Home Oxygen - VA Palo Alto

Amendment / Modification

• This amendment suspends the quote due date until further notice.

• The quote due date is affected.

• The deadline for submitting quotes has been suspended and will be announced at a later time.

Questions & Answers / Clarifications

This document provides a response to a vendor question regarding contract quantities.

• Question: Are the quantities listed as "estimates" also contract maximums, or are they hard and fast?
• Response: The maximums are not estimates.

This clarification indicates that the stated maximum quantities for the contract are firm and not subject to estimation, which may impact how bidders approach their proposals and resource planning.

Amendment / Modification

This document is Amendment 0001 to Solicitation 36C26126Q0447, dated April 13, 2026. The purpose of this amendment is to provide a response to a question submitted regarding the requirement. The due date and time for offers have not changed. No further questions or clarifications will be accepted.

This amendment addresses a vendor question. Specific sections of the original solicitation are not explicitly mentioned as being changed, but the content of the amendment provides clarification.

Proposal deadlines remain unchanged. Bidders should review the clarification provided in this amendment to ensure their proposals accurately address the requirement.

Solicitation / RFP / RFQ

This solicitation is for Home Oxygen Services for the Department of Veterans Affairs (VA) within the VA Sierra Pacific Network (VISN 21), specifically serving the VA Palo Alto Health Care System (VAPAHCS) and its catchment areas. The VA requires these services because it lacks the capacity to provide them directly. The services include setup, installation, and management of home oxygen and ventilation equipment.

• Rental of various home oxygen equipment, including portable concentrators, portable O2 gaseous systems, stationary liquid O2 systems, portable liquid O2 systems, suction pumps, ventilators, and air compressors.

• Rental of associated supplies such as cannulas, tubing, masks, humidifiers, and oxygen cylinders.

• Delivery, setup, training, and maintenance of all equipment.

• Emergency service capability (24/7) with a 30-minute telephone response time and a 2-6 hour on-site response time.

• Initial setup to be performed the same day as prescription receipt if received by 3:00 PM, including weekends and holidays.

• Regular patient visits for equipment evaluation and education (every 90 days for home oxygen, every 30 days for ventilators).

• Compliance with The Joint Commission (TJC) or equivalent standards.

• Provision of a 24-hour emergency service number and a non-electrical oxygen supply for at least 18 hours.

• Contract Type: Firm-Fixed-Price Indefinite Delivery Indefinite Quantity (IDIQ).

• Period of Performance: Five (5) ordering periods, each one year in duration, from 10/1/2026 to 9/30/2031.

• Guaranteed Minimum Award: $100.00.

• Maximum Aggregate Value: $6,000,000.00.

• Proposal submission deadline: May 11, 2026, 10:00 AM PST.

• Questions due: April 20, 2026, 10:00 AM PDT.

• Submission method: Email only to david.alvarez4@va.gov.

• Evaluation Factors: Technical Capability, Location/Geographic Coverage, Past Performance, and Price.

• This acquisition is set aside for Small Business.

• NAICS Code: 532283 (Home Health Equipment Rental).

• Size Standard: $41 Million.

• Quantities listed are estimates only.

• Contractors must provide a quoted price for each item, even if the quantity is zero.

Statement of Work (SOW) / Performance Work Statement (PWS)

This document outlines the Quality Assurance Surveillance Plan (QASP) for Home Oxygen Services, designed to evaluate contractor actions and monitor performance against objectives in a service contract.

The QASP details the Government's desired quality standard for Home Oxygen services and the contractor's responsibility for management and quality control. It specifies performance indicators, measures, acceptable quality levels, and methods of surveillance for various aspects of the service, including:

• Patient Information Return (Timeliness)
• Notification when Patient Declines back-up system
• Emergency service cases
• 90-Day assessment and report
• Semi-annual reports
• Access for outpatient services (Volume)
• Quality of Care (Preventative Maintenance, Staff Competency)
• Patient Safety (Home safety assessments, Emergency Preparedness education)
• Infection control reports
• Critical events reporting
• Customer Satisfaction reports

Specific metrics and acceptable quality levels are defined for each performance indicator. For example:

• 90% or greater compliance with COR notification within 24 hours for patient refusals.
• 95% or greater compliance for emergency services provided within 6 hours of request.
• Met or Not Met for semi-annual reports provided on time.

While not explicitly stated as a period of performance, the document implies ongoing service delivery. The contract duration, including options, shall not exceed 5 years. Services are for VA beneficiaries at applicable VA Medical Centers and Health Care Centers.

• Contractor is responsible for developing a comprehensive quality control program.
• Contractor must furnish oxygen supplies, equipment, and services.
• Contractor must complete initial equipment assessment and provide ongoing education.
• Contractor is responsible for developing, reviewing, and revising the patient's plan of service.
• Contractor must maintain patient records and comply with The Joint Commission Standard related to patient confidentiality and privacy.
• Contractor must submit billing reports monthly.
• The contract may be renewed or terminated under specific conditions, including Government convenience or cause.

Form / Attachment / Pricing Sheet

This document is a Past Performance Information Questionnaire and Survey. It is designed to collect feedback from evaluators regarding an Offeror's past performance on previous contracts. Offerors are instructed to send this form to their evaluators, requesting they complete and return it directly to the government.

• Offeror Instructions: Details on how the Offeror must distribute and collect the survey.
• Evaluator Information: Fields for the evaluator's name, position, company, and contact details.
• Contract Details: Information about the contract being evaluated.
• Past Performance Survey: A series of questions rated on a scale (Outstanding, Above Average, Satisfactory, Marginal, Unacceptable) covering various aspects of performance, including compliance, timeliness, quality, management, and responsiveness.
• Specific Questions: Includes questions about the type and length of services provided, and specific performance areas.
• Remarks Section: Space for evaluators to provide additional comments.
• Submission Deadline: Evaluators must return the completed survey to david.alvarez4@va.gov no later than May 7, 2026.

Bidders must ensure this form is distributed to their references in a timely manner. They must also include a copy of each requested Past Performance Information page with their proposal submission. The feedback collected via this survey will be a critical component of the government's evaluation of the Offeror's past performance.

Performance Work Statement (PWS)

This PWS outlines the requirements for providing Home Oxygen services and Ventilation to Veteran Beneficiaries of the VA Palo Alto Healthcare System (VAPAHCS). The goal is to ensure Veterans receive necessary medical equipment, supplies, and associated program management, human engineering, and logistic support.

• Services: Setup, installation, and management of home oxygen and ventilation systems.

• Equipment: Provision of oxygen concentrators, liquid oxygen systems, portable gaseous systems, ventilators, CPAP/Bi-Level devices, nebulizers, compressors, and related supplies.

• Locations: Services are to be performed in the Veteran's place of residence or nursing home within VAPAHCS's catchment areas, including non-territory requests.

• Patient Care: Includes initial setup, ongoing patient/caregiver education, home visits (monthly for ventilator users, every 90 days for oxygen users), equipment maintenance, and emergency services.

• Accreditation: Contractor must meet or exceed The Joint Commission (TJC) or equivalent standards and provide proof.

• Response Times: 30-minute telephone response for emergencies; 2-hour response for emergency service calls (max 6 hours).

• Delivery: Initial setup same day if prescription received by 3:00 PM local time (including weekends/holidays); within 24 hours if received after 3:00 PM.

• Documentation: Maintenance of records for orientation, background checks, competencies, patient education, home visits, and incident reports.

• Reporting: Quarterly reports on infection control, performance improvement, customer satisfaction, contract usage, fall prevention, and home visits.

• Geographical Area: VA Palo Alto Health Care System service counties (Alameda, Calaveras, Monterey, San Benito, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Stanislaus, and Tuolumne, California).

• Contract Type: Indefinite Delivery Indefinite Quantity (IDIQ) contract.

• Estimated Value: Maximum ceiling of $9,000,000.00 per geographical area. Minimum guarantee of $1,000.00 for the base year per area.

• Staffing: Certified Respiratory Therapists (CRT) or Registered Respiratory Therapists (RRT) required for initial setups and home visits.

• Facilities: Contractor must have a facility or resources physically located within the geographic service area (within 50 miles of each medical center).

• Emergency Capability: 24/7/365 emergency service capability.

• Compliance: Adherence to TJC standards, HIPAA, OSHA regulations, and all Federal, State, and local regulations.

• Transition: Requirements for incumbent and incoming contractors during transition periods.