36C26124Q0072 Southern Nevada Healthcare System Las Vegas Home Oxygen Supplies and Services Updated Contract Line Items.xlsx

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6515- Southern Nevada Healthcare System Las Vegas Home Oxygen Supplies and Services
Solicitation number
36C26124Q0072
Issued by

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This document outlines a federal contract solicitation for home oxygen supplies and services. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 is seeking these products and services for the VA Southern Nevada Healthcare System Las Vegas. Offerors must submit responses by December 29, 2023 at 5:00 PM PST to victoria.torres@va.gov. The solicitation is set aside for verified service-disabled veteran-owned small businesses under VAAR 852.219-73. The home oxygen supplies and services include oxygen concentrators, cylinders, delivery, equipment monitoring, clinical services, and ventilator rental and monitoring. The period of performance spans multiple ordering periods with unit pricing for individual contract line items.

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ORDERING PERIOD 1

Southern Nevada Healthcare System Home Oxygen ServicesPeriod of Performance$s per eachEstimated Amount
No. of Months or YearsQty Per Year
0001Delivery, Initial set-up, and education of Government-Owned Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, tubing, etc., when specified). Includes back up of minimum supply of oxygen which shall be equal to three times the maximum response time for use in case of system malfunction and/or power failure. Concentrator to be provided by VA with litter flow 0 to 5 and 0 to 10 liters per minute. One time charge for new set-up/new patient. Initial set-up is defined as those beneficiaries who have not been provided oxygen therapy delivery systems in the resident or nursing home on a previous occasion or have not used such a system continuously for the
past sixty (60) days. Switch-out is defined as those beneficiaries who are presently using an oxygen delivery system or have used such a system continuously within the past sixty (60) days.1272$ - 0
0002If a request is received to deliver a Government owned concentrator and there is no Government inventory available, a vendor owned concentrator will be supplied at the vendor monthly rate (unit price).121$ - 0
0003In the event a patient needs to have the Government owned concentrator switched out and there is no Government owned inventory available, a vendor owned concentrator will be supplied and billed the vendor owned monthly rate (unit price).121$ - 0
0004In the event a patient needs to have a Government owned concentrator switched out with another Government owned concentrator, the vendor shall bill the PST delivery rate (unit price).121$ - 0
0005Preventive Maintenance Services (PMI) for Government owned concentrators. (Includes all labor, tools, equipment, travel and materials necessary to perform PMI in accordance with
manufactures instructions.)121$ - 0
0006Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed

gas source, regulator, stand, (nasal cannula or mask humidifier, and tubing, etc., when specified).

(Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction and/or power

failure. With flow rate of 0 – 5 liters per minute.126696$ - 0
0007Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, and tubing, etc., when

specified). (Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction

and/or power failure. With a flow rate of 0-10 liters per minute.12372$ - 0
000890 day Equipment Monitoring/Maintenance Visit every for concentrator patients.1293$ - 0
0009Initial Set-ups states: For patients requiring portable oxygen concentrators for travel purposes, the Contractor shall be responsible for ensuring that an RRT or CRT performed set-up of portable oxygen concentrators within 24 hours of receiving the order from the VA. Contractor shall be responsible for all maintenance and storage of portable oxygen concentrators rented and/or purchased by VA.121$ - 0
0010Portable oxygen concentrator (POC) Rental121$ - 0
0011Portable oxygen concentrator (POC) Rental Additional Battery121$ - 0
0012Oxygen tubing as required/ordered, 6 foot in length121$ - 0
0013Oxygen tubing as required/ordered, 50 foot in length.121$ - 0
0014Face masks as required/ordered.121$ - 0
0015Standard nasal cannulas as required/ordered.121$ - 0
0016Disposable humidifiers as required/ordered.121$ - 0
0017Cylinder, size M60 or H. Set-up consisting of regulator, flow meter, safety stand, humidifier and
disposable supplies. Primary set-up only. Includes delivery, setup, and education. This is a one-time equipment setup charge, and not a recurring monthly expense.121$ - 0
0018If a patient requires a cylinder refill, the vendor shall bill for the cylinder refill rate per cylinder
(unit price)121$ - 0
0019Cylinder, size M60 or H refill (Backup/Primary) E0443121$ - 0
0020#A012 *Portable system for new set ups consists of “E”, “D”, “C”, or “B” (M6) size aluminum (or equivalent weight metal) cylinder with regulator, flow meter, handcart, pouch and disposable supplies. Includes delivery, setup, and education. This is a one-time chargefor new set-ups. EXCEPTIONS: Oxygen conserving devices are Government supplied.12396$ - 0
0021Cylinder, size “E” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E0443122244$ - 0
0022Cylinder, size “D” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E044312372$ - 0
0023Cylinder, size “C” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E0443121908$ - 0
0024Cylinder, size “M6) refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E044312912$ - 0
0025Demand Nasal Cannula (e.g. Oximyzer).1260$ - 0
0026“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 appointments or to send home with new start-up (e.g. discharged from inpatient).121$ - 0
0027Monthly rental liquid oxygen system (90 –100 lbs) with stationary reservoir per beneficiary
E0439 Includes delivery, setup, education, and supplies.121$ - 0
0028Monthly rental portable liquid oxygen system per beneficiary. E0434 Includes delivery, setup, and education, and supplies.12372$ - 0
0029Liquid oxygen per pound for item #A019. E0444121$ - 0
0030Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence
within Region.121$ - 0
0031Home visit (non-clinical) by Respiratory Care Practitioner for reeducation.121$ - 0
0032Home visit by Patient Services Technician for patients on Government-owned concentrators.1224$ - 0
0033All inclusive clinical Respiratory Services to include but not limited to: patient’s heart rate, blood pressure, breath sounds as well as pulse oximetry readings while on oxygen, room air at rest and while ambulating as tolerated. Periodic RT visits must address: prescribed liter flow compliance, equipment /patient safety (to include risk of open flames and smoking), and patient medication usage. Deficiencies shall be communicated to the COR or designee a t the time of home visit or within 24 hours, using COR designated form. (Initial setup or every 6 months).12564$ - 0
0034Fee for deliveries made for over 100 miles from the ordering VA facility, or from Contractors local facility, whichever is closer.121$ - 0
0035Patient Safety Alert AL18-01 Use of Thermal Fuses on Home Oxygen Delivery Systems. Bidirectional oxygen thermal fuses. Sometimes referred to as fire-safe, oxy-safe, or fire-break valves. Two thermal fuses must be provided and installed in each home oxygen delivery system (one at the patient end and one at the oxygen source). This must be done for the patient’s primary oxygen therapy equipment as well as any portable oxygen therapy equipment. Thermal fuses are not required for portable pulse dose/intermittent oxygen therapy equipment when the equipment does not have a continuous flow setting. The fuses will be issued to all new patients that require them and replaced at the end of their expected life per manufacturer's guidelines.12936$ - 0
0036Labor 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. $ 20 per .25 hour121$ - 0
0037Monthly equipment rental and management/monitoring of ventilators for continous ventilation patients, excludes scheduled preventatitve maintenance. Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
0038Non-invasive ventilation patients; Monthly equipment rental and management/monitoring of ventilators for continuous ventilation patients, excludes scheduled preventative maintenance.Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
0039Contractor shall provide all required service, maintenance, and repairs on all Contractor owned equipment in accordance with manufacturer standards and when required by this contract. Contractor shall also provide service and maintenance on all Government Owned equipment, as required by the Ventilator Line Items, no additional maintenance or repairs are required.121$ - 0
TOTAL$ - 0

FOR OFFICIAL GOVERNMENT USE ONLY

Revision: 02 Effective Date: 06/14/2022 &F

ORDERING PERIOD 2

Southern Nevada Healthcare System Home Oxygen ServicesPeriod of Performance$s per eachEstimated Amount
No. of Months or YearsQty Per Year
1001Delivery, Initial set-up, and education of Government-Owned Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, tubing, etc., when specified). Includes back up of minimum supply of oxygen which shall be equal to three times the maximum response time for use in case of system malfunction and/or power failure. Concentrator to be provided by VA with litter flow 0 to 5 and 0 to 10 liters per minute. One time charge for new set-up/new patient. Initial set-up is defined as those beneficiaries who have not been provided oxygen therapy delivery systems in the resident or nursing home on a previous occasion or have not used such a system continuously for the
past sixty (60) days. Switch-out is defined as those beneficiaries who are presently using an oxygen delivery system or have used such a system continuously within the past sixty (60) days.1272$ - 0
1002If a request is received to deliver a Government owned concentrator and there is no Government inventory available, a vendor owned concentrator will be supplied at the vendor monthly rate (unit price).121$ - 0
1003In the event a patient needs to have the Government owned concentrator switched out and there is no Government owned inventory available, a vendor owned concentrator will be supplied and billed the vendor owned monthly rate (unit price).121$ - 0
1004In the event a patient needs to have a Government owned concentrator switched out with another Government owned concentrator, the vendor shall bill the PST delivery rate (unit price).121$ - 0
1005Preventive Maintenance Services (PMI) for Government owned concentrators. (Includes all labor, tools, equipment, travel and materials necessary to perform PMI in accordance with
manufactures instructions.)121$ - 0
1006Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed

gas source, regulator, stand, (nasal cannula or mask humidifier, and tubing, etc., when specified).

(Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction and/or power

failure. With flow rate of 0 – 5 liters per minute.126696$ - 0
1007Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, and tubing, etc., when

specified). (Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction

and/or power failure. With a flow rate of 0-10 liters per minute.12372$ - 0
100890 day Equipment Monitoring/Maintenance Visit every for concentrator patients.1293$ - 0
1009Initial Set-ups states: For patients requiring portable oxygen concentrators for travel purposes, the Contractor shall be responsible for ensuring that an RRT or CRT performed set-up of portable oxygen concentrators within 24 hours of receiving the order from the VA. Contractor shall be responsible for all maintenance and storage of portable oxygen concentrators rented and/or purchased by VA.121$ - 0
1010Portable oxygen concentrator (POC) Rental121$ - 0
1011Portable oxygen concentrator (POC) Rental Additional Battery121$ - 0
1012Oxygen tubing as required/ordered, 6 foot in length121$ - 0
1013Oxygen tubing as required/ordered, 50 foot in length.121$ - 0
1014Face masks as required/ordered.121$ - 0
1015Standard nasal cannulas as required/ordered.121$ - 0
1016Disposable humidifiers as required/ordered.121$ - 0
1017Cylinder, size M60 or H. Set-up consisting of regulator, flow meter, safety stand, humidifier and
disposable supplies. Primary set-up only. Includes delivery, setup, and education. This is a one-time equipment setup charge, and not a recurring monthly expense.121$ - 0
1018If a patient requires a cylinder refill, the vendor shall bill for the cylinder refill rate per cylinder
(unit price)121$ - 0
1019Cylinder, size M60 or H refill (Backup/Primary) E0443121$ - 0
1020#A012 *Portable system for new set ups consists of “E”, “D”, “C”, or “B” (M6) size aluminum (or equivalent weight metal) cylinder with regulator, flow meter, handcart, pouch and disposable supplies. Includes delivery, setup, and education. This is a one-time chargefor new set-ups. EXCEPTIONS: Oxygen conserving devices are Government supplied.12396$ - 0
1021Cylinder, size “E” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E0443122244$ - 0
1022Cylinder, size “D” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E044312372$ - 0
1023Cylinder, size “C” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E0443121908$ - 0
1024Cylinder, size “M6) refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E044312912$ - 0
1025Demand Nasal Cannula (e.g. Oximyzer).1260$ - 0
1026“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 appointments or to send home with new start-up (e.g. discharged from inpatient).121$ - 0
1027Monthly rental liquid oxygen system (90 –100 lbs) with stationary reservoir per beneficiary
E0439 Includes delivery, setup, education, and supplies.121$ - 0
1028Monthly rental portable liquid oxygen system per beneficiary. E0434 Includes delivery, setup, and education, and supplies.12372$ - 0
1029Liquid oxygen per pound for item #A019. E0444121$ - 0
1030Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence
within Region.121$ - 0
1031Home visit (non-clinical) by Respiratory Care Practitioner for reeducation.121$ - 0
1032Home visit by Patient Services Technician for patients on Government-owned concentrators.1224$ - 0
1033All inclusive clinical Respiratory Services to include but not limited to: patient’s heart rate, blood pressure, breath sounds as well as pulse oximetry readings while on oxygen, room air at rest and while ambulating as tolerated. Periodic RT visits must address: prescribed liter flow compliance, equipment /patient safety (to include risk of open flames and smoking), and patient medication usage. Deficiencies shall be communicated to the COR or designee a t the time of home visit or within 24 hours, using COR designated form. (Initial setup or every 6 months).12564$ - 0
1034Fee for deliveries made for over 100 miles from the ordering VA facility, or from Contractors local facility, whichever is closer.121$ - 0
1035Patient Safety Alert AL18-01 Use of Thermal Fuses on Home Oxygen Delivery Systems. Bidirectional oxygen thermal fuses. Sometimes referred to as fire-safe, oxy-safe, or fire-break valves. Two thermal fuses must be provided and installed in each home oxygen delivery system (one at the patient end and one at the oxygen source). This must be done for the patient’s primary oxygen therapy equipment as well as any portable oxygen therapy equipment. Thermal fuses are not required for portable pulse dose/intermittent oxygen therapy equipment when the equipment does not have a continuous flow setting. The fuses will be issued to all new patients that require them and replaced at the end of their expected life per manufacturer's guidelines.12936$ - 0
1036Labor 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. $ 20 per .25 hour121$ - 0
1037Monthly equipment rental and management/monitoring of ventilators for continous ventilation patients, excludes scheduled preventatitve maintenance. Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
1038Non-invasive ventilation patients; Monthly equipment rental and management/monitoring of ventilators for continuous ventilation patients, excludes scheduled preventative maintenance.Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
1039Contractor shall provide all required service, maintenance, and repairs on all Contractor owned equipment in accordance with manufacturer standards and when required by this contract. Contractor shall also provide service and maintenance on all Government Owned equipment, as required by the Ventilator Line Items, no additional maintenance or repairs are required.121$ - 0
TOTAL$ - 0

ORDERING PERIOD 3

Southern Nevada Healthcare System Home Oxygen ServicesPeriod of Performance$s per eachEstimated Amount
No. of Months or YearsQty Per Year
2001Delivery, Initial set-up, and education of Government-Owned Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, tubing, etc., when specified). Includes back up of minimum supply of oxygen which shall be equal to three times the maximum response time for use in case of system malfunction and/or power failure. Concentrator to be provided by VA with litter flow 0 to 5 and 0 to 10 liters per minute. One time charge for new set-up/new patient. Initial set-up is defined as those beneficiaries who have not been provided oxygen therapy delivery systems in the resident or nursing home on a previous occasion or have not used such a system continuously for the
past sixty (60) days. Switch-out is defined as those beneficiaries who are presently using an oxygen delivery system or have used such a system continuously within the past sixty (60) days.1272$ - 0
2002If a request is received to deliver a Government owned concentrator and there is no Government inventory available, a vendor owned concentrator will be supplied at the vendor monthly rate (unit price).121$ - 0
2003In the event a patient needs to have the Government owned concentrator switched out and there is no Government owned inventory available, a vendor owned concentrator will be supplied and billed the vendor owned monthly rate (unit price).121$ - 0
2004In the event a patient needs to have a Government owned concentrator switched out with another Government owned concentrator, the vendor shall bill the PST delivery rate (unit price).121$ - 0
2005Preventive Maintenance Services (PMI) for Government owned concentrators. (Includes all labor, tools, equipment, travel and materials necessary to perform PMI in accordance with
manufactures instructions.)121$ - 0
2006Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed

gas source, regulator, stand, (nasal cannula or mask humidifier, and tubing, etc., when specified).

(Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction and/or power

failure. With flow rate of 0 – 5 liters per minute.126696$ - 0
2007Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, and tubing, etc., when

specified). (Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction

and/or power failure. With a flow rate of 0-10 liters per minute.12372$ - 0
200890 day Equipment Monitoring/Maintenance Visit every for concentrator patients.1293$ - 0
2009Initial Set-ups states: For patients requiring portable oxygen concentrators for travel purposes, the Contractor shall be responsible for ensuring that an RRT or CRT performed set-up of portable oxygen concentrators within 24 hours of receiving the order from the VA. Contractor shall be responsible for all maintenance and storage of portable oxygen concentrators rented and/or purchased by VA.121$ - 0
2010Portable oxygen concentrator (POC) Rental121$ - 0
2011Portable oxygen concentrator (POC) Rental Additional Battery121$ - 0
2012Oxygen tubing as required/ordered, 6 foot in length121$ - 0
2013Oxygen tubing as required/ordered, 50 foot in length.121$ - 0
2014Face masks as required/ordered.121$ - 0
2015Standard nasal cannulas as required/ordered.121$ - 0
2016Disposable humidifiers as required/ordered.121$ - 0
2017Cylinder, size M60 or H. Set-up consisting of regulator, flow meter, safety stand, humidifier and
disposable supplies. Primary set-up only. Includes delivery, setup, and education. This is a one-time equipment setup charge, and not a recurring monthly expense.121$ - 0
2018If a patient requires a cylinder refill, the vendor shall bill for the cylinder refill rate per cylinder
(unit price)121$ - 0
2019Cylinder, size M60 or H refill (Backup/Primary) E0443121$ - 0
2020#A012 *Portable system for new set ups consists of “E”, “D”, “C”, or “B” (M6) size aluminum (or equivalent weight metal) cylinder with regulator, flow meter, handcart, pouch and disposable supplies. Includes delivery, setup, and education. This is a one-time chargefor new set-ups. EXCEPTIONS: Oxygen conserving devices are Government supplied.12396$ - 0
2021Cylinder, size “E” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E0443122244$ - 0
2022Cylinder, size “D” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E044312372$ - 0
2023Cylinder, size “C” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E0443121908$ - 0
2024Cylinder, size “M6) refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E044312912$ - 0
2025Demand Nasal Cannula (e.g. Oximyzer).1260$ - 0
2026“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 appointments or to send home with new start-up (e.g. discharged from inpatient).121$ - 0
2027Monthly rental liquid oxygen system (90 –100 lbs) with stationary reservoir per beneficiary
E0439 Includes delivery, setup, education, and supplies.121$ - 0
2028Monthly rental portable liquid oxygen system per beneficiary. E0434 Includes delivery, setup, and education, and supplies.12372$ - 0
2029Liquid oxygen per pound for item #A019. E0444121$ - 0
2030Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence
within Region.121$ - 0
2031Home visit (non-clinical) by Respiratory Care Practitioner for reeducation.121$ - 0
2032Home visit by Patient Services Technician for patients on Government-owned concentrators.1224$ - 0
2033All inclusive clinical Respiratory Services to include but not limited to: patient’s heart rate, blood pressure, breath sounds as well as pulse oximetry readings while on oxygen, room air at rest and while ambulating as tolerated. Periodic RT visits must address: prescribed liter flow compliance, equipment /patient safety (to include risk of open flames and smoking), and patient medication usage. Deficiencies shall be communicated to the COR or designee a t the time of home visit or within 24 hours, using COR designated form. (Initial setup or every 6 months).12564$ - 0
2034Fee for deliveries made for over 100 miles from the ordering VA facility, or from Contractors local facility, whichever is closer.121$ - 0
2035Patient Safety Alert AL18-01 Use of Thermal Fuses on Home Oxygen Delivery Systems. Bidirectional oxygen thermal fuses. Sometimes referred to as fire-safe, oxy-safe, or fire-break valves. Two thermal fuses must be provided and installed in each home oxygen delivery system (one at the patient end and one at the oxygen source). This must be done for the patient’s primary oxygen therapy equipment as well as any portable oxygen therapy equipment. Thermal fuses are not required for portable pulse dose/intermittent oxygen therapy equipment when the equipment does not have a continuous flow setting. The fuses will be issued to all new patients that require them and replaced at the end of their expected life per manufacturer's guidelines.12936$ - 0
2036Labor 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. $ 20 per .25 hour121$ - 0
2037Monthly equipment rental and management/monitoring of ventilators for continous ventilation patients, excludes scheduled preventatitve maintenance. Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
2038Non-invasive ventilation patients; Monthly equipment rental and management/monitoring of ventilators for continuous ventilation patients, excludes scheduled preventative maintenance.Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
2039Contractor shall provide all required service, maintenance, and repairs on all Contractor owned equipment in accordance with manufacturer standards and when required by this contract. Contractor shall also provide service and maintenance on all Government Owned equipment, as required by the Ventilator Line Items, no additional maintenance or repairs are required.121$ - 0
TOTAL$ - 0

ORDERING PERIOD 4

Southern Nevada Healthcare System Home Oxygen ServicesPeriod of Performance$s per eachEstimated Amount
No. of Months or YearsQty Per Year
3001Delivery, Initial set-up, and education of Government-Owned Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, tubing, etc., when specified). Includes back up of minimum supply of oxygen which shall be equal to three times the maximum response time for use in case of system malfunction and/or power failure. Concentrator to be provided by VA with litter flow 0 to 5 and 0 to 10 liters per minute. One time charge for new set-up/new patient. Initial set-up is defined as those beneficiaries who have not been provided oxygen therapy delivery systems in the resident or nursing home on a previous occasion or have not used such a system continuously for the
past sixty (60) days. Switch-out is defined as those beneficiaries who are presently using an oxygen delivery system or have used such a system continuously within the past sixty (60) days.1272$ - 0
3002If a request is received to deliver a Government owned concentrator and there is no Government inventory available, a vendor owned concentrator will be supplied at the vendor monthly rate (unit price).121$ - 0
3003In the event a patient needs to have the Government owned concentrator switched out and there is no Government owned inventory available, a vendor owned concentrator will be supplied and billed the vendor owned monthly rate (unit price).121$ - 0
3004In the event a patient needs to have a Government owned concentrator switched out with another Government owned concentrator, the vendor shall bill the PST delivery rate (unit price).121$ - 0
3005Preventive Maintenance Services (PMI) for Government owned concentrators. (Includes all labor, tools, equipment, travel and materials necessary to perform PMI in accordance with
manufactures instructions.)121$ - 0
3006Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed

gas source, regulator, stand, (nasal cannula or mask humidifier, and tubing, etc., when specified).

(Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction and/or power

failure. With flow rate of 0 – 5 liters per minute.126696$ - 0
3007Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, and tubing, etc., when

specified). (Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction

and/or power failure. With a flow rate of 0-10 liters per minute.12372$ - 0
300890 day Equipment Monitoring/Maintenance Visit every for concentrator patients.1293$ - 0
3009Initial Set-ups states: For patients requiring portable oxygen concentrators for travel purposes, the Contractor shall be responsible for ensuring that an RRT or CRT performed set-up of portable oxygen concentrators within 24 hours of receiving the order from the VA. Contractor shall be responsible for all maintenance and storage of portable oxygen concentrators rented and/or purchased by VA.121$ - 0
3010Portable oxygen concentrator (POC) Rental121$ - 0
3011Portable oxygen concentrator (POC) Rental Additional Battery121$ - 0
3012Oxygen tubing as required/ordered, 6 foot in length121$ - 0
3013Oxygen tubing as required/ordered, 50 foot in length.121$ - 0
3014Face masks as required/ordered.121$ - 0
3015Standard nasal cannulas as required/ordered.121$ - 0
3016Disposable humidifiers as required/ordered.121$ - 0
3017Cylinder, size M60 or H. Set-up consisting of regulator, flow meter, safety stand, humidifier and
disposable supplies. Primary set-up only. Includes delivery, setup, and education. This is a one-time equipment setup charge, and not a recurring monthly expense.121$ - 0
3018If a patient requires a cylinder refill, the vendor shall bill for the cylinder refill rate per cylinder
(unit price)121$ - 0
3019Cylinder, size M60 or H refill (Backup/Primary) E0443121$ - 0
3020#A012 *Portable system for new set ups consists of “E”, “D”, “C”, or “B” (M6) size aluminum (or equivalent weight metal) cylinder with regulator, flow meter, handcart, pouch and disposable supplies. Includes delivery, setup, and education. This is a one-time chargefor new set-ups. EXCEPTIONS: Oxygen conserving devices are Government supplied.12396$ - 0
3021Cylinder, size “E” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E0443122244$ - 0
3022Cylinder, size “D” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E044312372$ - 0
3023Cylinder, size “C” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E0443121908$ - 0
3024Cylinder, size “M6) refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E044312912$ - 0
3025Demand Nasal Cannula (e.g. Oximyzer).1260$ - 0
3026“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 appointments or to send home with new start-up (e.g. discharged from inpatient).121$ - 0
3027Monthly rental liquid oxygen system (90 –100 lbs) with stationary reservoir per beneficiary
E0439 Includes delivery, setup, education, and supplies.121$ - 0
3028Monthly rental portable liquid oxygen system per beneficiary. E0434 Includes delivery, setup, and education, and supplies.12372$ - 0
3029Liquid oxygen per pound for item #A019. E0444121$ - 0
3030Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence
within Region.121$ - 0
3031Home visit (non-clinical) by Respiratory Care Practitioner for reeducation.121$ - 0
3032Home visit by Patient Services Technician for patients on Government-owned concentrators.1224$ - 0
3033All inclusive clinical Respiratory Services to include but not limited to: patient’s heart rate, blood pressure, breath sounds as well as pulse oximetry readings while on oxygen, room air at rest and while ambulating as tolerated. Periodic RT visits must address: prescribed liter flow compliance, equipment /patient safety (to include risk of open flames and smoking), and patient medication usage. Deficiencies shall be communicated to the COR or designee a t the time of home visit or within 24 hours, using COR designated form. (Initial setup or every 6 months).12564$ - 0
3034Fee for deliveries made for over 100 miles from the ordering VA facility, or from Contractors local facility, whichever is closer.121$ - 0
3035Patient Safety Alert AL18-01 Use of Thermal Fuses on Home Oxygen Delivery Systems. Bidirectional oxygen thermal fuses. Sometimes referred to as fire-safe, oxy-safe, or fire-break valves. Two thermal fuses must be provided and installed in each home oxygen delivery system (one at the patient end and one at the oxygen source). This must be done for the patient’s primary oxygen therapy equipment as well as any portable oxygen therapy equipment. Thermal fuses are not required for portable pulse dose/intermittent oxygen therapy equipment when the equipment does not have a continuous flow setting. The fuses will be issued to all new patients that require them and replaced at the end of their expected life per manufacturer's guidelines.12936$ - 0
3036Labor 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. $ 20 per .25 hour121$ - 0
3037Monthly equipment rental and management/monitoring of ventilators for continous ventilation patients, excludes scheduled preventatitve maintenance. Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
3038Non-invasive ventilation patients; Monthly equipment rental and management/monitoring of ventilators for continuous ventilation patients, excludes scheduled preventative maintenance.Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
3039Contractor shall provide all required service, maintenance, and repairs on all Contractor owned equipment in accordance with manufacturer standards and when required by this contract. Contractor shall also provide service and maintenance on all Government Owned equipment, as required by the Ventilator Line Items, no additional maintenance or repairs are required.121$ - 0
TOTAL$ - 0

ORDERING PERIOD 5

Southern Nevada Healthcare System Home Oxygen ServicesPeriod of Performance$s per eachEstimated Amount
No. of Months or YearsQty Per Year
4001Delivery, Initial set-up, and education of Government-Owned Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, tubing, etc., when specified). Includes back up of minimum supply of oxygen which shall be equal to three times the maximum response time for use in case of system malfunction and/or power failure. Concentrator to be provided by VA with litter flow 0 to 5 and 0 to 10 liters per minute. One time charge for new set-up/new patient. Initial set-up is defined as those beneficiaries who have not been provided oxygen therapy delivery systems in the resident or nursing home on a previous occasion or have not used such a system continuously for the
past sixty (60) days. Switch-out is defined as those beneficiaries who are presently using an oxygen delivery system or have used such a system continuously within the past sixty (60) days.1272$ - 0
4002If a request is received to deliver a Government owned concentrator and there is no Government inventory available, a vendor owned concentrator will be supplied at the vendor monthly rate (unit price).121$ - 0
4003In the event a patient needs to have the Government owned concentrator switched out and there is no Government owned inventory available, a vendor owned concentrator will be supplied and billed the vendor owned monthly rate (unit price).121$ - 0
4004In the event a patient needs to have a Government owned concentrator switched out with another Government owned concentrator, the vendor shall bill the PST delivery rate (unit price).121$ - 0
4005Preventive Maintenance Services (PMI) for Government owned concentrators. (Includes all labor, tools, equipment, travel and materials necessary to perform PMI in accordance with
manufactures instructions.)121$ - 0
4006Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed

gas source, regulator, stand, (nasal cannula or mask humidifier, and tubing, etc., when specified).

(Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction and/or power

failure. With flow rate of 0 – 5 liters per minute.126696$ - 0
4007Monthly Rental of Oxygen Concentrator System with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask, humidifier, and tubing, etc., when

specified). (Includes delivery, setup, and education). Back up minimum supply of oxygen shall be equal to three times the maximum response time for use in case of system malfunction

and/or power failure. With a flow rate of 0-10 liters per minute.12372$ - 0
400890 day Equipment Monitoring/Maintenance Visit every for concentrator patients.1293$ - 0
4009Initial Set-ups states: For patients requiring portable oxygen concentrators for travel purposes, the Contractor shall be responsible for ensuring that an RRT or CRT performed set-up of portable oxygen concentrators within 24 hours of receiving the order from the VA. Contractor shall be responsible for all maintenance and storage of portable oxygen concentrators rented and/or purchased by VA.121$ - 0
4010Portable oxygen concentrator (POC) Rental121$ - 0
4011Portable oxygen concentrator (POC) Rental Additional Battery121$ - 0
4012Oxygen tubing as required/ordered, 6 foot in length121$ - 0
4013Oxygen tubing as required/ordered, 50 foot in length.121$ - 0
4014Face masks as required/ordered.121$ - 0
4015Standard nasal cannulas as required/ordered.121$ - 0
4016Disposable humidifiers as required/ordered.121$ - 0
4017Cylinder, size M60 or H. Set-up consisting of regulator, flow meter, safety stand, humidifier and
disposable supplies. Primary set-up only. Includes delivery, setup, and education. This is a one-time equipment setup charge, and not a recurring monthly expense.121$ - 0
4018If a patient requires a cylinder refill, the vendor shall bill for the cylinder refill rate per cylinder
(unit price)121$ - 0
4019Cylinder, size M60 or H refill (Backup/Primary) E0443121$ - 0
4020#A012 *Portable system for new set ups consists of “E”, “D”, “C”, or “B” (M6) size aluminum (or equivalent weight metal) cylinder with regulator, flow meter, handcart, pouch and disposable supplies. Includes delivery, setup, and education. This is a one-time chargefor new set-ups. EXCEPTIONS: Oxygen conserving devices are Government supplied.12396$ - 0
4021Cylinder, size “E” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E0443122244$ - 0
4022Cylinder, size “D” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E044312372$ - 0
4023Cylinder, size “C” refill for #A012 above. Aluminum (or metal of equivalent weight) tanks
required. E0443121908$ - 0
4024Cylinder, size “M6) refill for #A012 above. Aluminum (or metal of equivalent weight) tanks required. E044312912$ - 0
4025Demand Nasal Cannula (e.g. Oximyzer).1260$ - 0
4026“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 appointments or to send home with new start-up (e.g. discharged from inpatient).121$ - 0
4027Monthly rental liquid oxygen system (90 –100 lbs) with stationary reservoir per beneficiary
E0439 Includes delivery, setup, education, and supplies.121$ - 0
4028Monthly rental portable liquid oxygen system per beneficiary. E0434 Includes delivery, setup, and education, and supplies.12372$ - 0
4029Liquid oxygen per pound for item #A019. E0444121$ - 0
4030Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence
within Region.121$ - 0
4031Home visit (non-clinical) by Respiratory Care Practitioner for reeducation.121$ - 0
4032Home visit by Patient Services Technician for patients on Government-owned concentrators.1224$ - 0
4033All inclusive clinical Respiratory Services to include but not limited to: patient’s heart rate, blood pressure, breath sounds as well as pulse oximetry readings while on oxygen, room air at rest and while ambulating as tolerated. Periodic RT visits must address: prescribed liter flow compliance, equipment /patient safety (to include risk of open flames and smoking), and patient medication usage. Deficiencies shall be communicated to the COR or designee a t the time of home visit or within 24 hours, using COR designated form. (Initial setup or every 6 months).12564$ - 0
4034Fee for deliveries made for over 100 miles from the ordering VA facility, or from Contractors local facility, whichever is closer.121$ - 0
4035Patient Safety Alert AL18-01 Use of Thermal Fuses on Home Oxygen Delivery Systems. Bidirectional oxygen thermal fuses. Sometimes referred to as fire-safe, oxy-safe, or fire-break valves. Two thermal fuses must be provided and installed in each home oxygen delivery system (one at the patient end and one at the oxygen source). This must be done for the patient’s primary oxygen therapy equipment as well as any portable oxygen therapy equipment. Thermal fuses are not required for portable pulse dose/intermittent oxygen therapy equipment when the equipment does not have a continuous flow setting. The fuses will be issued to all new patients that require them and replaced at the end of their expected life per manufacturer's guidelines.12936$ - 0
4036Labor 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. $ 20 per .25 hour121$ - 0
4037Monthly equipment rental and management/monitoring of ventilators for continous ventilation patients, excludes scheduled preventatitve maintenance. Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
4038Non-invasive ventilation patients; Monthly equipment rental and management/monitoring of ventilators for continuous ventilation patients, excludes scheduled preventative maintenance.Includes initial delivery, set-up, supplies, to include bag, value mask, education/training. Monthly Licensed Respitory Therapist (LRT) visits to inspect equipment and environment, re-educate, and/or re-train caregiver, provide supplies as neccesary and perform routine preventative maintainance to include support of 2 ventilators per patient: 1 primary and 1 backup.121$ - 0
4039Contractor shall provide all required service, maintenance, and repairs on all Contractor owned equipment in accordance with manufacturer standards and when required by this contract. Contractor shall also provide service and maintenance on all Government Owned equipment, as required by the Ventilator Line Items, no additional maintenance or repairs are required.121$ - 0
TOTAL$ - 0

File details come from the government source that posted it. Updated .