VA259-17-R-0100-A00010009.docx

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 19 (NCO19)

6162 South Willow Drive, Suite 300 Greenwood Village, COLORADO 80111

Date: July 14, 2017

Subject: VISN 19 Home Oxygen VA259-17-R-0100

The following responses are provided to questions asked by industry

Questions:

1. Oklahoma City Portable Gas Contents clin items, along with the rental for the Portable Gas Systems, and then the clin for Portable Gas Systems, for Eastern Oklahoma which apparently now includes the word contents. I am not sure why this has been done but I foresee a potential issue as not every veteran will be on Portable Gas Systems, but may have tanks such a backup tank, or portable E and M6 along with their concentrators and yet there is no clin item to fill those tanks, it seems to me that someone doesn’t understand that the gas in the tanks the portable gaseous contents needs to be a separate clin item, can you please confirm with Eastern Oklahoma about this.

NCO-19 Response: Eastern Oklahoma Line Items have been revised to include Portable Gaseous Contents: Portable Gaseous oxygen Contents (Refill cylinder sizes, E,D,C,MM,H)

2. We have one question in response to Amendment A00008 as shown below.

Amendment A00008, Questions and Answers, Question 7, Question 3) talks about Operation and Service Manuals being PDF files, which could make many of these manuals in excess of the Government 3MB file size limit. It also addresses the limit of 3 emails, each not to exceed 3MB in size. The Government response is “Paragraph has been revised to remove the 3 email limitation. Some of these Operation and Service Manuals are in excess of 24MB in size, which would require 8 separate emails for that one document, not to mention the actual proposal volumes and other Operation and Service Manuals. Does the Government actually want to receive what could conceivably be in excess of 30 emails from each offeror? We respectfully request that the requirement be changed to state that Operation and Service Manuals must be submitted upon award.

NCO-19 Response: Operation and service manuals shall be submitted as stated in the solicitation.

3. It was observed that the Revised Eastern Oklahoma price schedule no longer has portable content (listed below) line items on the spreadsheet. Can you please advise if the price schedule will be updated to reflect these two line? These line items are included in all other price schedules.

Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, E,D,C)

Portable Gaseous Contents: Portable Gaseous Oxygen Contents (Refill cylinder sizes, MM, H)

NCO-19 Response: Eastern Oklahoma Line Items have been revised to include Portable Gaseous Contents: Portable Gaseous oxygen Contents (Refill cylinder sizes, E,D,C,MM,H)

4. Sheridan:

Another questions has come up. In review of the Sheridan file received 6/26/2017, an inconsistency in the quantities listed between Option YR 2 and Option YR 3 has been found. May you please confirm the quantities on the below items?

NCO-19 Response: The quantities for Sheridan Line Items for Option Year 3 have been revised.

5. The amendment 8 clarified this, however it still stated that we should submit copies of these past performance surveys with our solicitation. As discussed, we did not have copies of these surveys as they were sent directly to the VA back in March.

You had also let me know that an amendment was forthcoming to change the request to submit copies with the solicitation and to not require them. I have not seen that amendment and wanted to check on its timing.

NCO-19 Response: If you previously provided a past performance questionnaire to your references, and we have received, we will use those in the evaluation process. However, if you did not provide your references with the past performance questionnaire, you will need to ensure this is accomplished.

6. Also, with the holiday this week, was wondering if there had been any consideration to delaying the due date for this solicitation? A short delay would be much appreciated. Let me know. Thanks.

NCO-19 Response: Proposal due date is 21 July 2017.

Salt Lake City:

7. Initial set up of Rental Concentrators : 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: Yes, CLIN 0001 Initial set up of Rental Concentrators is to be billed for initial set-up only.

8. Rental of 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0001AB is for 90 day maintenance only. An additional line item 0001AA has been added for monthly rental of the concentrator.

9. 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.

Question: Is this line item to be billed for the initial set-up only?- Or is this line item to be billed for the monthly rental of the concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: Yes, CLIN 0002 Initial set up of Rental of Low Decibel Concentrator is to be billed for initial set up only.

10. Rental of 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0002AB is for 90 day maintenance only. An additional line item CLIN 0002AA has been added for monthly rental of the concentrator.

11. 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: Yes, CLIN 0003 Initial set up of Rental of High Flow Concentrator is to be billed for initial set up only.

12. Rental 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0003AB is for 90 day maintenance only. An additional line item CLIN 0003AB has been added for monthly rental of the concentrator.

13. Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the Portable Oxygen Concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: Rental of Portable Oxygen Concentrators CLIN 0004 for initial set up. CLIN 0004AA has been added for daily rental this item is used for travel on a daily basis. The estimated quantity is annual.

14. Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the Portable Oxygen Concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: Rental of Portable Oxygen Concentrators CLIN 0004AB for initial set up. CLIN 0004AC has been added for daily rental this item is used for travel on a daily basis. The estimated quantity is annual.

15. Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )

Question: Please confirm this line item is requesting our unit price of 1 extra rental battery per month what?

NCO-19 Response: Yes, CLIN 0004AD is requesting unit price for 1 rental battery for travel. Price will be per battery rented.

16. Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the Portable Oxygen concentrator?

NCO-19 Response: Line item 004AE is for maintenance only.

17. 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 12 cylinders, sizes: C, D, and E.

Question: If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: Rental of Portable Gaseous System will be a monthly rental, the estimated quantity represents an annual amount.

18. 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: MM, H (these require a 12 cylinder rack

Question: If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest

NCO-19 Response: Rental of Portable Gaseous System will be a monthly rental, the estimated quantity represents an annual amount.

19. Rental of Stationary Liquid Oxygen System: 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.

Question: If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: Rental of Stationary Liquid Oxygen System will be a monthly rental, the estimated quantity represents an annual amount.

20. Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing.

Question: If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: Rental of Portable Liquid Oxygen System will be a monthly rental, the estimated quantity reflects an annual estimate.

21. 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).

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly Rental of Ventilator System? If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: Initial set up of Rental of Ventilator System CLIN 0009, is for initial set up. The estimated quantities represent an annual estimate. CLIN 0009AA is for monthly rental of ventilator system.

22. 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.

Question: Is this line item to be billed for each maintenance visit? Or every 30-day clinician follow-up? Or Both?

NCO-19 Response: Line item 0009AB Maintenance of Ventilator System is to be used for both the maintenance visit and the clinician follow up.

23. Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines.

Question: Is this line item to be billed for each delivery of the replacement of all consumable supplies?

NCO-19 Response: No, when the RT checks the ventilator they may need to replace the supplies. That is what line item 0009AC, Rental of Ventilator System will be utilized for.

24. Rental of Air Compressor: Delivery, Set-up, 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 )

Question: Is this line item to be billed for the initial delivery, set-up and training only? Or is this line item to be billed for the monthly Rental of Air Compressor? If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: CLIN 0010 Rental of Air Compressor, is for initial set ups. Monthly rental of air compressor is CLIN 0010AA.

25. Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups)

Question: Is this line item to be billed for each delivery of the replacement of all associated supplies?

NCO-19 Response: Yes, Line item 0010AB, Rental of Air Compressor is to deliver the replacement of associated supplies, per manufacture guidelines. (Heated, and NON-heated LVN set ups).

26. Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go. VA staff will determine number based on travel itinerary.

Question: extra batteries are usually rented out as a daily rate: Please confirm the unit price you are requesting is either a daily rate or a monthly rental rate.

NCO-19 Response: Line item 0020, Rental of Extra Batteries for VA Owned POC’s is a daily rate the quantity is estimated annual.

27. Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for Simply Go Mini. VA staff will determine number based on travel itinerary.

Question: extra batteries are usually rented out as a daily rate: Please confirm the unit price you are requesting is either a daily rate or a monthly rental rate.

NCO-19 Response: Line item 0020AA, Rental of Extra Batteries for VA Owned POC’s is a daily rate the quantity is estimated annual.

28. Rental of Extra batteries for VA owned POC's for travel: Deliver ensure proper function of extra batteries (EACH) for VA owned POC's for I-GO. VA staff will determine number based on travel itinerary.

Question: extra batteries are usually rented out as a daily rate: Please confirm the unit price you are requesting is either a daily rate or a monthly rental rate.

NCO-19 Response: Line item 0020AB, Rental of Extra Batteries for VA Owned POC’s is a daily rate the quantity is estimated annual.

Cheyenne:

29. Initial set up of Rental Concentrators : 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to be extremely low based on the estimated number of patients stated in the solicitation.

NCO-19 Response: Yes, CLIN 0001 is for initial set up. CLIN 0001AA is for monthly rental of the concentrator. The estimated quantity is annual.

30. Rental of 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0001AB is for 90 day maintenance only. An additional line item 0001AA has been added for monthly rental of the concentrator.

31. 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to be extremely low based on the estimated number of patients stated in the solicitation.

NCO-19 Response: Yes, CLIN 0002 is for initial set up. CLIN 0002AA is for monthly rental of the concentrator. The estimated quantity is annual.

32. Rental of 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0002AB is for 90 day maintenance only. An additional line item 0002AA has been added for monthly rental of the concentrator.

33. 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to be extremely low based on the estimated number of patients stated in the solicitation.

NCO-19 Response: Yes, CLIN 0003 is for initial set up. CLIN 0003AA is for monthly rental of the concentrator. The estimated quantity is annual.

34. Rental 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0003AB is for 90 day maintenance only. An additional line item 0003AA has been added for monthly rental of the concentrator.

35. Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, sizes E, D, C.

Question: If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: CLIN 0013AA is for monthly rental, the estimated quantity is annual.

36. Rental of Portable Gaseous System: Portable System, including All containers, Regulator, Flow meter and provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies),and Oxygen Tank Cylinder Stands capable of holding 12 cylinders, size M6.

Question: If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: CLIN 0013AA is for monthly rental, the estimated quantity is annual.

37. Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )

Question: extra batteries are usually rented out as a daily rate: Please confirm the unit price you are requesting is either a daily rate or a monthly rental rate.

NCO-19 Response: Line item, Rental of Portable Oxygen Concentrator CLIN 0015AB is rented per battery, each.

38. 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 of contractor owned equipment.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly Rental of Home fill system?

NCO-19 Response: CLIN 0017 Initial set up of Home Fill is for set up only CLIN 0017AA is for monthly rental.

39. Rental of Home fill system: Contractor to deliver the replacement of consumable supplies.

Question: Is this line item to be billed for the delivery of the replacement of consumable supplies only? Or is this line item to be billed for the monthly Rental of Home fill system?

NCO-19 Response: CLIN 0017AA is for the replacement of consumable supplies and monthly rental of equipment.

40. 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly Rental of Home fill system?

NCO-19 Response: Yes, CLIN 0017AB is for 90 day equipment maintenance.

Eastern Colorado:

41. Initial set up of Rental Concentrators : 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to be extremely low based on the estimated number of patients stated in the solicitation.

NCO-19 Response: Yes, CLIN 0001 is for initial set up. CLIN 0001AA is for monthly rental of the concentrator. The estimated quantity is annual.

42. Rental of 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0001AB is for 90 day maintenance only. An additional line item 0001AA has been added for monthly rental of the concentrator.

43. 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to be extremely low based on the estimated number of patients stated in the solicitation.

NCO-19 Response: Yes, CLIN 0002 is for initial set up. CLIN 0002AA is for monthly rental of the concentrator. The estimated quantity is annual.

44. Rental of 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0002AB is for 90 day maintenance only. An additional line item 0002AA has been added for monthly rental of the concentrator.

45. 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator? If this item is to be billed as the monthly rental, the estimated quantities appear to be extremely low based on the estimated number of patients stated in the solicitation.

NCO-19 Response: Yes, CLIN 0003 is for initial set up. CLIN 0003AA is for monthly rental of the concentrator. The estimated quantity is annual.

46. Rental 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0003AB is for 90 day maintenance only. An additional line item 0003AA has been added for monthly rental of the concentrator.

47. Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the Portable Oxygen Concentrator?

NCO-19 Response: CLIN 0004 is for initial set up only. Daily rental of the portable oxygen concentrator is CLIN 0004AA.

48. Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the Portable Oxygen Concentrator?

Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )

NCO-19 Response: CLIN 0004AB is for initial set up only. Daily rental of the portable oxygen concentrator is CLIN 0004AC.

Question: Please confirm the unit price you are requesting is for rental 1 battery for 1 month.

NCO-19 Response: No, unit pricing will be per battery, each.

49. Rental of Stationary Liquid Oxygen System: 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.

Question: Please confirm that this line item is requesting a monthly rental rate for 1 Stationary Liquid Oxygen System AND 1 portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing.

NCO-19 Response: Yes, CLIN 0006 Rental of Stationary Liquid Oxygen System is to include all of the following: 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 as described in the line item.

50. Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing.

Question: Please confirm that this line item is requesting a monthly rental rate for 1 Portable Liquid Oxygen System which consists of 1 portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing. When would contractors bill this line item if the price for a Portable Liquid Oxygen System is included in line item 0006?

NCO-19 Response: Yes CLIN 0008 Rental of Portable Liquid Oxgen System is monthly and includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing as described in the line item. It would be determined by the veterans prescription.

51. 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).

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly Rental of Ventilator System? If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: CLIN 0009 is for Initial set-up only. The monthly rental of the Ventilator System is CLIN 0009AA. The quantity listed is an annual estimate.

52. 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.

Question: Is this line item to be billed for each maintenance visit? Or every 30-day clinician follow-up? Or Both?

NCO-19 Response: CLIN 0009AB will be used for both the 48 hour clinician follow up and the 30 day as well.

53. Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines.

Question: Is this line item to be billed for each delivery of the replacement of all consumable supplies?

NCO-19 Response: CLIN 0009AC will be used if consumable supplies are needed during the clinician follow up.

54. Rental of Air Compressor: Delivery, Set-up, 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 )

Question: Is this line item to be billed for the initial delivery, set-up and training only? Or is this line item to be billed for the monthly Rental of Air Compressor? If this item is to be billed as the monthly rental, the estimated quantities appear to represent the monthly estimated quantities versus the annual estimated quantities as this column suggest.

NCO-19 Response: CLIN 0010 is initial set up. Monthly Rental of Air Compressor is CLIN 00010AA. The estimated quantities are annual.

55. Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups)

Question: Is this line item to be billed for each delivery of the replacement of all associated supplies?

NCO-19 Response: Yes CLIN 0010 AB is to be used to deliver the replacement of associated supplies, per manufacture guidelines.(Heated, and NON-heated LVN set ups).

Grand Junction:

56. Initial set up of Rental Concentrators : 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator? If it represents the initial set-up only, the estimated annual quantity appears to be too high.

NCO-19 Response: Yes, CLIN 0001 is for initial set up. CLIN 0001AA is for monthly rental of the concentrator. The estimated quantity is annual.

57. Rental of 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator? If this line item represents the 90-day equipment maintenance only, the most that would be provided over a 1-year period would be 8,200 (2,050 patients times 4 per year). If this line item represents the monthly rental of the concentrator the most the estimated annual quantity should be is 24,600. Either way, the estimated annual quantity appears way too high.

NCO-19 Response: Yes, CLIN 0001AB is for 90 day maintenance only. An additional line item 0001AA has been added for monthly rental of the concentrator.

58. 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0002 is for initial set up. CLIN 0002AA is for monthly rental of the concentrator. The estimated quantity is annual

59. Rental of 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0002AB is for 90 day maintenance only. An additional line item 0002AA has been added for monthly rental of the concentrator.

60. 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.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0003 is for initial set up. CLIN 0003AA is for monthly rental of the concentrator. The estimated quantity is annual

61. Rental 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.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the concentrator?

NCO-19 Response: Yes, CLIN 0003AB is for 90 day maintenance only. An additional line item 0003AA has been added for monthly rental of the concentrator.

62. Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 2Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the Portable Oxygen Concentrator?

NCO-19 Response: CLIN 0004 is for initial set up. CLIN 0004 AA is daily rental of the Portable Oxygen Concentrator.

63. Rental of Portable Oxygen Concentrator: Contractor to deliver, set-up & ensure proper training, functioning of equipment for 3Ltr continuous flow concentrator. Contractor to provide all necessary supplies and equipment as specified in the PWS (Consumable Supplies).

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly rental of the Portable Oxygen Concentrator?

NCO-19 Response: CLIN 0004AB is for initial set up. CLIN 0004AC is daily rental of the Portable Oxygen Concentrator.

64. Rental of Portable Oxygen Concentrator: Contractor to provide extra batteries (number will depend on specific usage of POC, flight, travel etc.. )

Question: Please confirm this line item is requesting our unit price of 1 extra rental battery per month

NCO-19 Response: No, unit pricing will be per battery, each.

65. Rental of Portable Oxygen Concentrator: Perform Equipment Maintenance in accordance with manufacturer standards.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly rental of the Portable Oxygen concentrator?

NCO-19 Response: CLIN 0004AE will be used in accordance with manufacturer standards as the line items defines.

66. 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 12 cylinders, sizes: C, D, and E.

Question: If this item is to be billed as the monthly rental, the estimated quantities appear to be very low compared the estimated number of concentrator patients listed on line items 0001 through 0003.

NCO-19 Response: CLIN 0005 is for initial set up of the Portable Gaseous System. The monthly rental is CLIN 0005AA, the estimated quantities are annual.

67. 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.

Question: If this item is to be billed as the monthly rental, the estimated quantities appear to be very low compared the estimated number of concentrator patients listed on line items 0001 through 0003.

NCO-19 Response: CLIN 0005 is for initial set up of the Portable Gaseous System. The monthly rental is CLIN 0005AB, the estimated quantities are annual.

68. Rental of Stationary Liquid Oxygen System: 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.

Question: Please clarify if this line item includes both the stationary liquid oxygen system and portable. If it includes the portable, why have Line item 0008 rental of portable liquid oxygen system?

NCO-19 Response: No, Portable liquid oxygen falls into a different billing HCPC and therefore must be separated for billing insurance as well as payment from the VAMC.

69. Rental of Portable Liquid Oxygen System: Includes portable container, supply reservoir, humidifier, flowmeter, refill adapter, contents gauge, cannula or mask and tubing.

Question: Please clarify this line item if for monthly rental of a portable liquid oxygen system only.

NCO-19 Response: CLIN 0008 is for initial set up of Portable Liquid Oxygen System. CLIN 0008AA is for monthly rental of Portable Liquid Oxygen System.

70. 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).

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly Rental of Ventilator System?

NCO-19 Response: CLIN 0009 is for Initial set up of Rental of Ventilator System. CLIN 0009AA is for the monthly rental.

71. 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.

Question: Is this line item to be billed for each maintenance visit? Or every 30-day clinician follow-up? Or Both?

NCO-19 Response: Yes, CLIN 0009AB is for the 30 day visit by the clinician and maintenance visits.

72. Rental of Ventilator System: Contractor to deliver the replacement of all consumable supplies, per manufacture guidelines.

Question: Is this line item to be billed for each delivery of the replacement of all consumable supplies?

NCO-19 Response: Yes CLIN 0009AC will be used to deliver the replacement of all consumable supplies, per manufacture guidelines.

73. Rental of Air Compressor: Delivery, Set-up, 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 )

Question: Is this line item to be billed for the initial delivery, set-up and training only? Or is this line item to be billed for the monthly Rental of Air Compressor?

NCO-19 Response: CLIN 0010 is for initial set up. CLIN 0010AA is for monthly rental of Air Compressor.

74. Rental of Air Compressor: Contractor to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups)

Question: Is this line item to be billed for each delivery of the replacement of all associated supplies?

NCO-19 Response: CLIN 0010AB will be used to deliver the replacement of associated supplies ,per manufacture guidelines.(Heated, and NON-heated LVN set ups).

75. Home Fill Oxygen System: Delivery, Set-up, Training of Compressor and associated supplies capable of holding cylinder sizes A,B,C,D.

Question: Is this line item to be billed for the initial set-up only? Or is this line item to be billed for the monthly Rental of Home fill system?

NCO-19 Response: CLIN 0020 is for initial set up. 0020AA is for monthly rental of Home Fill System.

76. Home Fill Oxygen System: Maintenance of Home Fill Oxygen system per manufacture guidelines.

Question: Is this line item to be billed for the 90-day equipment maintenance only? Or is this line item to be billed for the monthly Rental of Home fill system?

NCO-19 Response: CLIN 0020AB is for maintenance of Home Fill Oxygen system per manufacture guidelines.

77. Homefill Tanks: Delivery, Set-up, and training of cylinders sizes A,B,C, and D.

Question: Are these tanks in addition to the tanks already provided in the Home Fill Oxygen System provided in line item 0020? If so, is the unit price you are looking for a monthly rental per additional tank?

NCO-19 Response: Yes CLIN 0020AC, any additional tank not included will be billed monthly as a rental.

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