Adult day care, home care, and support services for elderly and disabled government beneficiaries. Find active federal and state services for the elderly and persons with disabilities contracts — AI-scored against your profile across SAM.gov and 200+ portals.
Annual federal spend under NAICS 624120 exceeds $2 billion, driven primarily by HHS (ACL), VA, and CMS programs such as Medicaid Home and Community-Based Services waivers. The market is moderately competitive, with many small nonprofit and for-profit providers. Contracts are predominantly structured as state-level Medicaid managed care agreements, VA Community Care Network (CCN) subcontracts, and HHS grants/cooperative agreements. Demand is fueled by aging demographics, disability rights legislation (Olmstead), and value-based care initiatives. Most opportunities are awarded via competitive LPTA evaluations, with a trend toward best-value tradeoffs in larger IDIQ vehicles like 8(a) STARS III or GSA MAS. Incumbents often hold long-term relationships, but new entrants can win via specialized service niches or geographic coverage gaps.
These agencies are the largest buyers of services for the elderly and persons with disabilities services and products in the federal government. Each awards contracts under NAICS 624120 regularly — build relationships with their small business offices first.
Focus on state-level Medicaid waivers and VA CCN subcontracts, which comprise the bulk of spend. The most common set-asides are Service-Disabled Veteran-Owned Small Business (SDVOSB) and 8(a) for HHS/VA contracts; HUBZone is rare. The single highest-leverage move is to secure accreditation (e.g., CARF, CHAP) and state licensure for home health or adult day care, then target the 10 largest Area Agencies on Aging (AAAs) by budget. Build relationships with AAA procurement officers and Medicaid managed care organizations (MCOs) — they often influence prime awards. Avoid competing on price alone; emphasize outcomes, staff qualifications, and cultural competency.
Work is bought via LPTA (most common) or best-value tradeoff. Key vehicles: GSA MAS Schedule 621 (Health & Welfare), 8(a) STARS III, VA CCN, and state-specific Medicaid managed care contracts. Evaluation emphasizes past performance, staff qualifications, and cost realism. Accreditation and licensure are de facto mandatory. Task orders under IDIQs are typically firm-fixed-price or cost-reimbursement.
Requirements vary by state and agency. For home care, you typically need a state home health agency license and Medicare certification. Adult day care centers require state licensure. Many HHS grants require CARF or CHAP accreditation. VA contracts may require VHA Directive compliance. Check SAM.gov for specific solicitation requirements.
Bonding is rare for service contracts under 624120, as they are labor-intensive rather than construction. However, some large IDIQ primes (e.g., 8(a) STARS III) may require performance bonds if the task order exceeds $150,000. Always review the solicitation's bonding clause.
Awards vary widely. State-level Medicaid waivers often range from $500,000 to $5 million annually. VA CCN subcontracts average $1-3 million per year. HHS grants can be $250,000 to $2 million. Large IDIQ vehicles may have task orders from $50,000 to $20 million.
Moderately competitive. Many contracts are set aside for small businesses (especially 8(a) and SDVOSB), but barriers include state licensure, accreditation, and past performance. The SBA size standard is $19 million in receipts, so many small firms qualify. Differentiation through specialized services (e.g., dementia care, traumatic brain injury) reduces competition.
Yes, subcontracting is common, especially under VA CCN and Medicaid MCOs. Many primes seek subcontractors with local presence and specialized expertise. Register as a subcontractor on the prime's vendor portal and highlight your licensure and experience. Subcontracts often range from $100,000 to $2 million.