RFQ 36C24825Q0568__.pdf

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

36C24825Q0568 06-17-2025

Jessica Kiser 407-413-2412 07-07-2025

16:00 EDT

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) VA Sunshine Healthcare Network 13000 Bruce B. Downs Blvd.

Tampa FL 33612 VISN 8 South Team (Contracting Office)

X 100

X

621610

$19 Million

N/A

X

36C546

Department of Veterans Affairs Miami VA Healthcare System Reference Section PWS for delivery information.

Miami FL 33125

36C248

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

Orlando, Fl 38314

Department of Veterans Affairs Financial Services Center

P.O. Box 149971 Austin TX 78714-9971

(877) 353-9791 (512) 460-5429

See CONTINUATION Page

Contractor shall provide Home Oxygen Services for veteran beneficiaries serviced by the Miami VA Healthcare System in Miami, Florida as described in the Performance Work Statement (PWS).

It is anticipated the government will award a single firm-fixed price Indefinite-Quantity Contract.

Contractor shall be responsible for wages, titles and compliance with all applicable wages and hour laws.

Offerors shall follow the quotation submission instructions specified in addendum to FAR 52.212-1 included in this Solicitation.

See CONTINUATION Page

X X

X 1

36C24825Q0568

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

B.3 PERFORMANCE WORK STATEMENT

B.4 VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

LANGUAGE

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025) (DEVIATION FEB 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 (OCT 1995)

C.6 52.217-6 OPTION FOR INCREASED QUANTITY (MAR 1989)

C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.8 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.9 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984) 95

C.10 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.11 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.12 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.13 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.14 VAAR 852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (MAY 2020)

C.15 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.16 VAAR 852.212-71 GRAY MARKET AND COUNTERFEIT ITEMS (FEB 2023)

C.17 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED SERVICE-

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

C.18 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

C.19 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.20 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019) 103

C.21 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.22 VAAR 852.246-71 REJECTED GOODS (OCT 2018)

C.23 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

C.24 SUPPLEMENTAL INSURANCE REQUIREMENTS

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 WAGE DETERMINATION

D.1.1 2015-4535 BROWARD COUNTY

D.1.2 2015-4543 DADE COUNTY

D.1.3 2015-4583 MONROE COUNTY

D.2 PAST PERFORMANCE QUESTIONNAIRE

D.3 VENTILATOR CAREGIVER CHECKLIST

D.4 PATIENT SATISFACTION SURVEY

D.5 PATIENT RIGHTS AND RESPONSIBILITIES

SECTION E - SOLICITATION PROVISIONS

E.1 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

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

COMMERCIAL SERVICES (SEP 2023)

E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

E.4 ADDENDUM TO 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

E.5 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (MAY 2024) (DEVIATION FEB 2025)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.7 52.216-1 TYPE OF CONTRACT (APR 1984)

E.8 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.9 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE

E.10 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.11 VAAR 852.239-75 INFORMATION AND COMMUNICATION TECHNOLOGY

ACCESSIBILITY NOTICE (FEB 2023)

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: The contractor shall provide a point of contact that the Department of Veterans Affairs may contact during the period of this contract for prompt action on matters pertaining to the administration of this contract.

Company Name:

Name:

Title:

Address:

Phone:

Fax:

E-mail address

b. GOVERNMENT: Contracting Officer: Jessica M. Kiser, jessica.kiser@va.gov, Department of Veterans Affairs Network Contracting Office 8 (NCO 8) VA Sunshine Healthcare Network 13000 Bruce B. Downs Blvd.

Tampa FL 33612

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] Monthly in arrears upon receipt and acceptance. Invoices are paid by VA form 1358.

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.

https://www.fsc.va.gov/einvoice.asp

5. FSC MANDATORY ELECTRONIC INVOICE SUBMISSION INSTRUCTIONS: Contractors are required to submit payment requests in electronic form in accordance with the submission instructions below.

TUNGSTEN ELECTRONIC INVOICE SUBMISSION

FSC e-INVOICE PROGRAM THRU AUSTIN PORTAL

FSC MANDATORY ELECTRONIC INVOICE SUBMISSION FOR AUSTIN PAYMENTS

mailto:jessica.kiser@va.gov https://www.fsc.va.gov/einvoice.asp

i. Vendor Electronic Invoice Submission Methods:

Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests.

Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below.

a) VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge.

b) A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI). The X12 EDI Web site (http://www.x12.org)

ii. Vendor e-invoice Set-Up Information:

Please contact Tungsten at the phone number or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge. If you have question about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below.

a) Tungsten e-Invoice Setup Information: 1-877-489-6135

b) Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

c) FSC e-Invoice Contact Information: 1-877-353-9791

d) FSC e-invoice email: vafsccshd@va.gov

6. CONTRACT MODIFICATIONS: The Contractor is advised that only the Contracting Officer, acting within the scope of the contract and his/her duties and responsibilities and after advice and consultation with the point of contact has the authority to make changes that will affect contract prices, quantity, quality, delivery terms and conditions, or the term of the contract. In no event shall any understanding or agreement, modification, change order, or other matters in deviation from the terms of this contract between Contractor and a person other than the Contracting Officer be effective or binding upon the Government. All such actions must be formalized by the proper contractual document executed by the Contracting Office.

7. GOVERNMENT CONTACTS: The Government will provide a list of contacts with phone numbers/email addresses at the time of award. There shall be a key person and a back-up person from each facility.

8. PAYMENT PROCEDURES: The contractor agrees to provide Home Oxygen services in accordance with the terms, conditions, and provisions stated herein at the prices specified in the Schedule of Supplies/Services. Payment for home oxygen services shall be based monthly in arrears, and VA Form 1358 will be used to obligate the estimated monthly amount of supplies and services. The service will review the monthly invoices prior to payment to ensure the vendor used the proper pricing (established in the below B.2 Price/Cost Schedule) and the quantities of supplies and services are valid.

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

AMENDMENT NO DATE

http://www.tungsten-network.com/US/en/veterans-affairs/ http://www.x12.org/ mailto:VA.Registration@Tungsten-Network.com mailto:vafsccshd@va.gov

B.2 PRICE/COST SCHEDULE

A. PRICE SCHEDULE INFORMATION

The contractor agrees to provide Home Oxygen Services for Miami VA Healthcare System in accordance with the terms, conditions, and provisions stated herein at the prices specified in the Schedule of Supplies/Services.

The guaranteed minimum contract amount, including the base year and any option years exercised, is $250,000.00 and the maximum contract amount, including the base year and any option years exercised, shall not exceed $7,000,000.00. The Contractor shall notify the contracting Officer when they have invoiced for 80% of the contract ceiling amount.

ESTIMATED QUANTITIES: The quantities listed in the Price Schedule below are estimates only and are not to be considered a minimum or maximum. These estimates do not create any obligation to purchase any specified amount of services under this contract, and the Government will only be obligated to make payment for services requested and received in the quantities and the quality requested. The Government does not guarantee or imply that any fixed number of orders/referrals for services will be placed under the resultant contract.

The Contractor shall track the aggregate quantity of services performed under each line item for each ordering period and provide to the COR quarterly, or more frequently if requested.

B. PRICE/COST SCHEDULE

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE

ESTIMATED

AMOUNT

200.00 EA __________________ __________________

Initial set-ups of equipment that consists of various cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies IAW PWS paragraph 1.8 and 1.9.

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

MANUFACTURER PART NUMBER (MPN): NONE

Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

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

Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

Contract Period: Base

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

Portable System Rental for patients’ home

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

175.00 EA __________________ __________________

Cylinder, Aluminum, E-tank, Rental

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

110.00 EA __________________ __________________

Cylinder, Aluminum, D-tank, Rental

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

10.00 EA __________________ __________________

Cylinder, Aluminum, MM-tank, Rental

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

110.00 EA __________________ __________________

Cylinder, Aluminum, M-6, Rental

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

10.00 EA __________________ __________________

Cylinder, Aluminum, H Rental

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

2,500.00 EA __________________ __________________

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

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

2,292.00 EA __________________ __________________

Pneumatic Demand/Conserving Regulators

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

140.00 EA __________________ __________________

Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

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

250.00 EA __________________ __________________

Ventilator, Volume ventilator, alternated current with battery backup, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Portable Concentrator w/two batteries. For travel not to exceed 30 days.

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

40,000.00 EA __________________ __________________

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

Contract Period: Base POP Begin: 10-01-2025

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

20,000.00 EA __________________ __________________

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

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

10,000.00 EA __________________ __________________

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

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

250.00 EA __________________ __________________

High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times.

(C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

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

Heated humidifier to be used in conjunction with volume ventilator

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

100.00 EA __________________ __________________

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

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

Emergency service to check out situations other than equipment failures

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

Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.

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

200.00 HR __________________ __________________

Therapist time per hour for special situations/clinical procedures when a credentialed therapist’s services are needed in the home as prescribed by the treating physician.

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

200.00 HR __________________ __________________

Back-up Respiratory Therapist time per hour for special situations/clinical procedures, when needed Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

214.00 EA __________________ __________________

regulator, handcart, pouch, backpack, proper storage and disposable supplies IAW PWS paragraph 1.8 and 1.9.

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

PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare nasal cannula or mask and humidifier when specified.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services nasal cannula or mask and humidifier when specified.

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

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

187.00 EA __________________ __________________

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

118.00 EA __________________ __________________

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

11.00 EA __________________ __________________

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

118.00 EA __________________ __________________

Cylinder, Aluminum, M-6, Rental Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

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

2,675.00 EA __________________ __________________

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

2,452.00 EA __________________ __________________

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

150.00 EA __________________ __________________

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

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

268.00 EA __________________ __________________

alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 1 POP Begin: 10-01-2026

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

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

42,800.00 EA __________________ __________________

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

21,400.00 EA __________________ __________________

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

10,700.00 EA __________________ __________________

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

268.00 EA __________________ __________________

monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times.

(C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

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

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

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

107.00 EA __________________ __________________

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

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

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

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

214.00 HR __________________ __________________

credentialed therapist’s services are needed in the home as prescribed by the treating physician.

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

214.00 HR __________________ __________________

procedures, when needed Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services appropriately prescribed Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

229.00 EA __________________ __________________

regulator, handcart, pouch, backpack, proper storage and disposable supplies IAW PWS paragraph 1.8 and 1.9.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services nasal cannula or mask and humidifier when specified.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services nasal cannula or mask and humidifier when specified.

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

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

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

126.00 EA __________________ __________________

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

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

126.00 EA __________________ __________________

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

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

2,862.00 EA __________________ __________________

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

2,624.00 EA __________________ __________________

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

160.00 EA __________________ __________________

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

Contract Period: Option 2 POP Begin: 10-01-2027

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

286.00 EA __________________ __________________

alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

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

45,796.00 EA __________________ __________________

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

22,898.00 EA __________________ __________________

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

11,449.00 EA __________________ __________________

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

286.00 EA __________________ __________________

monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times.

(C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

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

114.00 EA __________________ __________________

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

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

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

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

229.00 HR __________________ __________________

credentialed therapist’s services are needed in the home as prescribed by the treating physician.

Contract Period: Option 2 POP Begin: 10-01-2027

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

229.00 HR __________________ __________________

procedures, when needed Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services appropriately prescribed Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

245.00 EA __________________ __________________

regulator, handcart, pouch, backpack, proper storage and disposable supplies IAW PWS paragraph 1.8 and 1.9.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services nasal cannula or mask and humidifier when specified.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services nasal cannula or mask and humidifier when specified.

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

Contract Period: Option 3

POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

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

135.00 EA __________________ __________________

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

12.00 EA __________________ __________________

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

135.00 EA __________________ __________________

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

12.00 EA __________________ __________________

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

3,063.00 EA __________________ __________________

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

2,808.00 EA __________________ __________________

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

172.00 EA __________________ __________________

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

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

306.00 EA __________________ __________________

alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

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

49,002.00 EA __________________ __________________

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

24,501.00 EA __________________ __________________

Contract Period: Option 3 POP Begin: 10-01-2028

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

12,250.00 EA __________________ __________________

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

306.00 EA __________________ __________________

monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times.

(C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

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

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

123.00 EA __________________ __________________

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

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

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 beneficiary’s residence.

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

245.00 HR __________________ __________________

credentialed therapist’s services are needed in the home as prescribed by the treating physician.

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

245.00 HR __________________ __________________

procedures, when needed Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services appropriately prescribed Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

262.00 EA __________________ __________________

regulator, handcart, pouch, backpack, proper storage and disposable supplies IAW PWS paragraph 1.8 and 1.9.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services nasal cannula or mask and humidifier when specified.

Contract Period: Option 4 POP Begin: 10-01-2029

POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare nasal cannula or mask and humidifier when specified.

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

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

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

144.00 EA __________________ __________________

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

13.00 EA __________________ __________________

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

144.00 EA __________________ __________________

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

13.00 EA __________________ __________________

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

3,277.00 EA __________________ __________________

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

3,004.00 EA __________________ __________________

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

184.00 EA __________________ __________________

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

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

328.00 EA __________________ __________________

alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services

Contract Period: Option 4 POP Begin: 10-01-2029

POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

52,432.00 EA __________________ __________________

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

26,216.00 EA __________________ __________________

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

13,108.00 EA __________________ __________________

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

328.00 EA __________________ __________________

monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times.

(C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

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

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

131.00 EA __________________ __________________

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

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

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

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

262.00 HR __________________ __________________

credentialed therapist’s services are needed in the home as prescribed by the treating physician.

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

262.00 HR __________________ __________________

procedures, when needed Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services appropriately prescribed Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030

MANUFACTURER PART NUMBER (MPN): NONE

ESTIMATED

GRAND TOTAL

Estimated $$ Estimated Base Total Estimated Option 1 Total Estimated Option 2 Total Estimated Option 3 Total Estimated Option 4 Total Estimated Grand Total

B.3 PERFORMANCE WORK STATEMENT

MIAMI HOME OXYGEN SERVICE

1. SCOPE: This Performance Work Statement (PWS) defines the effort required for the setup, installation, and management of Home Oxygen and Ventilation, in accordance with Joint Commission (JC) standards for Homecare, to Veteran beneficiaries serviced by Miami VA Healthcare System (MVAHCS). 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 services required under the contract.

1.1. BACKGROUND. The acquisition of Home Oxygen is being initiated to provide Home Oxygen to Veteran beneficiaries serviced by Miami VA Healthcare System. MVAHCS does not have the capacity to provide these supplies, so a contract has been sought for the provision of home oxygen and all associated products and services. Per VHA Directive 1173.13(1) Home Oxygen Program 5.0., the prescribing provider is responsible for completing the annual prescription for home oxygen for veteran patients. The Miami VA Healthcare System currently supplies an estimated 197 oxygen using patients in the catchment area of Dade, Broward and Monroe counties. The consult includes the patient’s oxygen prescription, oxygen prescription expiration date, equipment, supplies, and services to be provided including the date and place of delivery. All services shall be provided either at MVAHCS, the veteran’s residence, or in nursing home where the veteran resides. All efforts in support of this requirement are carried out in accordance with Joint Commission standards.

1.2. OBJECTIVES. The Government intends to award a single award fixed price Indefinite Delivery Contract as a result of this solicitation. In accordance with the prescription received from the MVAHCS, the contractor shall provide the beneficiary with home oxygen equipment and supplies. In addition, the contractor shall deliver, set up, and install all equipment and supplies at the veteran patient’s residence.

This full-service contract includes establishing operational parameters of equipment for VA prescription, ensuring purity of O2, veteran training on system operations, review of safety checks, and discussion of home safety issues. The operational parameters shall also include scheduled maintenance visits, emergencies, assessment requirements, and removal of equipment upon discontinuation notification.

Prices quoted shall be all inclusive of deliveries and transportation within the MVAHCS catchment areas, and equipment, safety inspections, repairs, maintenance, and in-service training for beneficiaries to include patient education.

1.2.1 The contractor shall provide all personnel, equipment, tools, materials, supervision, other items, and non-personnel services necessary to perform Home Oxygen Services for beneficiaries of the Miami VA Healthcare System (MVAHCS) catchment areas in Miami, Florida. The Contracting Officer Representative (COR) or VA designee shall provide the contractor with the prescription orders for veteran patients. The contractor shall accomplish the delivery, set-up, installation of equipment, assessments, patient education and scheduled maintenance. The contractor shall install and maintain all VA owned equipment including providing all related supplies. All Government Furnished Property (GFP) will be labeled as VA Owned by the contractor.

1.2.2 The Contracting Officer Representative (COR) or designee (home oxygen clinical staff) will provide the Contractor with notification of individual patient equipment requirements via fax or encrypted email or other electronic means (telephonic for emergencies). The VA home oxygen clinics in the three counties will be notified by the contractor via fax or encrypted email to confirm receipt of order(s) immediately. The contractor shall contact the home oxygen clinic or COR for assistance in clarifying orders.

1.3. PERIOD OF PERFORMANCE. The period of performance shall be for one (1) base year of 12-months and four (4) 12-month option years. The period of performance reads as follows:

• Base Year

• Option Year One

• Option Year Two

• Option Year Three

• Option Year Four

1.3.1 The government reserves the right to extend the term of this contract at the prices set forth in Section B in accordance with the terms and conditions contained in clause 52.217-9 entitled, “Option to Extend the Term of the Contact.”

1.4 GEOGRAPHIC AREA OF COVERAGE. The Contractor shall provide Home Oxygen within a defined area of responsibility/jurisdiction to the patients’ residence, or other location as indicated on the order for Home Oxygen. Area of responsibility/jurisdiction for each VA facility (see below table) includes the counties identified within this section for specific counties covered by each facility) as applicable to the area of responsibility/jurisdiction. Distribution of patients on Miami Home Oxygen Program will vary from month to month as patients are added or deleted from the program.

1.4.1 The Contractor shall provide delivery, setup, installation, and management of Home Oxygen services to any Patients that are treated at the Miami VA Medical Center and all Community Based Outpatient Centers (CBOC’s) supported therein (Clinic of Jurisdiction/Primary Service Area COJ/PSA), regardless of their physical location. The listing of these counties does not exclude other counties. This includes Patients who reside near bordering states catchment areas but prefer to be seen in Miami VAMC.

Portable cylinders, regulators, regulator keys and 02 carriers shall be delivered to the Miami VAMC within one (1) business day of request to accommodate Home Oxygen beneficiaries who are visiting the VA or being discharged and require a tank of oxygen to go home. This shall be provided at no additional charge.

NOTE: (1) The Government reserves the right to purchase the services from the Contractor awarded a contract whose area of responsibility/jurisdiction includes the location of the patient’s place of residence.

(2) Contractors shall provide home oxygen to Veterans that are traveling in and out of the contractor’s area of responsibility/jurisdiction as outlined in section 4.10 (Traveling Patients).

a) Miami VA Healthcare System includes the following facilities: COUNTIES IN Broward, Dade, and Monroe Counties.

Facility Address

Bruce W. Carter Department of Veterans Affairs Medical Center

1201 Northwest 16th Street, Miami, FL 33125-1624

Deerfield Beach VA Clinic Southwest 10th Street, Deerfield, FL 33442-7690 Hollywood VA Clinic 3702 Washington Street, Suite 201, Hollywood, FL 33021-8283 Key Largo VA Clinic 105662 Overseas Highway, Key Largo, FL 33037-3010 Key…