VA259-17-R-0100-A00010008.xlsx
XLSX spreadsheet Posted
- Attached to
- AMENDMENT 9
- Solicitation number
- VA25917R0100
About this file
This document is a price schedule for a federal contract with the Department of Veterans Affairs to provide durable medical equipment and related services to veterans in Montana. It outlines 18 line items with estimated annual quantities and unit prices for the base year and four option years. Requirements include the rental and maintenance of oxygen concentrators, portable oxygen systems, ventilators, suction machines, and other respiratory equipment. It also includes the delivery of stationary liquid oxygen, portable gas cylinder refills, and clinician visits. The contractor must set up and train patients on the equipment, maintain devices, and replace supplies according to manufacturers' guidelines. This price schedule provides the pricing terms for solicitation number VA25917R0100 to support veterans in Montana over a potential five-year period of performance.
VA259-17-R-0100 A00010 Attachment 1, Montana CLINS.xlsx
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Denver
| PRICE SCHEDULE | ||||||
| VA MONTANA HEALTH CARE SYSTEM | ||||||
| PERIOD OF PERFORMANCE: BASE YEAR NOVEMBER 1, 2017 TO SEPTEMBER 30, 2018 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 600 | Each | ||
| 0001AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 2,200 | Each | ||
| 0001AB | E1390 | Equipment Maintenance Low Decibel Concentrator: 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. | 550 | Each | ||
| 0002 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 24 | Each | ||
| 0002AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 540 | Each | ||
| 0002AB | E1390 | Equipment Maintenance of High Flow Concentrator: 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. | 135 | Each | ||
| 0003 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, and functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 420 | Each | ||
| 0003AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 120 | Each | ||
| 0004 | E0443 | Initial set up of Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: M6/B, C, D, and E. | 600 | Each | ||
| 0004AA |
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
| E0443 | Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: M6/B, C, and E. (these require a 12 cylinder rack). | 2,200 | Each | |
| 0005 | E0439 | Initial set up of Rental of Stationary Liquid Oxygen System: Contractor to deliver, set-up & ensure proper training, functioning of equipment of Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 2 | Each |
| 0005AA | E0439 | Rental of Stationary Liquid Oxygen System: Perform Equipment Maintenance in accordance with manufacturer standards for portable container(s). At a minimum of once evey 90 calendar days, visit and assess patient to assure equipment compliance, and provide disposable supplies.. | 120 | Each |
| 0006 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 36,000 | LBS |
| 0007 | E0465 | Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 10 | Each |
| 0007AA | E0465 | Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment. | 120 | Each |
| 0007AB | E0465 | Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines. | 120 | Each |
| 0008 | E0565 | Initial set up of Rental of Air Compressor: Delivery, Set-up, and Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 10 | Each |
| 0008AA | E0565 | Rental of Air Compressor: Contractor to perform maintenance and deliver the replacement of associated supplies, per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 120 | Each |
| 0009 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 120 | Each |
| 0010 | E0600 | Initial Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies. | 24 | Each |
| 0010AA | E0600 | Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies. | 24 | Each |
| 0011 | VA120 | Initial Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies. | 60 | Each |
| 0011AA | VA120 | Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies. | 120 | Each |
| 0012 | VA120 | Initial Set-up of Cough Assist: Set-up, and Training of VA owned cough assist device. | 3 | Each |
| 0012AA | VA120 | Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies. | 36 | Each |
| 0013 | VA120 | Initial Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests. | 5 | Each |
| 0013AA | VA120 | Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies. | 5 | Each |
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6/B, C,D,E) | 10,000 | Each |
| 0014AA |
Department of Veterans Affairs: Department of Veterans Affairs:
DELETE THIS CLIN. SEE 0018AA BELOW
| E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | |||
| 0015 | VA120 | Initial Set-up of Airvo: Set-up, Training of VA owned Airvo. | 3 | Each | ||
| 0015AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 36 | Each | ||
| 0016 | E0470 | Initial Set-up of Bi-PAP (non-sleep apnea related): Delivery, Set-up and Training of VA owned Bi-PAP. | 24 | Each | ||
| 0017 | K0738 | Initial set up of Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems. | 2 | Each | ||
| 0017A | K0738 | Rental of Home fill system: 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. | 16 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 60 | Each | ||
| 0018 | E0441 | Initial set up of Rental of Stationary Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. System, including regulator for continuous flow, Conserving device (pulse dose regulator) , provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding H/J tanks. | 12 | Each | ||
| 0018AA | E0441 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 1 OCTOBER 1, 2018 TO SEPTEMBER 30, 2019 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 600 | Each | ||
| 0001AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 2,200 | Each | ||
| 0001AB | E1390 | Equipment Maintenance Low Decibel Concentrator: 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. | 550 | Each | ||
| 0002 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 24 | Each | ||
| 0002AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 540 | Each | ||
| 0002AB | E1390 | Equipment Maintenance of High Flow Concentrator: 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. | 135 | Each | ||
| 0003 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, and functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 420 | Each | ||
| 0003AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 120 | Each | ||
| 0004 | E0443 | Initial set up of Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: M6/B, C, D, and E. | 600 | Each | ||
| 0004AA |
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
| E0443 | Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: M6/B, C, and E. (these require a 12 cylinder rack). | 2,200 | Each | |
| 0005 | E0439 | Initial set up of Rental of Stationary Liquid Oxygen System: Contractor to deliver, set-up & ensure proper training, functioning of equipment of Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 2 | Each |
| 0005AA | E0439 | Rental of Stationary Liquid Oxygen System: Perform Equipment Maintenance in accordance with manufacturer standards for portable container(s). At a minimum of once evey 90 calendar days, visit and assess patient to assure equipment compliance, and provide disposable supplies.. | 120 | Each |
| 0006 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 36,000 | LBS |
| 0007 | E0465 | Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 10 | Each |
| 0007AA | E0465AA | Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment. | 120 | Each |
| 0007AB | E0465 | Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines. | 120 | Each |
| 0008 | E0565 | Initial set up of Rental of Air Compressor: Delivery, Set-up, and Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 10 | Each |
| 0008AA | E0565 | Rental of Air Compressor: Contractor to perform maintenance and deliver the replacement of associated supplies, per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 120 | Each |
| 0009 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 120 | Each |
| 0010 | E0600 | Initial Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies. | 24 | Each |
| 0010AA | E0600 | Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies. | 24 | Each |
| 0011 | VA120 | Initial Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies. | 60 | Each |
| 0011AA | VA120 | Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies. | 120 | Each |
| 0012 | VA120 | Initial Set-up of Cough Assist: Set-up, and Training of VA owned cough assist device. | 3 | Each |
| 0012AA | VA120 | Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies. | 36 | Each |
| 0013 | VA120 | Initial Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests. | 5 | Each |
| 0013AA | VA120 | Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies. | 5 | Each |
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6/B, C,D,E) | 10,000 | Each |
| 0014AA |
Department of Veterans Affairs: Department of Veterans Affairs:
DELETE THIS CLIN. SEE 0018AA BELOW
| E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | |||
| 0015 | VA120 | Initial Set-up of Airvo: Set-up, Training of VA owned Airvo. | 3 | Each | ||
| 0015AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 36 | Each | ||
| 0016 | E0470 | Initial Set-up of Bi-PAP (non-sleep apnea related): Delivery, Set-up and Training of VA owned Bi-PAP. | 24 | Each | ||
| 0017 | K0738 | Initial set up of Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems. | 2 | Each | ||
| 0017A | K0738 | Rental of Home fill system: 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. | 16 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 60 | Each | ||
| 0018 | E0441 | Initial set up of Rental of Stationary Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. System, including regulator for continuous flow, Conserving device (pulse dose regulator) , provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding H/J tanks. | 12 | Each | ||
| 0018AA | E0441 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 2 OCTOBER 1, 2019 TO SEPTEMBER 30, 2020 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 600 | Each | ||
| 0001AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 2,200 | Each | ||
| 0001AB | E1390 | Equipment Maintenance Low Decibel Concentrator: 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. | 550 | Each | ||
| 0002 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 24 | Each | ||
| 0002AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 540 | Each | ||
| 0002AB | E1390 | Equipment Maintenance of High Flow Concentrator: 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. | 135 | Each | ||
| 0003 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, and functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 420 | Each | ||
| 0003AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 120 | Each | ||
| 0004 | E0443 | Initial set up of Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: M6/B, C, D, and E. | 600 | Each | ||
| 0004AA |
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
| E0443 | Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: M6/B, C, and E. (these require a 12 cylinder rack). | 2,200 | Each | |
| 0005 | E0439 | Initial set up of Rental of Stationary Liquid Oxygen System: Contractor to deliver, set-up & ensure proper training, functioning of equipment of Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 2 | Each |
| 0005AA | E0439 | Rental of Stationary Liquid Oxygen System: Perform Equipment Maintenance in accordance with manufacturer standards for portable container(s). At a minimum of once evey 90 calendar days, visit and assess patient to assure equipment compliance, and provide disposable supplies.. | 120 | Each |
| 0006 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 36,000 | LBS |
| 0007 | E0465 | Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 10 | Each |
| 0007AA | E0465AA | Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment. | 120 | Each |
| 0007AB | E0465 | Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines. | 120 | Each |
| 0008 | E0565 | Initial set up of Rental of Air Compressor: Delivery, Set-up, and Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 10 | Each |
| 0008AA | E0565 | Rental of Air Compressor: Contractor to perform maintenance and deliver the replacement of associated supplies, per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 120 | Each |
| 0009 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 120 | Each |
| 0010 | E0600 | Initial Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies. | 24 | Each |
| 0010AA | E0600 | Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies. | 24 | Each |
| 0011 | VA120 | Initial Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies. | 60 | Each |
| 0011AA | VA120 | Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies. | 120 | Each |
| 0012 | VA120 | Initial Set-up of Cough Assist: Set-up, and Training of VA owned cough assist device. | 3 | Each |
| 0012AA | VA120 | Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies. | 36 | Each |
| 0013 | VA120 | Initial Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests. | 5 | Each |
| 0013AA | VA120 | Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies. | 5 | Each |
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6/B, C,D,E) | 10,000 | Each |
| 0014AA |
Department of Veterans Affairs: Department of Veterans Affairs:
DELETE THIS CLIN. SEE 0018AA BELOW
| E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | |||
| 0015 | VA120 | Initial Set-up of Airvo: Set-up, Training of VA owned Airvo. | 3 | Each | ||
| 0015AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 36 | Each | ||
| 0016 | E0470 | Initial Set-up of Bi-PAP (non-sleep apnea related): Delivery, Set-up and Training of VA owned Bi-PAP. | 24 | Each | ||
| 0017 | K0738 | Initial set up of Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems. | 2 | Each | ||
| 0017A | K0738 | Rental of Home fill system: 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. | 16 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 60 | Each | ||
| 0018 | E0441 | Initial set up of Rental of Stationary Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. System, including regulator for continuous flow, Conserving device (pulse dose regulator) , provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding H/J tanks. | 12 | Each | ||
| 0018AA | E0441 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 3 OCTOBER 1, 2020 TO SEPTEMBER 30, 2021 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 600 | Each | ||
| 0001AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 2,200 | Each | ||
| 0001AB | E1390 | Equipment Maintenance Low Decibel Concentrator: 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. | 550 | Each | ||
| 0002 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 24 | Each | ||
| 0002AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 540 | Each | ||
| 0002AB | E1390 | Equipment Maintenance of High Flow Concentrator: 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. | 135 | Each | ||
| 0003 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, and functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 420 | Each | ||
| 0003AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 120 | Each | ||
| 0004 | E0443 | Initial set up of Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: M6/B, C, D, and E. | 600 | Each | ||
| 0004AA |
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
| E0443 | Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: M6/B, C, and E. (these require a 12 cylinder rack). | 2,200 | Each | |
| 0005 | E0439 | Initial set up of Rental of Stationary Liquid Oxygen System: Contractor to deliver, set-up & ensure proper training, functioning of equipment of Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 2 | Each |
| 0005AA | E0439 | Rental of Stationary Liquid Oxygen System: Perform Equipment Maintenance in accordance with manufacturer standards for portable container(s). At a minimum of once evey 90 calendar days, visit and assess patient to assure equipment compliance, and provide disposable supplies.. | 120 | Each |
| 0006 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 36,000 | LBS |
| 0007 | E0465 | Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 10 | Each |
| 0007AA | E0465AA | Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment. | 120 | Each |
| 0007AB | E0465 | Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines. | 120 | Each |
| 0008 | E0565 | Initial set up of Rental of Air Compressor: Delivery, Set-up, and Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 10 | Each |
| 0008AA | E0565 | Rental of Air Compressor: Contractor to perform maintenance and deliver the replacement of associated supplies, per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 120 | Each |
| 0009 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 120 | Each |
| 0010 | E0600 | Initial Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies. | 24 | Each |
| 0010AA | E0600 | Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies. | 24 | Each |
| 0011 | VA120 | Initial Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies. | 60 | Each |
| 0011AA | VA120 | Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies. | 120 | Each |
| 0012 | VA120 | Initial Set-up of Cough Assist: Set-up, and Training of VA owned cough assist device. | 3 | Each |
| 0012AA | VA120 | Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies. | 36 | Each |
| 0013 | VA120 | Initial Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests. | 5 | Each |
| 0013AA | VA120 | Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies. | 5 | Each |
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6/B, C,D,E) | 10,000 | Each |
| 0014AA |
Department of Veterans Affairs: Department of Veterans Affairs:
DELETE THIS CLIN. SEE 0018AA BELOW
| E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | |||
| 0015 | VA120 | Initial Set-up of Airvo: Set-up, Training of VA owned Airvo. | 3 | Each | ||
| 0015AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 36 | Each | ||
| 0016 | E0470 | Initial Set-up of Bi-PAP (non-sleep apnea related): Delivery, Set-up and Training of VA owned Bi-PAP. | 24 | Each | ||
| 0017 | K0738 | Initial set up of Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems. | 2 | Each | ||
| 0017A | K0738 | Rental of Home fill system: 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. | 16 | Each | ||
| 0017AB | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 60 | Each | ||
| 0018 | E0441 | Initial set up of Rental of Stationary Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. System, including regulator for continuous flow, Conserving device (pulse dose regulator) , provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding H/J tanks. | 12 | Each | ||
| 0018AA | E0441 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | ||
| ESTIMATED TOTAL | ||||||
| PERIOD OF PERFORMANCE: OPTION YEAR 4 OCTOBER 1, 2021 TO SEPTEMBER 30, 2022 | ||||||
| LINE ITEM | HCPSC CODE | DESCRIPTION OF SERVICES | ESTIMATED ANNUAL QUANTITY | UNIT OF ISSUE | UNIT PRICE | ESTIMATED TOTAL |
| 0001 | E1390 | Initial set up of Rental of Low Decibel Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 600 | Each | ||
| 0001AA | E1390 | Monthly Rental of Low Decibel Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 2,200 | Each | ||
| 0001AB | E1390 | Equipment Maintenance Low Decibel Concentrator: 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. | 550 | Each | ||
| 0002 | E1390 | Initial set up of Rental of High Flow Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment, humidity for oxygen flow > 2LPM, and all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 24 | Each | ||
| 0002AA | E1390 | Monthly Rental of High Flow Rental Concentrator: Monthly rental fees for Concentrators >2 LPM that are in use covering all necessary supplies and equipment as specified in the PWS (Consumable Supplies), including back-up systems. | 540 | Each | ||
| 0002AB | E1390 | Equipment Maintenance of High Flow Concentrator: 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. | 135 | Each | ||
| 0003 | E1392 | Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, and functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 420 | Each | ||
| 0003AA | E1392 | Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. ) | 120 | Each | ||
| 0004 | E0443 | Initial set up of Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes: M6/B, C, D, and E. | 600 | Each | ||
| 0004AA |
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
| E0443 | Rental of Portable Gaseous System: Contractor to deliver, set-up & ensure proper training, functioning of equipment, for portable system. Portable System, including various tank sizes, regulator for continuous flow, Conserving device (pulse dose regulator) with durable backpack to use with smaller tanks sizes for flows < 4LPM, provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding cylinders, sizes: M6/B, C, and E. (these require a 12 cylinder rack). | 2,200 | Each | |
| 0005 | E0439 | Initial set up of Rental of Stationary Liquid Oxygen System: Contractor to deliver, set-up & ensure proper training, functioning of equipment of Reservoir, Regulator, Flow meter, Humidifier, Cannulas, Masks and colored tubing. Includes one portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. | 2 | Each |
| 0005AA | E0439 | Rental of Stationary Liquid Oxygen System: Perform Equipment Maintenance in accordance with manufacturer standards for portable container(s). At a minimum of once evey 90 calendar days, visit and assess patient to assure equipment compliance, and provide disposable supplies.. | 120 | Each |
| 0006 | E0442 | Stationary Liquid Oxygen Contents: Stationary Liquid Oxygen Contents. | 36,000 | LBS |
| 0007 | E0465 | Initial set up of Rental of Ventilator System: Delivery, Set-up, training at the hospital/ veterans home as indicated by VA staff; to include family members comfort of operating machine in their home for Contractor owned Portable invasive/non-invasive Ventilator. To include back-up ventilator and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies). | 10 | Each |
| 0007AA | E0465AA | Rental of Ventilator System: Maintenance of Contractor owned Stationary or Portable invasive/non-invasive Ventilator. With clinician follow up not to exceed 48 hours after set up. At a minimum 30 day clinician follow ups at veterans home to ensure proper functioning of all equipment. | 120 | Each |
| 0007AB | E0465 | Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines. | 120 | Each |
| 0008 | E0565 | Initial set up of Rental of Air Compressor: Delivery, Set-up, and Training of Contractor owned Air Compressor for use with equipment not self contained or cylinder driven. To include all associated supplies (Heated, and NON-heated High flow humidity set ups also expressed at Large volume nebulizers or LVN ) | 10 | Each |
| 0008AA | E0565 | Rental of Air Compressor: Contractor to perform maintenance and deliver the replacement of associated supplies, per manufacture guidelines.(Heated, and NON-heated LVN set ups) | 120 | Each |
| 0009 | VA120 | CRT/RRT/RN Visit: Government requested CRT/RRT/RN visit not covered by other CLINs. | 120 | Each |
| 0010 | E0600 | Initial Set-up of Suction Machine: Delivery, Set-up, and Training of VA owned Suction Machine (stationary/portable). To include all necessary supplies. | 24 | Each |
| 0010AA | E0600 | Set-up of Suction Machine: Contractor to deliver the replacement of consumable supplies. | 24 | Each |
| 0011 | VA120 | Initial Set-up of Nebulizer: Delivery, Set-up, and Training of VA owned Nebulizers. To include all necessary supplies. | 60 | Each |
| 0011AA | VA120 | Set-up of Nebulizer: Contractor to deliver the replacement of associated supplies. | 120 | Each |
| 0012 | VA120 | Initial Set-up of Cough Assist: Set-up, and Training of VA owned cough assist device. | 3 | Each |
| 0012AA | VA120 | Set-up of Cough Assist: Contractor to deliver the replacement of associated supplies. To include all necessary supplies. | 36 | Each |
| 0013 | VA120 | Initial Set-up of Percussive Vest: Set-up, and Training of VA owned Percussive Vests. | 5 | Each |
| 0013AA | VA120 | Set-up of Percussive Vest: Contractor to deliver the replacement of associated supplies. | 5 | Each |
| 0014 | E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, M6/B, C,D,E) | 10,000 | Each |
| 0014AA |
Department of Veterans Affairs: Department of Veterans Affairs:
DELETE THIS CLIN. SEE 0018AA BELOW
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
Department of Veterans Affairs: Department of Veterans Affairs:
DELETE THIS CLIN. SEE 0018AA BELOW
Department of Veterans Affairs: Department of Veterans Affairs:
DELETE THIS CLIN. SEE 0018AA BELOW
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
Department of Veterans Affairs: Department of Veterans Affairs:
need to delete this CLIN. We do not rent the tanks, we pay by fill. See CLIN 0014 below
| E0443 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | ||
| 0015 | VA120 | Initial Set-up of Airvo: Set-up, Training of VA owned Airvo. | 3 | Each | |
| 0015AA | VA120 | Set-up of Airvo: Contractor to perform maintenance as prescribed by manufacture guidelines of VA owned Airvo . | 36 | Each | |
| 0016 | E0470 | Initial Set-up of Bi-PAP (non-sleep apnea related): Delivery, Set-up and Training of VA owned Bi-PAP. | 24 | Each | |
| 0017 | K0738 | Initial set up of Rental of Home fill system: Contractor to deliver, set-up, ensure proper functioning and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies), and back up systems. | 2 | Each | |
| 0017A | K0738 | Rental of Home fill system: 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. | 16 | Each | |
| 0017AB | K0738 | Rental of Home fill system: Contractor to deliver the replacement of consumable supplies. | 60 | Each | |
| 0018 | E0441 | Initial set up of Rental of Stationary Gaseous System: Contractor to deliver, set-up & ensure proper training, and functioning of equipment. System, including regulator for continuous flow, Conserving device (pulse dose regulator) , provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding H/J tanks. | 12 | Each | |
| 0018AA | E0441 | Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes,H,J) | 144 | Each | |
| ESTIMATED TOTAL |
File details come from the government source that posted it. Updated .