7-Attachment F - Score Sheet (DHHS26085).xls
XLS spreadsheet 56 KB Posted
- Attached to
- Stabilization and Mobile Response
- Solicitation number
- DHHS26085
- Issued by
- Utah
About this file
This RFP Evaluation Scoresheet for DHHS26085 is used by the Utah Department of Health and Human Services to assess proposals for Stabilization and Mobile Response services in the Western Region, which includes Utah, Wasatch, Millard, Juab, Sanpete, Sevier, Wayne, and Piute counties. The procurement seeks a single qualified vendor to provide these services beginning September 13, 2026, under a five-year contract term. The evaluation process accommodates up to seven offerors and requires all evaluators to assess proposals against four mandatory requirements: vendor registration with the Utah Department of Commerce, enrollment as a Utah Medicaid Provider, ability to commence services by the specified start date, and capacity to serve all designated Western Region counties.
The scoresheet establishes a technical evaluation framework worth 500 total points, distributed across three primary scoreable criteria: ISS projection (10% weight, 50 points), Plan and Timeline (75% weight, 375 points), and Anticipated Annual Targets (15% weight, 75 points). Evaluators score each criterion on a 0-5 scale, with 5 representing proposals that address and exceed all RFP requirements. The evaluation process involves up to five evaluators who must calculate average scores and total points for each criterion and offeror, followed by combined technical and cost scoring to determine final rankings. The scoresheet template includes sections for cost evaluation and grand total point calculations, though specific cost weighting, funding amounts, and pricing terms are not detailed in this evaluation instrument.
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Score Sheet
| SOLICITATION # DHHS26085 | |||||||||
| RFP EVALUATION SCORESHEET | |||||||||
| Vendor: | |||||||||
| Evaluator: | Date: | ||||||||
| Minimum Mandatory Requirements | Evaluation (Pass/Fail) | ||||||||
| 1 | Is the Offeror registered, or will the Offeror register, with the Utah Department of Commerce, Division of Corporations and Commercial Code? | ||||||||
| 2 | Is the Offeror enrolled as a Utah Medicaid Provider? | ||||||||
| 3 | Can the Offeror begin providing services on September 13, 2026? | ||||||||
| 3 | Can the Offeror provide services to the all counties in the Western Region. (Utah, Wasatch, Millard, Juab, Sanpete, Sevier, Wayne, Piute) | ||||||||
| 0 | |||||||||
| Score will be assigned as follows: | |||||||||
| 0 = The proposal fails to address the requirements or crieteria described in the RFP or cannot be assessed due to missing information. | |||||||||
| 1 = Poor, the proposal inadequately addresses the requirements or criteria described in the RFP or cannot be assessed due to incomplete information. | |||||||||
| 2 = Unsatisfactory, the proposal addresses the requirements or criteria in the RFP in an unsatisfactory manner. | |||||||||
| 3 = Satisfactory, the proposal addresses all of the requriements or criteria described in the RFP in a minimum satisfactory manner. | |||||||||
| 4 = Good, the proposal addresses all requirements or criteria described in the RFP and, in some respects, exceeds them. | |||||||||
| 5 = Excellent, the proposal addresses and exceeds all of the requirements or criteria described in the RFP. | |||||||||
| Scoreable Technical Criteria | Evaluator Score (0-5) | Criteria Weight | % of Tech Criteria | Points Possible | Points | ||||
| Earned | Minimum Required | ||||||||
| 1 | ISS projection | 10 | 10.0% | 50.0 | 0.0 | ||||
| 2 | Plan & timeline | 75 | 75.0% | 375.0 | 0.0 | ||||
| 4 | Anticipated annual targets | 15 | 15.0% | 75.0 | 0.0 | ||||
| Totals: | 100.0% | 500.0 | 0.0 | 0.0 |
Scoresheet Summary
| XX##### Solicitation Name Scoresheet Summary | ||||||||
| Signatures: | Date: | |||||||
| Evaluator 1 | __________________ | |||||||
| Evaluator 2 | __________________ | |||||||
| Evaluator 3 | __________________ | |||||||
| Evaluator 4 | __________________ | |||||||
| Evaluator 5 | __________________ | |||||||
| Minimum Mandatory Requirements | Offeror A | Offeror B | Offeror C | Offeror D | Offeror E | Offeror F | Offeror G | |
| 1 | ||||||||
| 2 | ||||||||
| 3 | ||||||||
| Weight | Technical Scores | Offeror A | Offeror B | Offeror C | Offeror D | Offeror E | Offeror F | Offeror G |
| Criteria #1 | ||||||||
| Evaluator 1 | ||||||||
| Evaluator 2 | ||||||||
| Evaluator 3 | ||||||||
| Evaluator 4 | ||||||||
| Evaluator 5 | ||||||||
| Total Average Score | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #1 - Total Points (Total Possible Points = XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #2 | ||||||||
| Evaluator 1 | ||||||||
| Evaluator 2 | ||||||||
| Evaluator 3 | ||||||||
| Evaluator 4 | ||||||||
| Evaluator 5 | ||||||||
| Total Average Score | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #2 - Total Points (Total Possible Points = XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #3 | ||||||||
| Evaluator 1 | ||||||||
| Evaluator 2 | ||||||||
| Evaluator 3 | ||||||||
| Evaluator 4 | ||||||||
| Evaluator 5 | ||||||||
| Total Average Score | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #3 - Total Points (Total Possible Points = XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #4 | ||||||||
| Evaluator 1 | ||||||||
| Evaluator 2 | ||||||||
| Evaluator 3 | ||||||||
| Evaluator 4 | ||||||||
| Evaluator 5 | ||||||||
| Total Average Score | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #4 - Total Points (Total Possible Points = XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #5 | ||||||||
| Evaluator 1 | ||||||||
| Evaluator 2 | ||||||||
| Evaluator 3 | ||||||||
| Evaluator 4 | ||||||||
| Evaluator 5 | ||||||||
| Total Average Score | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #5 - Total Points (Total Possible Points = XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #6 | ||||||||
| Evaluator 1 | ||||||||
| Evaluator 2 | ||||||||
| Evaluator 3 | ||||||||
| Evaluator 4 | ||||||||
| Evaluator 5 | ||||||||
| Total Average Score | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #6 - Total Points (Total Possible XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #7 | ||||||||
| Evaluator 1 | ||||||||
| Evaluator 2 | ||||||||
| Evaluator 3 | ||||||||
| Evaluator 4 | ||||||||
| Evaluator 5 | ||||||||
| Total Average Score | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Criteria #7 - Total Points (Total Possible Points = XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Total Technical Points (Total Possible Points = XX) Minimum Threshold = XX | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Total Cost Points | Cost Scores | Offeror A | Offeror B | Offeror C | Offeror D | Offeror E | Offeror F | Offeror G |
| Cost | ||||||||
| Cost Points | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Score Summary | Offeror A | Offeror B | Offeror C | Offeror D | Offeror E | Offeror F | Offeror G | |
| Total Technical Points (Total Possible = XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Total Cost Points (Total Possible = XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | |
| Grand Total Points (Total Possible = XX) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
File details come from the government source that posted it. Updated .