exhibit_1_written_proposal_evaluation_scoring_sheet.pdf

RFP 27-3001 Exhibit 1 California Department of Social Services Page 1 of 8

WRITTEN PROPOSAL EVALUATION SCORING SHEET

Technical Proposals of Proposer’s who pass Phase I of the evaluation will be rated by the evaluation committee utilizing a consensus process for determining final scores in accordance with RFP Section C, Item 6 (page 21). The consensus scoring shall be based on the scoring method below:

Evaluation Factor/Sub Factor Weight X Consensus Rating = Weighted Score

Consensus Rating (Range: 0 – 4) Rating Definitions 4 Exceeded All Requirements 3 Partially Exceeded Requirements 2 Met All Requirements 1 Partially Met Requirements 0 Requirements Not Met

Example Only Weight Consensus Rating Weighted Score

Proposer’s Approach to

Technical Proposal 2 x 3 = 6

Written Proposal Evaluation

A. Management Personal Staffing and

Expenses (See RFP Section C., 4., b., 2., a) 40 Possible Points

Weight Consensus Rating

Weighted Score

1. Organization chart of the Proposer, including all management personnel for the Program

2. Resume and/or summary of qualifications for management personnel 3

3. Experience of management team 5

Notes:

California Department of Social Services Page 2 of 8

B. Claims Administration

(See RFP Section C., 4., b., 2., b) 24 Possible Points

Weight Consensus Rating

Weighted Score

1. Effective plan to provide qualified claims administration staff 2

2. Resources committed – adequately staffed team 2

3. Resources committed – Proposer’s plan to provide adequate service offices 2

California Department of Social Services Page 3 of 8

C. A Record of Performance

(See RFP Section D., 5., b., 2., c) 28 Possible Points

Weight Consensus Rating

Weighted Score

1. Three (3) references of large California public entities provided 3

2. Challenges which occurred for identified clients 2

3. Resolutions which occurred for identified clients 2

D. Implementation and Transition Plan

(See RFP Section D., 5., b., 2., d) 40 Possible Points

Weight Consensus Rating

Weighted Score

1. Timeline, tasks, major milestones and deliverables 4

2. Approach of control/management 3

3. Description of challenges and solutions 3

California Department of Social Services Page 4 of 8

E. Compliance with the State’s

Requirements for Claims Administration Services (See RFP Section D., 5., b., 2., e) 24 Possible Points

Weight Consensus Rating

Weighted Score

1. Methodology for the provisions of claim administration services 2

2. Description of the life cycle of a claim and philosophy of claim closure 2

3. Distinguishing elements of Proposer’s services 2

F. Workers’ Compensation Program Claims

Management (See RFP Section D., 5., b., 2., f) 52 Possible Points

Weight Consensus Rating

Weighted Score

1. Steps identified for reducing claims and mitigating costs 3

2. Ability to assist the State in meeting legal requirements and to provide education

3. Ability to update and inform on financial trends 2

4. Process to monitor, implement and communicate regulatory and legislative developments, including enacted laws

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5. Services to comply with the Medicare Section 111 Mandatory Reporting, per the Medicare Secondary Player Act, as amended by MMSEA and related statues

6. Quality assurance processes 2

G. Claims Management Information System

(See RFP Section D., 5., b., 2., g) 36 Possible Points

Weight Consensus Rating

Weighted Score

1. Data captured through the Proposer’s system 2

2. Data integrity 2

3. Online reporting capabilities for counties 2

4. Process for generating standard and custom reports 2

5. Examples of standard and custom reports 1

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H. Disaster Recovery

(See RFP Section D., 5., b., 2., h) 24 Possible Points

Weight Consensus Rating

Weighted Score

1. Restoration of services 3

2. Recovery of data 3

I. Data Security and Confidentiality

(See RFP Section D., 5., b., 2., i) 20 Possible Points

Weight Consensus Rating

Weighted Score

1. Processes to ensure data security and confidentiality 2

2. Processes to identify security incidents and data breaches 2

3. Processes to review and update data Security 1

California Department of Social Services Page 7 of 8

J. Litigation Management and Cost

Containment (See RFP Section D., 5., b., 2., j) 36 Possible Points

Weight Consensus Rating

Weighted Score

1. Approach and guidelines to establish when the use of defense counsel is necessary and continued ongoing oversight, including coordination of activities

2. Processes and procedures to manage the quality of work and cost 3

3. Samples of billing, audit and activity reports 1

4. Subrogation activities 2

K. Managed Care Services

(See RFP Section D., 5., b., 2., k) 72 Possible Points

Weight Consensus Rating

Weighted Score

1. Philosophy, protocols and readiness to provide utilization review 6

2. Philosophy, protocols and readiness to provide bill review 6

3. Philosophy, protocols and readiness to provide Preferred Provider Organization Network(s)

California Department of Social Services Page 8 of 8

L. Program Challenges

(See RFP Section D., 5., b., 2., l) 24 Possible Points

Weight Consensus Rating

Weighted Score

1. Relevancy of challenges 3

2. Proposed solutions 3

TOTAL POINTS FOR WRITTEN EVALUATION (Out of 420 Possible Points)