6-SHE130921-1 References.pdf
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- Attached to
- SLCo SHE130921-1 Medicaid 1115 Waiver - RFC
- Solicitation number
- SLCo SHE130921-1 Medicaid 1115 Waiver - RFC
- Issued by
- Salt Lake County, Utah
About this file
References Document for SHE130921-1 Medicaid 1115 Waiver – RFC
This is a References page for a request for proposal (RFP) issued by Salt Lake County Contracts and Procurement on behalf of the Salt Lake County Sheriff's Office Jail Health Services Division for Medicaid claim submission and management services under the 1115 Medicaid Waiver. Bidders are required to demonstrate at least three years of experience providing services similar in scope to those described in the solicitation. The contractor will be responsible for preparing, submitting, and managing Medicaid claims for incarcerated individuals who received Medicaid-covered services or medications during their final 90 days of incarceration, with initial focus on Medication-Assisted Treatment (MAT) participants and eventual expansion to all inmates receiving Medicaid-eligible medical care.
Bidders must provide a minimum of three commercial references from companies that regularly utilize their services for similar work. For each reference, bidders must submit the company name, contact person's name, phone number, email address, number of years the reference has used the bidder's services, and frequency of service. The county reserves the right to verify the quality and reliability of bidders' past performance using this information and other publicly available sources, and may consider any previous county interactions with the bidder as part of the reference evaluation process. A third reference is optional. The county maintains sole authority to determine bid responsiveness based on the reference evaluation process.
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Text version
SHE130921-1
References
Bidders shall provide evidence of at least three (3) years providing services similar in scope to those described in this solicitation. Also, bidder must provide at least three (3) commercial references from companies that regularly utilize the Bidder for services similar in scope to those described in this solicitation. For each reference, Bidders must include the following information:
• Company name
• Contact person’s name
• Phone number
• Email address
• Number of years the reference has used the Bidder’s services
• Frequency of service (e.g., monthly, quarterly, as needed)
The County may use this and other publicly available information to verify the quality and reliability of the Bidder’s past performance. Additionally, if the County has previously contracted with the Bidder, the County reserves the right to consider past interactions, positive or negative, as part of the reference evaluation process. The County reserves sole authority to determine responsiveness of bids as a result of the reference evaluation process.
Reference #1
Reference #2
• Company Name: ___________________________________________
• Contact Person: ___________________________________________
• Phone Number: ___________________________________________
• Email Address: ___________________________________________
• Number of Years Using Bidder’s Services: ____________________
• Frequency of Services Provided: _____________________________
(eg. monthly/quarterly/as needed)
• Company Name: ___________________________________________
• Contact Person: ___________________________________________
• Phone Number: ___________________________________________
• Email Address: ___________________________________________
• Number of Years Using Bidder’s Services: ____________________
• Frequency of Services Provided: _____________________________
(eg. monthly/quarterly/as needed)
AStone Cross-Out
Reference #3 (Optional)
• Company Name: ___________________________________________
• Contact Person: ___________________________________________
• Phone Number: ___________________________________________
• Email Address: ___________________________________________
• Number of Years Using Bidder’s Services: ____________________
• Frequency of Services Provided: _____________________________
(eg. monthly/quarterly/as needed)
File details come from the government source that posted it. Updated .