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Offeror
| MEDICAID BILLING SERVICES |
| SOLICITATION # USBE-CC26314-RFP |
| RFP EVALUATION SCORESHEET |
| Scores will be assigned from 0-10 as follows: |
| Firm Name: | 0 = the proposed solution does not meet requirements and expectations as described in the request for proposal. |
| 5 = the proposed solution satisfactorily meets requirements and expectations as described in the request for proposal. |
| Evaluator: | 10 = the proposed solution measurably exceeds requirements and expectations as described in the request for proposal. |
| NOTE: The requirements and criteria listed in this RFP score sheet may be abbreviated headings. Offerors should refer to the corresponding RFP section for a complete description of criteria. |
| Date: | |
| Mandatory Minimum Requirements | | RFP Section | Evaluation (Pass/Fail) |
| 1 | Offeror must demonstate the ability to meet the Scope of Work as described. Do you understand and agree to comply with this requirement? | | |
| 2 | Implementation & Go Live date Confirmation - 7/1/2026 | | |
| 3 | Active & Operational PowerSchool Integration | | |
| 4 | Offeror must have both the experience and current capability to submit Medicaid claims electronically to Utah Medicaid through the UHIN tool. | | |
| 5 | Protection of Student Level Data | | |
| 6 | References | | |
| 7 | Section 504, 508 and WCAG Compliance | | |
Scoreable Technical Criteria RFP Section Evaluator Score (0-10) Criteria Weight % of Tech Criteria Points Possible Points Earned
| 1 | Ability to meet scope of work | 13 | 12.5% | 130.0 | 0.0 |
| 2 | PowerSchool Integration | 13 | 12.5% | 130.0 | 0.0 |
| 3 | Experience with school-based medicaid programs | 10 | 9.6% | 100.0 | 0.0 |
| 4 | System usability and workflow design | 10 | 9.6% | 100.0 | 0.0 |
| 5 | Medicaid and regulatory compliance | 10 | 9.6% | 100.0 | 0.0 |
| 6 | Customer service and issue resolution | 9 | 8.7% | 90.0 | 0.0 |
| 7 | Implementation | 9 | 8.7% | 90.0 | 0.0 |
| 8 | System Architecture and software capabilities | 8 | 7.7% | 80.0 | 0.0 |
| 9 | Compliance, security, and data protection | 8 | 7.7% | 80.0 | 0.0 |
| 10 | Operational risk management | 8 | 7.7% | 80.0 | 0.0 |
| 11 | Project team qualifications and experience | 6 | 5.8% | 60.0 | 0.0 |
| | | 100.0% | 1040.0 | 0.0 |
| Required Score Threshold | Min Percent | Min Points Required | Points Earned | Percent Earned | Evaluation |
| 65% | 676.0 | 0.0 | 0.0% | Fail |
| Interviews/Presentations (if applicable) | RFP Section | Evaluator Score (0-10) | Criteria Weight | % of Points Possible | Points Possible | Points Earned |
| Interview/Presentation | | | 10 | 100.00% | 250.0 | 0.0 |
| | | | 100.00% | 250.0 | 0.0 |
| Required Score Threshold | Min Percent | Min Points Required | Points Earned | Percent Earned | Evaluation |
| 65% | 162.5 | 0.0 | 0.0% | Fail |
| Grand Total (from Cost Proposal Sheet) | RFP Section | Low Cost Option | Offered Cost | Percent of Total Points Possible Earned | Points Possible | Points Earned |
| | | | 0% | 300.0 | 0.0 |
* USBE will use the following cost formula: The points assigned to each offerors cost proposal will be based on the lowest total cost over 5 years. The offeror with the Lowest Total Cost will receive 100% of the price points. All other offerors will receive a portion of the total cost points based on what percentage higher their Proposed Total Cost is than the Lowest Total Cost. An offeror whose Proposed Total Cost is more than double (200%) the Lowest Total Cost will receive no points. The formula to compute the points is: Cost Points x (2- Proposed Total Cost/Lowest Total Cost).
| Total Evaluation Points | Percent of Total Points Possible | Points Possible | Points Earned | Minimum Percent Required | Minimum Points Required | Evaluation Result |
| Total Technical Evaluation Points | 65% | 1,040.0 | 0.0 | 65% | 676.0 | FAIL |
| Total Interview/Presentation Points (if applicable) | 16% | 250.0 | 0.0 | 65% | 162.5 | FAIL |
| Total Cost Evaluation Points | 19% | 300.0 | 0.0 | N/A | N/A | N/A |
| Total Evaluation Points | 100% | 1,590.0 | 0.0 | 65% | 1033.5 | FAIL |
*NOTE: Total points possible and minimum points required may change if interviews/presentations are not held. A revised score sheet will be provided in this event.