ATTM 012.xlsx

This is an Experience Table (ATTM 012) submission template for the South Carolina Medicaid Clinical Data Exchange contract opportunity. The document provides a structured format for offerors to document their relevant experience and project references related to electronic visit verification (EVV) systems and Medicaid clinical data exchange services. Offerors are required to submit a minimum of three (3) reference projects completed in Rows 3, 4, and 5 of the experience table, with additional documentation required for any previously held projects that were terminated early. For each reference project, offerors must provide the state customer, contract award date, system go-live date, contract status, annual EVV transaction count, CMS certification attempts, and CMS certification outcome.

The experience table captures critical performance metrics including contract status outcomes (completed full term, partial or full option years awarded, or terminated early) and CMS certification results (first attempt success, subsequent attempt success, or not awarded). Each reference entry requires detailed information such as the project name, customer contact information, brief scope of work description, contract outcome, offeror's project team size, contract value, and lessons learned. This submission demonstrates the offeror's capability and experience in managing similar EVV and clinical data exchange implementations for state Medicaid programs, with emphasis on successful CMS certification achievement and contract performance history.