36C26126Q0420 0001.pdf

PDF 371 KB Posted Apr 8, 2026

Attached to: Home Oxygen - VA Northern California Healthcare System
Solicitation number: 36C26126Q0420
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

About this file

Written by GovTribe AI · Apr 8, 2026

This document is an Amendment of Solicitation/Modification of Contract issued by the Department of Veterans Affairs, VA Sierra Pacific Network (VISN 21), Network Contracting Office located in McClellan Park, California.

The amendment extends the offer receipt deadline to April 28, 2026, at 10:00 AM PDT for solicitation 36C26126Q0420. It provides responses to previously submitted questions, a revised Quality Assurance Surveillance Plan (QASP), a revised Pre-Qualification Questionnaire, a line item spreadsheet for price per unit input only, and clarifies that no further questions or clarifications will be accepted. The procurement covers home health equipment rental services across five one-year ordering periods from October 1, 2026, through September 30, 2031. Line items include rental of portable concentrator systems, oxygen systems (gaseous and liquid), suction pumps, ventilators, air compressors, delivery charges, and respiratory therapist visits, priced monthly or per unit. Additional line items cover low-decibel concentrators, home fill oxygen systems, hi-flow concentrators, and various oxygen cylinder and liquid oxygen refills. All items fall under NAICS Code 532283 (Home Health Equipment Rental) and Product/Service Code W065. Contractors must maintain equipment in accordance with manufacturer standards and perform minimum quarterly patient visits for assessment and compliance verification. The solicitation uses the Standard Form 30 and references attached documents including Questions and Responses, QASP, Pre-Qualification Questionnaire, and a CLINS price per unit spreadsheet.

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Other files

File	Type	Posted
36C26126Q0420 0002 CANX.pdf	PDF	Jul 22, 2026
36C26126Q0420 Questions and Responses.pdf	PDF	Apr 8, 2026
PP Questionnaire.docx	DOCX document	Apr 8, 2026
36C26126Q0420 CLINS Price Per Unit.xlsx	XLSX spreadsheet	Apr 8, 2026
Quality Assurance Surveillance Plan - 4-8-26.pdf	PDF	Apr 8, 2026
36C26126Q0420.pdf	PDF	Mar 24, 2026
Quality Assurance Surveillance Plan-NorCal.pdf	PDF	Mar 24, 2026
PP Questionnaire.docx	DOCX document	Mar 24, 2026

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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)

0001 04-08-2026

36C261-27-AP-0177

None

612MCP

Department of Veterans Affairs

VA Sierra Pacific Network (VISN 21)

Network Contracting Office (NCO) 21

3237 Peacekeeper Way, Bldg 209

McClellan Park CA 95652

612MCP

Department of Veterans Affairs

Network Contracting Office (NCO) 21

3237 Peacekeeper Way, Bldg 209

McClellan CA 95652

To all Offerors/Bidders

36C26126Q0420

03-23-2026

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 04-28-2026 10:00 AM PDT

See CONTINUATION Page

X 1

This amendment is to provide responses to questions submitted, provide revised QASP, provide revised PP Questionnaire, line item spreadsheet for input of price per unit only and to extend the due date to 4/28/2026 at 10:00 AM PDT.

No further questions and/or clarifications will be received/accepted.

David J. Alvarez

Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

DESCRIPTION OF

SUPPLIES/SERVI

CES

QUANTI

UNI

T UNIT PRICE AMOUNT

5,000.00 MO _______________

Rental of Contractor Owned Portable Concentrator System.

HCPCS CODE E1392. Concentrator, Colored Tubing, Adapter Humidifier (when required), Cannulas or Masks and other required supplies and equipment, including back up systems. Perform Equipment Maintenance in accordance with manufacturer standards. At a minimum of once every 90 calendar days, visit and assess patient to assure equipment compliance, change filters and provide disposable supplies.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

MANUFACTURER PART NUMBER (MPN): N/A

4,880.00 MO _______________

Rental of Contractor Owned Portable O2 Gaseous System for use with or without Stationary System Priced Per Month.

HCPCS CODE E0431. Portable System, Regulator, Flowmeter, Humidifier, Cannulas, or Masks, Tubing, Conserving Device and O2 Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C & M-6.

175.00 MO _______________

Rental of Contractor Owned Stationary Liquid O2 System Priced Per Month. HCPCS CODE E0439. Reservoir, Regulator, Flowmeter, Humidifier, Cannulas or Masks, and Colored Tubing.

Rental of Contractor Owned Portable Liquid O2 System Priced Per Month. HCPCS CODE E0434. Portable Container, Refill Adapter Flowmeter, Cannulas or Masks, and Colored Tubing. Reservoir will be provided if another Stationary System (e.g. Concentrator) is rented.

100.00 EA _______________

Suction Pump Priced Per Each. HCPCS CODE E0600.

Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Pump, portable or stationary electric to include all supplies.

Suction Pump Rental Priced Per Each. HCPCS CODE E0600. Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Pump, portable or stationary electric to include all supplies.

80.00 MO _______________

Rental of Contractor Owned Volume Ventilator Priced Per Month. HCPCS CODE E0465. Delivery, Set-up, Training, and Maintenance of Contractor Owned Stationary or Portable Ventilator, to include back up Ventilator and all supplies.

12.00 EA _______________

Government Owned Ventilator Set-up Priced Per Each.

HCPCS CODE E0465. Delivery, Set-up, and Training of a Government Owned Ventilator to include all necessary supplies.

12.00 MO _______________

REACT V+C ventilator Priced Per Month. HCPCS CODE E0468. Maintenance of Government Owned Ventilator Systems, to include all necessary supplies.

Air Compressor Priced Per Month. HCPCS CODE E0465.

Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies.

50.00 MO _______________

Priced Per Month. E0565. Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

0.00 EA _______________

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Respiratory Therapist Visit Priced Per Each. HCPCS CODE VA120. Government requested Respiratory Therapist visit not covered by other Line Items.

Rental of Contractor Owned Portable Concentrator System.

Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

Rental of Contractor Owned Portable O2 Gaseous System for use with or without Stationary System Priced Per Month.

HCPCS CODE E0431. Portable System, Regulator, Flowmeter, Humidifier, Cannulas, or Masks, Tubing, Conserving Device and O2 Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C & M-6.

Rental of Contractor Owned Stationary Liquid O2 System Priced Per Month. HCPCS CODE E0439. Reservoir, Regulator, Flowmeter, Humidifier, Cannulas or Masks, and Colored Tubing.

Suction Pump Priced Per Each. HCPCS CODE E0600.

Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Pump, portable or stationary electric to include all supplies.

Rental of Contractor Owned Volume Ventilator Priced Per Month. HCPCS CODE E0465 & E0466. Delivery, Set-up, Training, and Maintenance of Contractor Owned Stationary or Portable Ventilator, to include back up Ventilator and all supplies.

Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

Government Owned Ventilator Set-up Priced Per Each.

HCPCS CODE E0465 & E0466. Delivery, Set-up, and Training of a Government Owned Ventilator to include all necessary supplies.

Ventilator Maintenance Priced Per Month. HCPCS CODE E0465 & E0466. Maintenance of Government Owned Ventilator Systems, to include all supplies.

Air Compressor Priced Per Month. HCPCS CODE E0565.

Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies.

Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

Priced Per Month. E0565. Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Respiratory Therapist Visit Priced Per Each. HCPCS CODE VA120. Government requested Respiratory Therapist visit not covered by other Line Items.

Rental of Contractor Owned Portable Concentrator System.

Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

Rental of Contractor Owned Portable O2 Gaseous System for use with or without Stationary System Priced Per Month.

HCPCS CODE E0431. Portable System, Regulator, Flowmeter, Humidifier, Cannulas, or Masks, Tubing, Conserving Device and O2 Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C & M-6.

Rental of Contractor Owned Stationary Liquid O2 System Priced Per Month. HCPCS CODE E0439. Reservoir, Regulator, Flowmeter, Humidifier, Cannulas or Masks, and Colored Tubing.

Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

Suction Pump Priced Per Each. HCPCS CODE E0600.

Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Pump, portable or stationary electric to include all supplies.

Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health

Government Owned Ventilator Set-up Priced Per Each.

HCPCS CODE E0465 & E0466. Delivery, Set-up, and Training of a Government Owned Ventilator to include all necessary supplies.

Ventilator Maintenance Priced Per Month. HCPCS CODE E0465 & E0466. Maintenance of Government Owned Ventilator Systems, to include all supplies.

Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

Air Compressor Priced Per Month. HCPCS CODE E0565.

Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies.

Priced Per Month. E0565. Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

Respiratory Therapist Visit Priced Per Each. HCPCS CODE VA120. Government requested Respiratory Therapist visit not covered by other Line Items.

Rental of Contractor Owned Portable Concentrator System.

Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

Rental of Contractor Owned Portable O2 Gaseous System for use with or without Stationary System Priced Per Month.

HCPCS CODE E0431. Portable System, Regulator, Flowmeter, Humidifier, Cannulas, or Masks, Tubing, Conserving Device and O2 Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C & M-6.

Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health

Equipment - Medical, Dental, and Veterinary Equipment and

Rental of Contractor Owned Stationary Liquid O2 System Priced Per Month. HCPCS CODE E0439. Reservoir, Regulator, Flowmeter, Humidifier, Cannulas or Masks, and Colored Tubing.

Suction Pump Priced Per Each. HCPCS CODE E0600.

Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Pump, portable or stationary electric to include all supplies.

Ordering Period: 4 POP Begin: 10-01-2029

Equipment - Medical, Dental, and Veterinary Equipment and

Government Owned Ventilator Set-up Priced Per Each.

HCPCS CODE E0465 & E0466. Delivery, Set-up, and Training of a Government Owned Ventilator to include all necessary supplies.

Ordering Period: 4 POP Begin: 10-01-2029

Equipment - Medical, Dental, and Veterinary Equipment and

Ventilator Maintenance Priced Per Month. HCPCS CODE E0465 & E0466. Maintenance of Government Owned Ventilator Systems, to include all supplies.

Air Compressor Priced Per Month. HCPCS CODE E0565.

Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies.

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Respiratory Therapist Visit Priced Per Each. HCPCS CODE VA120. Government requested Respiratory Therapist visit not covered by other Line Items.

Rental of Contractor Owned Portable Concentrator System.

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031

Rental of Contractor Owned Portable O2 Gaseous System for use with or without Stationary System Priced Per Month.

HCPCS CODE E0431. Portable System, Regulator, Flowmeter, Humidifier, Cannulas, or Masks, Tubing, Conserving Device and O2 Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C & M-6.

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

Rental of Contractor Owned Stationary Liquid O2 System Priced Per Month. HCPCS CODE E0439. Reservoir, Regulator, Flowmeter, Humidifier, Cannulas or Masks, and Colored Tubing.

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

Suction Pump Priced Per Each. HCPCS CODE E0600.

Purchase, Delivery, Set-up and Training of Contractor Home Model Respiratory Suction Pump, portable or stationary electric to include all supplies.

Ordering Period: 5 POP Begin: 10-01-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

Government Owned Ventilator Set-up Priced Per Each.

HCPCS CODE E0465 & E0466. Delivery, Set-up, and Training of a Government Owned Ventilator to include all necessary supplies.

Ventilator Maintenance Priced Per Month. HCPCS CODE E0465 & E0466. Maintenance of Government Owned Ventilator Systems, to include all supplies.

Air Compressor Priced Per Month. HCPCS CODE E0565.

Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies.

Ordering Period: 5 POP Begin: 10-01-2030

Equipment - Medical, Dental, and Veterinary Equipment and

Priced Per Month. E0565. Rental of Contractor Owned and Maintained continuous or intermittent air compressor for use with equipment not self contained or cylinder driven, to include all associated supplies Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Respiratory Therapist Visit Priced Per Each. HCPCS CODE VA120. Government requested Respiratory Therapist visit not covered by other Line Items.

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

0001a

6,790.00 MO _______________

Rental of Contractor Owned Low Decibel Concentrator System. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

0001b

1,320.00 MO _______________

Rental of Contractor Owned Home Fill Oxygen System.

HCPCS CODE K0738. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

0001c

6,840.00 MO _______________

Rental of Contractor Owned Hi Flow Concentrator System.

HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

00R1

13,040.0

CY _______________

E Cylinder Refill. HCPCS CODE E0443 Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

00R2

825.00 CY _______________

D Cylinder Refill. HCPCS CODE E0443 Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

00R3

875.00 CY _______________

C Cylinder Refill. HCPCS CODE E0443 Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

00R4

13,184.0

CY _______________

M-6 Cylinder Refill. HCPCS CODE E0443 Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

00R5

H Tank Refill. HCPCS CODE E0443 Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

00R6

825.00 LB _______________

Liquid Oxygen Refill. HCPCS CODE E0444 Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

1001a

Rental of Contractor Owned Low Decibel Concentrator System. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

1001b

Rental of Contractor Owned Home Fill Oxygen System.

HCPCS CODE K0738. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

1001c

Rental of Contractor Owned Hi Flow Concentrator System.

HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

10R1

CY _______________

E Cylinder Refill. HCPCS CODE E0443 Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

10R2

D Cylinder Refill. HCPCS CODE E0443 Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

10R3

C Cylinder Refill. HCPCS CODE E0443 Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

10R4

CY _______________

M-6 Cylinder Refill. HCPCS CODE E0443 Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

10R5

H Tank Refill. HCPCS CODE E0443 Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health

10R6

Liquid Oxygen Refill. HCPCS CODE E0444 Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

2001a

Rental of Contractor Owned Low Decibel Concentrator System. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

2001b

Rental of Contractor Owned Home Fill Oxygen System.

HCPCS CODE K0738. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

2001c

Rental of Contractor Owned Hi Flow Concentrator System.

HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

20R1

CY _______________

E Cylinder Refill. HCPCS CODE E0443 Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

20R2

D Cylinder Refill. HCPCS CODE E0443 Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

20R3

C Cylinder Refill. HCPCS CODE E0443 Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

20R4

CY _______________

M-6 Cylinder Refill. HCPCS CODE E0443 Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

20R5

H Tank Refill. HCPCS CODE E0443 Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

20R6

Liquid Oxygen Refill. HCPCS CODE E0444 Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

3001a

Rental of Contractor Owned Low Decibel Concentrator System. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

3001b

Rental of Contractor Owned Home Fill Oxygen System.

HCPCS CODE K0738. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

3001c

Rental of Contractor Owned Hi Flow Concentrator System.

HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

30R1

CY _______________

E Cylinder Refill. HCPCS CODE E0443 Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

30R2

D Cylinder Refill. HCPCS CODE E0443 Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

30R3

C Cylinder Refill. HCPCS CODE E0443 Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

30R4

CY _______________

M-6 Cylinder Refill. HCPCS CODE E0443 Ordering Period: 4 POP Begin: 10-01-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

30R5

H Tank Refill. HCPCS CODE E0443 Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

30R6

Liquid Oxygen Refill. HCPCS CODE E0444 Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

4001a

Rental of Contractor Owned Low Decibel Concentrator System. HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of

4001b

Rental of Contractor Owned Home Fill Oxygen System.

HCPCS CODE K0738. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

4001c

Rental of Contractor Owned Hi Flow Concentrator System.

HCPCS CODE E1390. To include all supplies, equipment maintenance and 90 calendar day visit as described in Item 1.

40R1

CY _______________

E Cylinder Refill. HCPCS CODE E0443 Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

40R2

D Cylinder Refill. HCPCS CODE E0443 Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

40R3

C Cylinder Refill. HCPCS CODE E0443 Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

40R4

CY _______________

M-6 Cylinder Refill. HCPCS CODE E0443 Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

40R5

H Tank Refill. HCPCS CODE E0443 Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health

40R6

Liquid Oxygen Refill. HCPCS CODE E0444 Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and

GRAND TOTAL _______________

See attached document: 36C26126Q0420 Questions and Responses.

See attached document: Quality Assurance Surveillance Plan - 4-8-26.

See attached document: PP Questionnaire.

See attached document: 36C26126Q0420 CLINS Price Per Unit.

File details come from the government source that posted it. Updated Apr 8, 2026.