36C26126Q0444.pdf

PDF 1 MB Posted Mar 23, 2026

Attached to: Home Oxygen Services and Ventilation - VA Central California Healthcare System (VACCHCS)
Solicitation number: 36C26126Q0444
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

About this file

Written by GovTribe AI · Mar 23, 2026

This is a Standard Form 1449 Solicitation/Contract/Order for Commercial Products and Commercial Services for home oxygen services and ventilation equipment rental to the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 (VISN 21) Central California Healthcare System (VACCHCS). The solicitation number is 36C26126Q0444, with an offer due date of April 20, 2026 at 10:00 AM PDT. The contracting officer is David J. Alvarez (916-923-4564), and questions are due by April 1, 2026. This is a service-disabled veteran-owned small business (SDVOSB) set-aside with a guaranteed minimum award of $100.00 and maximum contract ceiling of $6,000,000.00 across five one-year ordering periods from October 1, 2026 through September 30, 2031.

The Performance Work Statement requires the contractor to provide comprehensive home oxygen services including portable and stationary concentrator systems, liquid oxygen systems, portable gaseous systems, suction pumps, ventilators, and air compressors, along with all associated supplies (tubing, cannulas, masks, filters, humidifiers) and maintenance. Key service requirements include initial equipment setup within the same day or 24 hours of prescription receipt, monthly or quarterly home visits by certified respiratory therapists, 24/7/365 emergency response within two hours (not exceeding six hours), preventive maintenance per manufacturer specifications, and compliance with The Joint Commission standards or equivalent accreditation. The contractor must maintain a staffed branch office or available resources within 50 miles of each VA medical center serving counties including Fresno, Kings, Madera, Mariposa, Merced, Tulare, Kern, and San Luis Obispo in California. Contractor qualifications require at least two years of experience administering home oxygen and ventilator services, current TJC accreditation, infection control planning, and comprehensive employee training documentation. Pricing is requested on a monthly rental basis for equipment items and per-unit pricing for supplies and services, with invoicing upon delivery and government acceptance.

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Other files

File	Type	Posted
36C26126Q0444 0002 CANX.pdf	PDF	Jul 22, 2026
36C26126Q0444 Questions and Responses.pdf	PDF	Apr 7, 2026
Quality Assurance Surveillance Plan 4-3-2026.pdf	PDF	Apr 3, 2026
PP Questionnaire.docx	DOCX document	Apr 3, 2026
36C26126Q0444 CLINS Price Per Unit.xlsx	XLSX spreadsheet	Apr 3, 2026
36C26126Q0444 0001.pdf	PDF	Apr 3, 2026
Quality Assurance Surveillance Plan - VA Fresno.pdf	PDF	Mar 23, 2026
PP Questionnaire.docx	DOCX document	Mar 23, 2026

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PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C261-27-AP-0152

36C26126Q0444 03-23-2026

David J. Alvarez 916-923-4564 04-20-2026

10:00 AM PDT

612MCP

Department of Veterans Affairs

VA Sierra Pacific Network (VISN 21)

Network Contracting Office (NCO) 21

X 100

532283

$41 Million

N/A

See Performance Work Statement

612MCP

Department of Veterans Affairs

Network Contracting Office (NCO) 21

3237 Peacekeeper Way, Bldg 209

McClellan CA 95652

FMS VA-9(101) Financial Services Center

PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

Contractor shall provide Home Oxygen Services in accordance with the Performance Work Statement herein.

Period of Performance:

Ordering Period One: 10/1/2026 - 9/30/2027

Ordering Period Two: 10/1/2027 - 9/30/2028

Ordering Period Three: 10/1/2028 - 9/30/2029

Ordering Period Four: 10/1/2029 - 9/30/2030

Ordering Period Five: 10/1/2030 - 9/30/2031

Questions regarding this RFQ are due by 10:00 AM PDT on 4/1/2026. Questions and quote shall be submitted by email only to david.alvarez4@va.gov.

See CONTINUATION Page

X 1

David J. Alvarez

Contracting Officer

36C26126Q0444

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)(DEVIATION OCT 2025)

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (NOV 2025) (DEVIATION)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.8 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

C.9 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023)

(DEVIATION)

C.10 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

C.11 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ..89

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.2 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)(DEVIATION OCT 2025)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT

2018)(DEVIATION NOV 2025)

E.4 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)(DEVIATION NOV 2025)

E.6 52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (NOV 2020)

E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)(DEVIATION OCT 2025)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C261

VA Sierra Pacific Network (VISN 21)

Network Contracting Office (NCO) 21

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Upon Delivery and Government Acceptance

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

www.fsc.va.gov/einvoice.asp http://www.tungsten-network.com/US/en/veterans-affairs/

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

The Contractor shall provide Home Oxygen Services for the Department of Veterans Affairs in accordance with the specifications listed herein.

The guaranteed minimum award amount for this contract is $100.00. The maximum aggregate value of orders that can be placed under this contract is $6,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount. Quantities are estimates only. Each item requires a quoted price even if the item reflects a quantity of zero (0).

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 Priced Per Month. HCPCS CODE E1390. 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: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

MANUFACTURER PART NUMBER (MPN): N/A

3,000.00 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.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

0.00 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.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

0.00 EA _______________

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.

Ordering Period: 1 POP Begin: 10-01-2026

POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

2.00 MO _______________

REACT V+C ventilator Priced Per Month. HCPCS CODE E0468. Maintenance of Government Owned Ventilator Systems, to include all necessary 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: 6515 - Medical and Surgical

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.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

Ventilator Maintenance Priced Per Month. HCPCS CODE E0465 & E0466. Maintenance of Government Owned Ventilator Systems, to include 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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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

Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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

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 Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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 PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

Respiratory Therapist Visit Priced Per Each. HCPCS CODE VA120. Government requested Respiratory Therapist visit not covered by 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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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 Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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

Ordering Period: 4

POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all other line items.

Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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

Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

Rental of Contractor Owned Portable Concentrator System.

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

Ventilator Maintenance Priced Per Month. HCPCS CODE E0465 & E0466. Maintenance of Government Owned Ventilator Systems, to include all 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: 6515 - Medical and Surgical

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 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

Delivery Charge Priced Per Each. HCPCS CODE A9901.

Deliveries not made under all 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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

0001a

1.00 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.

Ordering Period: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

0001b

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: 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

0001c

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: 6515 - Medical and Surgical

00R1

6,000.00 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

00R2

20.00 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: 6515 - Medical and Surgical

00R3

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: 6515 - Medical and Surgical

00R4

1,000.00 CY _______________

M-6 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: 6515 - Medical and Surgical

00R5

0.00 CY _______________

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: 6515 - Medical and Surgical

00R6

0.00 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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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.

Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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.

Ordering Period: 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

10R1

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

10R4

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: 6515 - Medical and Surgical

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 Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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.

Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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.

Ordering Period: 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

20R1

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

20R4

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

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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.

Ordering Period: 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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.

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

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: 6515 - Medical and Surgical

30R1

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

30R4

M-6 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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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.

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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.

Ordering Period: 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

40R1

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

40R4

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: 6515 - Medical and Surgical

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 Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical

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: 6515 - Medical and Surgical

GRAND TOTAL _______________

B.3 PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT - HOME OXYGEN SERVICES

SECTION 1 – SCOPE

Scope:

This Performance Work Statement (PWS) defines the effort required for the setup, installation, and management of Home Oxygen services and Ventilation, in accordance with The Joint Commission (TJC) o r e q u i v a l e n t standards, to Veteran Beneficiaries serviced by VA Central California Healthcare

System (VACCHCS). This PWS includes the associated program management, human engineering, and logistic support planning requirements. The use of the terms “Beneficiary”, “Veterans”, “Patients”, and

“Patient” are used interchangeably and refer to the recipient of required supplies, equipment, and incidental services required under the contract.

1.1 Background:

The acquisition of Home Oxygen services is being initiated to provide Home Oxygen services to Veteran

Beneficiaries serviced by VA Central California Healthcare System (VACCHCS.). VA Central

California Healthcare System (VACCHCS) does not have the capacity to provide these services so a contract has been sought for the provision of home oxygen and all associated products and services.

1.2 Locations:

All services shall be performed in the Veteran's place of residence or in a nursing home housing the

Veteran. The area of service shall be all Patients serviced by VA Central California Healthcare System

(VACCHCS), including catchment areas, regardless of where Patient resides. The equipment needs are subject to change as determined by the prescribing physician. Contractors shall have a facility or resources physically located in the geographic area in which they shall provide service. Non-territory requests shall be required from time to time and the Contractor shall accept these "non-territory"

Veterans at that Contractor’s awarded price. VA reserves the right to assign these Patients to any

Contractor. The geographical boundaries described herein have been determined as the areas of responsibility/jurisdiction for each local VA Medical Centers (see next page for VISN 21 map).

VA Central California Healthcare System (VACCHCS) serves the counties of: Fresno, Kings, Madera, Mariposa, Merced, Tulare, Kern, and San Luis Obispo California. The main VA facility is located in

Fresno California.

1.3 Estimated Dollar Value / Guaranteed Minimum/Maximum

The following table includes the guaranteed minimum amounts per geographical area and the maximum ceiling amounts per geographical area. The minimum guarantee is applicable to the base year only and will be included in the first funded task order awarded against the IDIQ contract for each respective geographical area of the Indefinite Delivery Indefinite Quantity (IDIQ) contract. Also, the maximum ceiling amounts stated below for each geographical area apply to the IDIQ contract in its entirety, not to individual task/delivery orders.

Guaranteed Maximum

Geographical Area Minimum Ceiling

VA Central California Health Care System $100.00 $6,000,000.00

1.4 Roles and Responsibilities:

Clinician orders for providing Home Oxygen Healthcare Services, which includes the use of home oxygen, home based life support systems (i.e. ventilators) and related respiratory equipment (C-

PAP/Bi- Level nebulizers, compressors, etc.) are processed through the Prosthetic and Sensory Aid

Services (P&SAS) at the VA Medical Centers, and VA Healthcare Systems. Initiation of treatment, delivery and pick up of equipment and, resolutions of problems related to equipment or

Patients care are under the direction of P&SAS and/or the Contracting Officer's Technical

Representative (COR).

A. VA Clinicians have the exclusive responsibility for determining eligibility and necessity for admission to the Home Oxygen Program and for providing orders for admission. The Contractor shall provide the services, supplies and equipment as ordered, under the timelines specified.

B. VA Clinicians will complete initial and ongoing Patients assessments.

C. The Contractor is responsible for coordinating, supervising, monitoring, and evaluating the care and service provided and must assure that the contracted services are performed according to the terms of the contract. The Contractor must also assure that its personnel meet the requirements of the contract and are competent to do the jobs assigned them. The VA may but is not limited to monitoring the Contractor's performance through Contractor site visits, Patient home visits, record checks, and Patient satisfaction/complaints. The VA will conduct monthly review of invoices for accuracy. Monitors will focus on timeliness of equipment delivery; timeliness of maintenance visits; accuracy of required paperwork, and adherence to The Joint Commission

(TJC) or equivalent standards.

D. The VA sets timelines for the provision of services and the Contractor must meet those timelines.

It is the Contractors responsibility to schedule the times and dates for the delivery of services within the timelines established. Deliveries shall not be left unattended at the Patient's home, unless prior arrangements are made with the Patient. (See section 5 of the Performance Work Statement (PWS))

E. VA providers determine the discharge plan from the Home Oxygen Program based on clinical assessment that may also include data submitted by the Contractor.

F. Contractor shall notify Contracting Officer’s Representative (COR) for review and approval of any changes to the treatment plan and/or prescription that is sent to Contractor by VA medical provider. COR shall contact VA medical provider for his or her review and approval or disapproval.

G. In the event of damage to and/or theft of Contractor's equipment due to Patient negligence, Contractor shall, within 10 calendar days of having knowledge of damage and/or theft of any

Contractor issued equipment under this contract, notify the respective facility COR, in writing, describing the damage and/or theft. Facility COR will notify the Contracting Officer to discuss a resolution to the issue.

1.5 Accreditation:

The Contractor shall meet or exceed all The Joint Commission (TJC) standards (previously known as the

Joint Commission on Accreditation of Healthcare Organizations, or JCAHO) or equivalent accrediting standards for all services provided herein.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Mar 23, 2026.