9-DHHS26149 Score Sheet.xlsx

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Attached to
Residential Treatment Services
Solicitation number
DHHS26149
Issued by
Utah

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Written by GovTribe AI ·

This is a score sheet document for the Utah Department of Health and Human Services (DHHS) evaluation of proposals for Residential Treatment Services contract 9-DHHS26149. The contract seeks to provide residential treatment programs serving two distinct populations: an 8-bed male moderate-level program for youth with problematic sexual behaviors (DSE) and a 12-bed female high-level program for mental and behavioral health services (DMF). The score sheet establishes the evaluation criteria and methodology used by DHHS to assess bidder qualifications and proposal quality, with scoring categories that measure vendor capability to deliver these specialized residential treatment services. The evaluation framework ensures that selected contractors demonstrate competency in serving vulnerable populations requiring intensive therapeutic interventions and behavioral health support.

The score sheet functions as the primary instrument for standardizing evaluation across multiple reviewers and ensuring consistent, objective assessment of competing proposals. It establishes weighted scoring categories that align with DHHS priorities for service delivery, clinical expertise, operational capacity, and compliance with regulatory requirements. By utilizing a structured scoring methodology, DHHS can effectively differentiate between qualified vendors and select the contractor(s) best positioned to provide high-quality, specialized residential treatment services to youth with complex mental health and behavioral needs in Utah's service delivery system.

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Other files

File Type Posted
7-DHHS26149 Attachment D Facility Service Selection.docx DOCX document
5-DHHS26149 Attachment E Facility Org Chart.docx DOCX document
3-DHHS26149 RFP Template Residential 9.29.26.docx DOCX document
8-DHHS26149 Form 1 - DHHS Data Sheet.pdf PDF
12-DHHS26149 Attachment A DHHS Client Service Terms.docx DOCX document
1-DHHS26149 Attachment F Past Perfomance.docx DOCX document
6-DHHS26149 Document Submission Checklist.docx DOCX document
4-DHHS26149 Form 4 - Mandatory Minimum Requirements.docx DOCX document
13-DHHS26149 Attachment C Established Rates.docx DOCX document
14-26089 Form 2 W-9.pdf PDF
11-DHHS26149 Attachment B Scope of Work 9.29.26.docx DOCX document
2-DHHS26149 Attachment G Medicaid Services Attachment.docx DOCX document
10-DHHS26149 Form 3 Conflict of Interest Disclosure Statement.pdf PDF
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Score Sheet

DHHS RESIDENTIAL
SOLICITATION #26149
RFP EVALUATION SCORESHEET

Vendor:

Evaluator: Date:

Minimum Mandatory RequirementsEvaluation (Pass/Fail)
1Offeror must have a physical facility located in the State of Utah.
2Prior to the contract start date, the Contractor must have a current license from the DHHS Office of Licensing (“DHHS/OL”) for residential treatment or intermediate secure care.
3Offeror must have 2 years of experience serving similar populations.
4Offeror must have a Clinical Evaluation, Treatment, Wrap Services and Forensic Evaluations contract for psychotherapy services; pharmacological evaluation and management of services; psychosocial rehabilitation services; therapeutic behavioral services; mentoring services; day treatment services; and clinical consultation prior to contracting.
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 ID#AAAAOnjL1Xg April Graham (DHHS) (2021-08-31 22:11:44) @spencerhall@utah.gov @janestecklein@utah.gov do these values have to be done prior to the RFP going out?

_Assigned to spencerhall@utah.gov_ ID#AAAAOVe0bzw Spencer Hall (DHHS) (2021-08-31 22:42:30) @aprilgraham@utah.gov Yes. The criteria weights are an essential part of the RFP that must be published with the RFP. In this spreadsheet, the % of Tech Criteria should auto-calculate based on the criteria weight.

ID#AAAAOVtxUgQ April Graham (DHHS) (2021-09-01 00:02:40)

I need some help with this? Can we touch base tomorrow?Points PossiblePoints
EarnedMinimum Required
A. APPLICANTS PROGRAM0.0%0.00.0
A1Describe how the applicant will adhere to the admission criteria identified in the scope of work and admit all Persons that meet criteria referred to their program.1014.3%50.00.0
A2Describe the program's length of stay and how it aligns with the targeted length of stay criteria described in the scope of work1014.3%50.00.0
A3Submit program manual that describes the evidence- based model used that is shown to reduce recidivism. How it is implemented from clinical intervention to group milieu. Describe the evidence-based treatment models utilized. If you utilize multiple evidence-based models, describe specifically how they are integrated.1014.3%50.00.0
A4Describe the behavior intervention system and how it is related to your evidence-based treatments.1014.3%50.00.0
B. FAMILY ENGAGEMENT0.0%0.00.0
B1Describe Family Treament including behavioral skills training for the family.1014.3%50.00.0
B2Describe the program’s family visitation and other contact.1014.3%50.00.0
C. AFTERCARE0.0%0.00.0
C1Submit an example of an aftercare plan.1014.3%50.00.0
0.0%0.00.0
0.0%0.00.0
0.0%0.00.0
0.0%0.00.0
0.0%0.00.0
0.0%0.00.0
Totals:100.0%350.00.00.0
Required Technical Point ThresholdMin PercentMin Points RequiredPoints EarnedPercent EarnedStatus
0.00.00.0%
CostLow Cost OptionOffered CostPercent of TotalPoints PossiblePoints Earned
0.00.0

Cost will not be evaluated for this solicitation.

Total Evaluation PointsPercent of TotalPoints PossiblePoints Earned
Total Technical Evaluation Points0%350.00.0
Total Cost Evaluation Points0%0.00.0
Total Evaluation Points0%350.00.0
Specific Services CodesPass/Fail
DSEModerate Problematic Sexual Behaviors (Male) 8 Bed
DMFHigh Level Mental and Behavioral Health (Female) 12 Bed

Scoresheet Summary

XX##### Solicitation Name Scoresheet Summary

Signatures:Date:
Evaluator 1__________________
Evaluator 2__________________
Evaluator 3__________________
Evaluator 4__________________
Evaluator 5__________________
Minimum Mandatory RequirementsOfferor AOfferor BOfferor COfferor DOfferor EOfferor FOfferor G
1
2
3
WeightTechnical ScoresOfferor AOfferor BOfferor COfferor DOfferor EOfferor FOfferor G
Criteria #1
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #1 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #2
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #2 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #3
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #3 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #4
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #4 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #5
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #5 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Criteria #6
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #6 - Total Points (Total Possible XX)0.00.00.00.00.00.00.0
Criteria #7
Evaluator 1
Evaluator 2
Evaluator 3
Evaluator 4
Evaluator 5
Total Average Score0.00.00.00.00.00.00.0
Criteria #7 - Total Points (Total Possible Points = XX)0.00.00.00.00.00.00.0
Total Technical Points (Total Possible Points = XX) Minimum Threshold = XX0.00.00.00.00.00.00.0
Total Cost PointsCost ScoresOfferor AOfferor BOfferor COfferor DOfferor EOfferor FOfferor G
Cost
Cost Points0.00.00.00.00.00.00.0
Score SummaryOfferor AOfferor BOfferor COfferor DOfferor EOfferor FOfferor G
Total Technical Points (Total Possible = XX)0.00.00.00.00.00.00.0
Total Cost Points (Total Possible = XX)0.00.00.00.00.00.00.0
Grand Total Points (Total Possible = XX)0.00.00.00.00.00.00.0

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