Assisted living and residential care services for elderly veterans and government beneficiaries. Find active federal and state assisted living facilities for the elderly contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Federal annual spend under NAICS 623312 is estimated at $2-3 billion, primarily through VA Community Living Centers, CMS Medicare/Medicaid waivers, and HUD Section 202 Supportive Housing for the Elderly. Contracts are predominantly state-managed Medicaid waivers and VA Community Care Network (CCN) agreements, with limited direct federal procurement. Competition is moderate; many awards are sole-source or limited-source due to state-specific licensing. Demand is driven by aging veteran population and Medicaid expansion for home- and community-based services (HCBS). Contracts are typically structured as fee-for-service per diem or bundled monthly rates, with some IDIQ arrangements for VA residential care.
These agencies are the largest buyers of assisted living facilities for the elderly services and products in the federal government. Each awards contracts under NAICS 623312 regularly — build relationships with their small business offices first.
To win in 623312, focus on VA's Community Residential Care (CRC) program and state Medicaid HCBS waivers. The buying pattern is decentralized: individual VA medical centers and state agencies issue RFPs. The most common set-asides are SDVOSB/VOSB for VA contracts and 8(a) for HUD-funded projects. The single highest-leverage move is to obtain state licensure as an Assisted Living Facility (ALF) and become a VA-approved CRC provider; this qualifies you for direct referrals without competitive bidding. Build relationships with local VA Contracting Officers and state Aging & Disability Resource Centers.
Contracts are mostly LPTA (lowest price technically acceptable) for per diem rates, but best-value tradeoffs occur for quality metrics. Common vehicles: VA Community Care Network (CCN) agreements, state Medicaid HCBS waivers, HUD Section 202 capital advances, and GSA Schedule 621I (Health & Allied Services) for consulting. Evaluation focuses on state licensure, staff-to-resident ratios, and past performance in elderly care.
You must hold a valid state license as an Assisted Living Facility (ALF) or Residential Care Facility (RCF) in the state where services are provided. Additionally, VA requires enrollment in the Community Residential Care (CRC) program, which includes a site inspection and fire safety compliance.
Surety bonds are rarely required for assisted living service contracts because they are service-based, not construction. However, some state Medicaid contracts may require a performance bond if the award exceeds $100,000. Check the specific RFP terms.
For VA contracts, SDVOSB or VOSB certification is critical. For HUD Section 202 or state contracts, 8(a) or HUBZone certification can provide advantages. Woman-owned (WOSB) status is less common but may apply in some states.
Competition is moderate. Direct federal contracts (e.g., VA CRC) are often sole-source due to geographic and licensure constraints. State Medicaid waivers are more competitive, with 5-10 bidders per region. Overall, barriers to entry (licensing, capital) limit competition.
Award sizes vary widely. VA CRC contracts average $500,000 to $2 million annually per facility. State Medicaid waivers can be $1-5 million per year for a single facility. HUD Section 202 grants for construction/renovation range from $5-20 million.