Skilled nursing services, physical therapy, and medical care delivered in the home. Find active federal and state home health care services contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spend under NAICS 621610 exceeds $3 billion, driven primarily by the VA's Home-Based Primary Care and skilled home health programs, and CMS Medicare home health benefits (though CMS contracts via state Medicaid managed care). Competition is moderate; top players include Amedisys and LHC Group, but small businesses capture 40% of awards due to set-asides. Contracts are typically structured as fixed-price, performance-based IDIQs or BPAs with multiple awardees, often with 1-year base plus four option years. Demand is rising from aging veteran population and value-based care initiatives like VBID.
These agencies are the largest buyers of home health care services services and products in the federal government. Each awards contracts under NAICS 621610 regularly — build relationships with their small business offices first.
To win in 621610, target VA's Home-Based Primary Care (HBPC) and Community Care Network (CCN) contracts, which prioritize small businesses. Most opportunities are set aside for SDVOSB, VOSB, or HUBZone under VA authority. The highest-leverage move is to obtain Joint Commission Home Care accreditation and CMS Home Health agency certification (Medicare number) before bidding, as these are often mandatory. Also, demonstrate experience with telehealth and chronic disease management to differentiate.
Most 621610 contracts are awarded via best-value tradeoff (not LPTA) because quality of care is critical. Common vehicles include VA's CCN and HBPC IDIQs, GSA Schedule 621I (Health Care Services), and 8(a) STARS III. Evaluation factors typically emphasize past performance, staff qualifications, accreditation, and telehealth capability, with price as a secondary factor.
You need a Medicare provider number and state home health agency license. For VA contracts, also require Joint Commission or CHAP accreditation. Some contracts mandate a registered nurse on staff and compliance with OSHA bloodborne pathogen standards.
Performance bonds are rarely required for home health services because contracts are typically under $150,000 or structured as IDIQs without a single large delivery order. However, if a contract exceeds $150,000, the Miller Act may apply.
VA contracts frequently use SDVOSB set-asides under 38 USC 8127. HHS and IHS use 8(a) and HUBZone set-asides. Small business set-asides are common for CMS state-level contracts. Service-disabled veteran-owned firms have a strong advantage.
Moderately competitive. About 1,200 small businesses compete annually, with a win rate of 1 in 6 for open solicitations but higher for set-asides. Incumbency is strong; recompete win rates exceed 70%. Differentiation requires specialty services like wound care or infusion therapy.
For VA HBPC, average IDIQ ceiling is $5-10 million over 5 years, with task orders averaging $100,000 annually. CMS state contracts can be $1-3 million per year. Many awards are under $500,000 total.