Specialized health services including mobile clinics and telehealth for underserved populations. Find active federal and state all other miscellaneous ambulatory health care services contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spend under NAICS 621999 is estimated at $200–$300 million, driven by IHS, HRSA, and VA contracts for mobile health clinics, telehealth services, and community health outreach. Demand is fueled by rural health access initiatives and tribal health programs. Contracts are typically structured as single-award IDIQs or BPAs with a 1-year base plus 4 option years, though smaller set-aside awards under $250K often use firm-fixed-price purchase orders. Competition is moderate, with 8(a) and HUBZone firms winning a disproportionate share. The market is fragmented, with many local providers and few national players.
These agencies are the largest buyers of all other miscellaneous ambulatory health care services services and products in the federal government. Each awards contracts under NAICS 621999 regularly — build relationships with their small business offices first.
Focus on IHS and HRSA regional set-asides, which frequently use 8(a) or HUBZone preferences for mobile clinic and telehealth services. The single highest-leverage move is to obtain a GSA Schedule 621I (Health Care Services) or 621498 (Telehealth) to streamline ordering. Also pursue VA Community Care Network contracts via the Patient-Centered Community Care (PC3) program. Build relationships with Tribal Health Program contracting officers—they often bypass GSA for direct awards under the Buy Indian Act.
Work is predominantly awarded via LPTA with a strong emphasis on past performance in rural/underserved settings. Common vehicles include GSA Schedule 621I (Health Care Services), SEWP V for telehealth IT, and 8(a) STARS III for IT-enabled services. Agency-specific IDIQs like IHS's Area Office IDIQs and VA's PC3 are frequent. Evaluation emphasizes technical approach, staffing, and cost realism.
Yes, many contracts require state-specific health facility licenses, CMS certification for mobile clinics, and compliance with HIPAA and OSHA standards. For telehealth, you may need DEA registration for prescribing and state telemedicine licenses. Certification as an 8(a) or HUBZone firm can be decisive for set-aside awards.
Awards range from $50,000 for small purchase orders to $5 million for multi-year IDIQs. The average contract value is around $500,000–$1 million. Most competitive opportunities are under $2 million, often set aside for small businesses.
Moderately competitive. About 60% of awards are set aside for small businesses, with 8(a) and HUBZone firms winning 30% of total dollars. Key competitors are local health service providers and tribal-owned entities. Differentiation through telehealth capability or mobile clinic experience is critical.
Yes, subcontracting is common, especially for VA and IHS prime contracts. Large primes like Maximus or Chenega often seek small business subs for rural outreach and mobile clinic operations. Register in SAM as a subcontractor and target primes holding IDIQs under GSA 621I or VA PC3.
Bonds are rarely required for awards under $150,000. For larger contracts, performance and payment bonds may be needed, especially for construction or mobile clinic build-outs. General liability insurance ($1M–$2M per occurrence) and malpractice insurance are standard. VA contracts often require higher limits.