Home Oxygen VAPIHCS Item Schedule v2 SAM.xlsx

XLSX spreadsheet 29 KB Posted May 8, 2023

Attached to: VA Home Oxygen Services for Pacific Islands Federal contract opportunity
Solicitation number: 36C26123Q0231
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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Other files for this federal contract opportunity

Other files attached to VA Home Oxygen Services for Pacific Islands, newest first.
File	Type	Posted
36C26123Q0231 VAPIHCS.pdf	PDF	May 19, 2023
Item Schedule- PIHCS.xlsx	XLSX spreadsheet	May 19, 2023
RFQ 36C26123Q0231.pdf	PDF	May 8, 2023
WAGE DETERMINATIONS - Pacific.pdf	PDF	May 8, 2023
QASP - Home Oxygen.pdf	PDF	May 8, 2023

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Sheet1

ITEM#	ITEM NAME	HCPCS	ITEM DESCRIPTION	CONTRACT PERIOD	ESTIMATED	UNIT	UNIT	TOTAL
		CODE			QUANTITIES

tc={84733525-5826-460C-9348-D094097B986B}: [Threaded comment]

Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924

Comment:

Is this quantity per month or the life of the contract	PRICE	(Where just number,	ESTIMATED COST
									unit is "Month.")
	1	Rental of Contractor		E1392	Concentrator, Colored Tubing, Adapter	Base Period:	06/01/23-05/31/2024	400	12	$0.00
		Owned Concentrator			Humidifier (when required), Cannulas or
		System			Masks and other required supplies and
		Priced Per Month			equipment, including back up systems.
					Perform Equipment Maintenance in
					accordance with manufacturer standards.
					At a minimum of once every 90 calendar

Department of Veterans Affairs: Department of Veterans Affairs:

Remove this and state home O2

days, visit and assess patient to assure
equipment complinace, change filters and	1.07
provide disposable supplies.

1a	Rental of Contractor	E1390	To include all supplies, equipment	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	Owned Low Decibel		maintenance and 90 calendar day visit as
	Concentrator System		described in Item 1
	Priced Per Month

1b	Rental of Contractor	E1390	To include all supplies, equipment	Base Period:	06/01/23-05/31/2024	50	12	$0.00
	Owned Home Fill		maintenance and 90 calendar day visit as
	Oxygen System		described in Item 1
	Priced Per Month

1c	Rental of Contractor	E1390	To include all supplies, equipment	Base Period:	06/01/23-05/31/2024	10	12	$0.00
	Owned Hi Flow		maintenance and 90 calendar day visit as

tc={273D61AD-01F2-4351-AB97-5C17527FBCD2}: [Threaded comment]

Comment:

see above no 90 days	Concentrator System		described in Item 1
		Priced Per Month

ITEM#	ITEM NAME	HCPCS	ITEM DESCRIPTION	CONTRACT PERIOD	ESTIMATED	UNIT	UNIT	TOTAL
		CODE			QUANTITIES

tc={834B7633-8EDB-4737-85E6-E78F25AD07AF}: [Threaded comment]

Comment:

Is this quanity supposed to be per month or the entire 12 month period	PRICE	(Where just number,	ESTIMATED COST
									unit is "Month.")
	2	Rental of Contractor		E0431	Portable System, Regulator,	Base Period:	06/01/23-05/31/2024	35	12	$0.00
		Owned Portable O2			Flowmeter, Humidifier, Cannulas,
		Gaseous System for			or Masks, Tubing,
		use with or without			Conserving Device and O2 Tank
		Stationary System			Cylinder Stands capable of holding
		Priced Per Month			12 cylinders, sizes E, D, C & M-6

2a Portabl oxygen contrator E1392 35 12 $0.00 tc={E45D0465-0301-4449-837E-57AF38F64283}: [Threaded comment]

Comment:

add these items	3	Rental of Contractor	E0439	Resevoir, Regulator, Flowmeter,	Base Period:	06/01/23-05/31/2024	5	12	$0.00
		Owned Stationary		Humidifier, Cannulas or Masks, and
		Liquid O2 System		Colored Tubing.
		Priced Per Month

4	Rental of Contractor	E0434	Portable Container, Refill Adapter	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	Owned Portable		Flowmeter, Cannulas or Masks, and
	Liquid O2 System		Colored Tubing. Resevoir will be provided
	Priced Per Month		if another Stationary System (e.g.
			Concentrator) is rented.

5	Continuous Positive	E0601	Delivery, Set-up & Training of	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	Airway Device		Government Owned CPAP in
	(CPAP) Set-up		Patient's Home to include all supplies
	Priced Per Each		Mask will be provided by VA

tc={E05D991A-1C42-41D0-8364-2799068C5AAD}: [Threaded comment]

Comment:

mask will typically be provided by VA but may ask for contractor provision

6	CPAP Maintenance	E0601	Maintenance of Government Owned	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	As Requested		CPAP, to include maintenance in
	Priced Per Each		accordance with Manufacturer
			recommendation, replacement of
			Headgear, Chinstraps, Tubing, Mask
			& Filters Disposible/Non-Disposible
			in Patients Home
			Mask will be provided by VA

ITEM#	ITEM NAME	HCPCS	ITEM DESCRIPTION	CONTRACT PERIOD		ESTIMATED	UNIT	UNIT	TOTAL
		CODE				QUANTITIES	PRICE	(Where just number,	ESTIMATED COST
								unit is "Month.")
7	Continuous Positive	E0601	Delivery, Set-up & Training of	Base Period:	06/01/23-05/31/2024	5		12	$0.00
	Airway Device		Government Owned CPAP at the
	(CPAP) Set-up		Contractors Facility to include all supplies
	Priced Per Each		Mask will be provided by VA

8	Bilevel Positive Airway	E0470	Delivery, Set-up & Training of	Base Period:	06/01/23-05/31/2024	5
	Pressure Device		Government Owned BiLevel in				12
	Set-up		Patient's Home to include all supplies
	Priced Per Each		Mask will be provided by VA

9	BiLevel Maintenance	E0470	Maintenance of Government Owned	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	As Requested		BiLevel, to include maintenance in
	Priced Per Each		accordance with Manufacturer
			recommendation, replacement of
			Headgear, Chinstraps, Tubing, Mask
			& Filters Disposible/Non-Disposible
			In Patients Home
			Mask will be provided by VA

10	BiLevel Set-up	E0470	Delivery, Set-up & Training of	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	Priced Per Each		Government Owned BiLevel at the
			Contractors Facility to include all supplies
			Mask will be provided by VA

11	Nebulizers	E0570	Delivery, Set-up and Training of	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	Priced Per Each		Government Owned Nebulizer,
			Compressor or Battery Powered as
			ordered

ITEM#	ITEM NAME	HCPCS	ITEM DESCRIPTION	CONTRACT PERIOD		ESTIMATED	UNIT	UNIT	TOTAL
		CODE				QUANTITIES	PRICE	(Where just number,	ESTIMATED COST
								unit is "Month.")
12	Suction Pump	E0600	Purchase, Delivery, Set-up and	Base Period:	06/01/23-05/31/2024	5		12	$0.00
	Priced Per Each		Training of Contractor Home Model
			Respiratory Suction Pump, portable
			or stationary electric to include all
			supplies

13	Suction Pump Rental	E0600	Delivery, Set-up, and Training of	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	Priced Per Each		Contractor Owned Suction Pump to
			Include all supplies

14a	Rental of Contractor	E0465	Home Ventilator, Invasive Interface	Base Period:	06/01/23-05/31/2024	3	12	$0.00
	Owned Volume		Delivery, Set-up, Training, and
	Invasive Ventilator		Maintenance of Contractor Owned
			Stationary or Portable Ventilator, to
	Priced Per Month		include back up Ventilator and all supplies

14b	Rental of Contractor	E0466	Home Ventilator, Non-Invasive Interface	Base Period:	06/01/23-05/31/2024	20	12	$0.00
	Owned Volume		Delivery, Set-up, Training, and
	Non-Invasive Ventilator		Maintenance of Contractor Owned
			Stationary or Portable Ventilator, to
	Priced Per Month		include back up Ventilator and all supplies

tc={066768CA-1A9D-438B-86F2-A2139007B8CD}: [Threaded comment]

Comment:

New item request	Rental of Contractor		EO482	Delivery, Set-up, and Training of			20		12	$0.00
		owned cough assist			Contractor Owned cough assist or AkA "cofflator"
					Include all supplies
	ITEM#	ITEM NAME		HCPCS	ITEM DESCRIPTION	CONTRACT PERIOD		ESTIMATED	UNIT	UNIT	TOTAL
				CODE				QUANTITIES	PRICE	(Where just number,	ESTIMATED COST
										unit is "Month.")
	17	Air Compressor		E0565	Rental of Contractor Owned and	Base Period:	06/01/23-05/31/2024	3		12	$0.00
		Priced Per Month			Maintained continuous or intermittent
					air compressor for use with
					equipment not self contained or
					cylinder driven, to include all
					associated supplies

18	Full Face Masks	A7030	CPAP/Bilevel Full Face Masks	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	Priced Per Each		Including Headgear

19	Nasal Interface Mask	A7034	CPAP/Bilevel Masks, Nasal	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	or Cannula Type		Interface, Nasal Pillows & Nasal
	Priced Per Each		Cushions (Mask or Cannula Type)
			Including Headgear

20	Delivery Charge	A9901	Deliveries not made under all other	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	Priced Per Each		line items

21	Respiratory Therapist	VA120	Government requested Respiratory	Base Period:	06/01/23-05/31/2024	5	12	$0.00
	Visit		Therapist visit not covered by other
	Priced Per Each		Line Items

22	O2 Conc Start Up Kit	R038949	O2 Conc Start Up Kit Firesafe Bi-Directional;	Base Period:	06/01/23-05/31/2024	30	12	$0.00
	FireSafe Bi-Directional		Includes two (2) Firesafe Thermal Shut-off Valves
			and one (1) Firesafe Tubing Connector
	Priced Per Each

San Francisco specific pricing instructions

Line Items 1-1c Require Quarterly Maintenance Visits

tc={EBBE8ED5-C4AF-439B-A6EA-7C0C23CD6E28}: [Threaded comment]

Comment:

remove quartely per manufactuers req tc={066768CA-1A9D-438B-86F2-A2139007B8CD}: [Threaded comment]

Comment:

New item request tc={84733525-5826-460C-9348-D094097B986B}: [Threaded comment]

Comment:

Is this quantity per month or the life of the contract tc={131F485A-7508-4288-BD38-7FF296B840A6}: [Threaded comment]

Comment:

and equipment inspections per manufactueres specifications Department of Veterans Affairs: Department of Veterans Affairs:

Remove this and state home O2 tc={834B7633-8EDB-4737-85E6-E78F25AD07AF}: [Threaded comment]

Comment:

Is this quanity supposed to be per month or the entire 12 month period tc={5F3F4BE8-4B8D-4BB7-A959-F3A348161224}: [Threaded comment]

Comment:

see above	Line Items 5-10 - VA provided Mask
		Line Items 6 & 9 Maintenance upon request
					REFILLS - ALL QUANTITIES ARE MONTHLY			ESTIMATED	UNIT
	ITEM#	ITEM NAME	HCPCS	ITEM DESCRIPTION		CONTRACT PERIOD		MONTHLY	CYLINDER	UNIT	TOTAL ESTIMATED
			CODE					QUANTITIES	PRICE		COST
	R1	E Cylinder	E0443	E Cylinder Refill		Base Period:	06/01/23-05/31/2024	400		12	$0.00

R2 D Cylinder E0443 D Cylinder Refill Base Period: 06/01/23-05/31/2024 25 12 $0.00

R3 C Cylinder E0443 C Cylinder Refill Base Period: 06/01/23-05/31/2024 2 12 $0.00

R4 M-6 Cylinder E0443 M-6 Cylinder Refill Base Period: 06/01/23-05/31/2024 300 12 $0.00

R5 H Tank E0443 H Tank Refill Base Period: 06/01/23-05/31/2024 100 12 $0.00

							UNIT PER LB
							PRICE
R6	Liquide Oxygen	E0444	Liquide Oxygen	Base Period:	06/01/23-05/31/2024	500		12	$0.00
			Refill

PRICING TOTAL PAGE

Line Items 1 - 22 (Base Period) $0.00

Line Items R1 - R6 (Base Period) $0.00

Grand Total $0.00

File details come from the government source that posted it. Updated May 8, 2023.