Home Oxygen - VA San Francisco Healthcare System

Solicitation / RFP / RFQ

This solicitation seeks proposals for Home Oxygen Services for Veteran Beneficiaries serviced by VA Sierra Pacific Network (VISN 21). The Department of Veterans Affairs (VA) lacks the internal capacity to provide these services and is seeking a contractor to supply home oxygen and associated products and services.

• Rental of various oxygen systems and related equipment (e.g., portable concentrators, gaseous systems, stationary liquid O2 systems, ventilators, suction pumps).

• Provision of supplies such as cannulas, tubing, masks, humidifiers, and filters.

• Equipment maintenance, setup, and patient/caregiver training.

• Emergency service capability (24/7).

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

• Regular patient visits (monthly for ventilator patients, every 90 days for oxygen patients).

• Provision of a backup oxygen system for patients with prescriptions for oxygen concentrators.

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

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

• Guaranteed Minimum Award: $100.00.

• Maximum Aggregate Value: $7,000,000.00.

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

• Size Standard: $41 Million.

• Solicitation Issue Date: 04-07-2026.

• Offer Due Date: 05-05-2026, 10:00 AM.

• Questions Due: 04-15-2026, 10:00 AM PDT.

• Submission Method: Email to david.alvarez4@va.gov.

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

• This acquisition is a Small Business Set-Aside.

• Specific clauses related to Service-Disabled Veteran-Owned Small Businesses (SDVOSB) are included.

• The Performance Work Statement (PWS) details specific requirements for services, equipment, and locations.

• The service area includes various counties within California served by the San Francisco VA Medical Center.

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

This document outlines the Quality Assurance Surveillance Plan (QASP) for a Home Oxygen Services contract. Its purpose is to establish an effective method for monitoring contractor performance to ensure quality standards are met.

The QASP details the performance indicators, measures, acceptable quality levels, and surveillance methods for various aspects of the Home Oxygen Services contract. Key areas include:

• Patient Information Return (Timeliness): Monitoring notifications for patient refusals and back-up system requests.
• Emergency Services: Ensuring timely provision of emergency services and notification to the COR.
• 90-Day Assessment and Report: Tracking the completion and provision of these assessments.
• Semi-annual Reports: Monitoring the timely submission of these reports.
• Access (for all outpatient services): Tracking initial set-ups and emergency services provided within specified timeframes.
• Quality of Care: Monitoring preventative maintenance of equipment and competency of staff.
• Patient Safety: Ensuring home safety assessments are performed and patients are educated on emergency preparedness.
• Infection Control: Monitoring semi-annual infection control reports.
• Critical Events: Tracking the reporting of sentinel events, falls, abuse/neglect, and oxygen mishaps.
• Patient Satisfaction: Monitoring quarterly reports and the resolution of grievances.

The document specifies acceptable quality levels (e.g., 90% or greater compliance) for each performance indicator and outlines the methods of surveillance (e.g., electronic log, COR random home visits, vendor reports).

While not explicitly stated in this excerpt, the document refers to a service contract for Home Oxygen Services. The roles and responsibilities section indicates services are provided to VA beneficiaries at applicable VA Medical Centers and Health Care Centers.

• The Contractor is responsible for developing and implementing a comprehensive quality control program.
• The Contractor is responsible for furnishing oxygen supplies, equipment, and services.
• The Contractor is responsible for developing, reviewing, and revising the patient's plan of service.
• The Contractor is responsible for maintaining patient records and ensuring compliance with privacy and IT security standards.
• The contract has a maximum duration of 5 years, including options, and can be terminated for convenience or cause.

Form / Attachment / Pricing Sheet

This document is a Past Performance Questionnaire and Survey intended for evaluators to provide feedback on an Offeror's past performance. Offerors are instructed to distribute this form to their references and ensure it is returned directly to the government by the specified deadline.

• Offeror Information: Fields for the name and address of the Offeror being evaluated.
• Contract Details: Space to record information about the contract being referenced.
• Evaluator Information: Fields for the evaluator's name, position, organization, and contact details.
• Past Performance Survey: A series of questions requiring evaluators to rate the Offeror's performance on various aspects (compliance, timeliness, quality, management, etc.) using a scale of Outstanding (O), Above Average (A), Satisfactory (S), Marginal (M), or Unacceptable (U).
• Specific Questions: Includes questions about the type and duration of services provided, compliance with requirements, timeliness, labor/safety standards, management effectiveness, staff integrity, personnel management, quality control, training, flexibility, reliability, responsiveness to technical direction, issuance of cure notices/show cause letters, willingness to re-award, customer satisfaction, notification of problems, invoice accuracy, professionalism, promptness of response, and meeting expectations.
• Remarks Section: An area for evaluators to provide detailed comments, especially for Marginal or Unacceptable ratings, or to explain 'Yes/No' answers to specific questions.
• Deadlines: The survey must be returned to david.alvarez4@va.gov no later than April 30, 2026.

Offerors must ensure their references complete and return this survey by the deadline. Offerors must also include a copy of the requested Past Performance Information pages with their proposal submission. This document is critical for the government's evaluation of the Offeror's past performance, which is a key factor in contract award decisions.

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

To define the requirements for setting up, installing, and managing Home Oxygen and Ventilation services for Veteran Beneficiaries serviced by the San Francisco VA Medical Center (SFVAMC).

• Provide home oxygen services, including equipment (concentrators, liquid oxygen systems, portable gaseous systems, ventilators), supplies, and associated services.

• Services to be performed at the Veteran's residence or nursing home within SFVAMC's service area (Del Norte, Humboldt, Lake, Marin, Mendocino, Napa, San Francisco, San Mateo, and Sonoma counties).

• Requires 24/7 emergency service capability with a 30-minute telephone response time.

• Contractor must coordinate, supervise, monitor, and evaluate care, ensuring personnel competence and adherence to The Joint Commission (TJC) or equivalent standards.

• Includes initial setup, patient/caregiver education, home safety checks, periodic equipment evaluation, and emergency procedures.

• Adherence to TJC or equivalent standards is mandatory.

• Timeliness of equipment delivery and maintenance visits.

• Accuracy of required paperwork.

• Response times for emergency calls (within 30 minutes by phone, within 2 hours on-site, max 6 hours).

• Initial setup within 24 hours for prescriptions received after 3:00 PM.

• Monthly reporting on contract usage, customer satisfaction, infection control, performance improvement, and fall prevention.

• Quarterly reports on Periodic Performance Review and Fall Prevention.

• Home visit reports (monthly for ventilators, quarterly for oxygen patients).

• Services to be performed in Veterans' residences within the SFVAMC geographical area.

• Contractor must have a physical facility or resources located within the service area.

• Contractor must be accredited by a nationally recognized organization and maintain accreditation.

• Staff must include Certified Respiratory Therapists (CRT) or Registered Respiratory Therapists (RRT) with at least two years of experience.

• Compliance with HIPAA and other privacy regulations is required.

• Vehicles must be clearly identified with the Contractor's name.

• Specific insurance coverage (General Liability, Property Damage Liability, Workmen's Compensation) is required.

• Contractor must provide a staffed branch office or resources within 50 miles of each medical center.