ATTM 012.xlsx

This is an Experience Table template document that establishes reference requirements for offerors responding to a state contract opportunity related to claims management and CMS certification systems. The document mandates that offerors provide a minimum of three references documenting previous experience with similar projects, with additional references required for any previously held projects that were terminated early. Each reference entry must include the project name, customer, contract term, customer contact information, scope of work description, contract outcome status, project team size, and contract value. The reference table accommodates multiple contract statuses including projects completed during their full term, those with some or all option years awarded, and those terminated early. CMS certification outcomes must also be documented, indicating whether certification was achieved on the first attempt or required subsequent attempts.

The Experience Table serves as an evaluation tool for assessing offeror qualifications and past performance in managing state customer contracts related to point-of-sale claims processing and rebate invoice generation. Offerors must demonstrate capability across multiple performance metrics including annual claims creation volumes, rebate invoice processing, and successful CMS certification achievement. The table's structured format requires offerors to provide detailed lessons learned information for each reference project, enabling the contracting agency to evaluate organizational experience, project execution capability, and ability to successfully navigate system certification requirements. This documentation requirement allows the state to assess historical performance patterns, team composition, contract values managed, and the offeror's track record in completing similar work or identifying areas of concern through early terminations.