with new start-up (e.g., discharged from inpatient wards).

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,061.00 EA __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

318.00 EA __________________ __________________

monthly as prescribed.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

42,448.00 EA __________________ __________________

prescribed.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

318.00 HR __________________ __________________

monthly as prescribed.

PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

21,224.00 HR __________________ __________________

as prescribed.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,653.00 EA __________________ __________________

prescribed.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times and maintenance.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

106.00 EA __________________ __________________

include a temperature sensor, maintenance. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,547.00 EA __________________ __________________

beneficiary’s residence).

PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

212.00 HR __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

212.00 HR __________________ __________________

Visits Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

112.00 HR __________________ __________________

manufacturer’s requirements. Contractor is required to notify the COR to obtain approval prior to fixing/repairing of VA equipment under this line item.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services patient Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

216.00 EA __________________ __________________

cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies as prescribed.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

24.00 EA __________________ __________________

battery back up, alarms, monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapy visits. Includes:

disposable circuits with oxygen cumulator capabilities; back up ventilator;

ambu bag, heated moisture exchange (HME), suction machine with three

(3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 stand, nasal cannula or mask and humidifier as prescribed and maintenance.

(Monthly rental fee, per unit for patient) Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

6,105.00 CY __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

7,988.00 CY __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,169.00 CY __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

4,330.00 CY __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

6,105.00 CY __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

7,988.00 CY __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,169.00 CY __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

4,330.00 CY __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,706.00 EA __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,481.00 EA __________________ __________________

Regulators Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030

24.00 EA __________________ __________________

Respiratory Thereapist and routine preventative maintenance per manufacturer guidelines, battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; heated humidifier, ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services w/two batteries. For travel not to exceed 30 days.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

11.00 EA __________________ __________________

regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointsments and/or to send home with new start-up (e.g., discharged from inpatient wards).

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

1,082.00 EA __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

325.00 EA __________________ __________________

monthly as prescribed.

Contract Period: Option 4

43,297.00 EA __________________ __________________

prescribed.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

325.00 HR __________________ __________________

monthly as prescribed.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

21,649.00 HR __________________ __________________

as prescribed.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,706.00 EA __________________ __________________

prescribed.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times and maintenance.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

108.00 EA __________________ __________________

include a temperature sensor, maintenance. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

2,598.00 EA __________________ __________________

beneficiary’s residence).

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

216.00 HR __________________ __________________

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

216.00 HR __________________ __________________

Visits Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

116.00 HR __________________…

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