9-SHE130921 References.pdf
PDF 337 KB Posted
- Attached to
- SLCo SHE130291 Medicaid 1115 Waiver - RFC
- Solicitation number
- SLCo SHE130291 Medicaid 1115 Waiver - RFC
- Issued by
- Salt Lake County, Utah
About this file
This is a references requirement document for solicitation SHE130921, issued by Salt Lake County Contracts and Procurement on behalf of the Salt Lake County Sheriff's Office Jail Health Services Division in Utah. The solicitation seeks a qualified contractor to provide Medicaid claim submission and management services under the 1115 Medicaid Waiver for incarcerated individuals. The contractor must demonstrate at least three years of experience providing similar services and must submit at least three commercial references from companies that regularly utilize the bidder's services. Each reference must include the company name, contact person's name, phone number, email address, the number of years the reference has used the bidder's services, and the frequency of service (monthly, quarterly, or as needed). The referenced form includes spaces for three references, with the third reference marked as optional.
The county reserves the right to verify the quality and reliability of the bidder's past performance using the submitted references and publicly available information. Additionally, if the county has previously contracted with the bidder, the county may consider past interactions—positive or negative—as part of the reference evaluation process. The county retains sole authority to determine the responsiveness of bids based on the reference evaluation process. No specific pricing information, set-asides, incumbency status, funding amounts, or contract term details are provided in this references document.
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Text version
SHE130921
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)
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