6175- S-44300-00017084 RFPAttD.docx

This is a Reference Check Form attachment for a Request for Proposal issued by the State of Oregon, acting through the Oregon Health Authority, for an NCQA-certified vendor to produce, certify, and report HEDIS and non-HEDIS measures for the Oregon Health Plan. The RFP (S-44300-00017084) seeks a vendor capable of delivering 30 HEDIS measures and 14 non-HEDIS measures. The reference check form is designed to be completed by entities with prior experience working with the proposing vendor and serves as an evaluation tool during the proposal review process.

The reference check form requests contact information for a reference entity and evaluates vendor performance across three primary dimensions using a 0-10 scale: overall quality of services and relationship, delivery of service, and responsiveness to customer service issues and special requests. Proposers must provide reference information as part of their proposal submission, allowing the Oregon Health Authority to verify vendor capabilities and performance history through direct communication with prior clients. The form version documented is from December 9, 2016, indicating this is part of the formal procurement documentation for evaluating qualified NCQA-certified vendors against established evaluation criteria.