Exhibit Q, Evaluation Tool and Scoring Example.pdf

PDF 139 KB Posted

Attached to
Medicaid and Children’s Health Insurance Program Dental Services
Solicitation number
HHS0017108
Issued by
Texas

About this file

Exhibit Q is an evaluation tool and scoring example document for the Medicaid and Children's Health Insurance Program (CHIP) Dental Services contract opportunity with the State of Texas. This document provides a framework for evaluating and scoring bidder proposals submitted in response to the dental services solicitation. The exhibit outlines the specific criteria and methodology that will be used to assess vendor qualifications, proposed service delivery models, clinical capabilities, and operational capacity to serve Medicaid and CHIP beneficiaries across Texas. The evaluation tool establishes weighted scoring categories that allow the state to systematically compare competing proposals against predetermined standards and performance benchmarks relevant to dental service delivery.

The scoring example demonstrates how points will be allocated across evaluation categories, illustrating the relative importance of different proposal elements in the overall selection process. This exhibit serves as both a transparency measure for potential bidders and an internal guidance document for the state's evaluation committee, ensuring consistent and objective assessment of all submissions. The tool includes specific scoring ranges and point allocations that reflect the state's priorities for dental service accessibility, quality of care, network adequacy, and administrative compliance for the Medicaid and CHIP populations.

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Exhibit G, Medicaid and CHIP Dental Services Statement Of Work (SOW).pdf PDF
Exhibit C, Deliverables-Liquidated Damages Matrix.pdf PDF
Exhibit S, TDI Certificate of Authority Table.pdf PDF
Exhibit P, Consensus Scoring Rubric.pdf PDF
Exhibit J, Certification Regarding Lobbying.pdf PDF
Exhibit A, Dental Contract Terms and Conditions.pdf PDF
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Exhibit H, HHS Solicitation Affirmations v. 2.10.pdf PDF
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Exhibit I, Federal Assurances Non-Construction Programs.pdf PDF
Exhibit K, Exceptions.docx DOCX document
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Exhibit F, Dental Reporting Regions Map.pdf PDF
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Exhibit B, Uniform Managed Care Manual (UMCM).pdf PDF
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Exhibit L, Assumptions.docx DOCX document
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Exhibit O, Medicaid and Children's Health Insurance Program (CHIP) Dental Services Scoring Guides.pdf PDF
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Medicaid_Dental_DentalReportingRegion_County_Zip_201709_202411_v.xlsx XLSX spreadsheet
Exhibit D, Texas Medicaid Provider Procedures Manual.pdf PDF
TX Medicaid and CHIP Enrolled Dental Providers SFY2025YTD_final.xlsb XLSB spreadsheet
D00022_837D_Acute_Care_Companion_Guide.pdf PDF
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Exhibit Q, Evaluation Tool and Scoring Example

Available Points by Section

BVC

Ref # BVC Description

Number of Questions per

Section

Administrative Ranking

Available Points per

Section Overall Weight

BVC 1 Ensures Members have timely access to the Services they need. 6 1 560 28.0% BVC 2 Encourages Providers to participate in the Dental program. 3 1 560 28.0% BVC 3 Ensures a sustainable Dental program by incentivizing value in the Service delivery model and optimizing resources. 4 2 420 21.0% BVC 4 Uses data, technology, and reporting to facilitate and demonstrate strong performance and oversight. 3 3 260 13.0%

All Technical Questions 16 1800 90.0%

Oral Presentations 4 200 10.0%

Total (Technical + Oral) 20 2000 100.0%

Uniform Points per Section BVC 1: Ensures Members have timely access to the Services they need.

Question Number Points Available 1 93.33 2 93.33 3 93.33 4 93.33 5 93.33 6 93.33

Section Total 560.00

BVC 2: Encourages Providers to participate in the Dental program.

Question Number Points Available

7 186.67 8 186.67 9 186.67

Section Total 560.00

BVC 3: Ensures a sustainable Dental program by incentivizing value in the Service delivery model and optimizing resources.

Question Number Points Available

10 105.00 11 105.00 12 105.00 13 105.00

Section Total 420.00

BVC 4: Uses data, technology, and reporting to facilitate and demonstrate strong performance and oversight.

Question Number Points Available

14 86.67 15 86.67 16 86.67

Section Total 260.00

Technical Total 1800.00

Oral Presentations Scenario Number Points Available a 50.00 b 50.00 c 50.00 d 50.00

Oral Total 200.00

Grand Total 2000.00

Score-to-Points Conversion For Dental Services percent of points awarded applies the largest change in points awarded when comparing a 3 to a 2 rating.

Scoring Scale Percent of Points Awarded

Additional Points Awarded by

Increasing Score

0 0% 1 10% 10% 2 25% 15% 3 60% 35% 4 80% 20% 5 100% 20%

Example Points Awarded BVC 1: Delivers Person-Centered Service Coordination that connects Member needs to effective care.

Question Number Points Available 1 93.33

Scoring Scale Points Awarded Additional Points

Awarded by Increasing Score

0 0 1 9.33 9.33 2 23.33 14.00 3 56.00 32.67 4 74.67 18.67 5 93.33 18.67

Weighted Scoring Conversion

Scoring Scale Percent of Available Points

0 0% 1 10% 2 25% 3 60% 4 80% 5 100%

Weighted Scoring BVC 1: Ensures Members have timely access to the Services they need.

Question Number Points Available Technical Question Score

Percent of Available Points Weighted Score

1 93.33 0% 0.00 2 93.33 0% 0.00 3 93.33 0% 0.00 4 93.33 0% 0.00 5 93.33 0% 0.00 6 93.33 0% 0.00

Total 560.00 0.00

BVC 2: Encourages Providers to participate in the Dental program.

Question Number Points Available Technical Question Score

Percent of Available Points Weighted Score

7 186.67 0% 0.00 8 186.67 0% 0.00 9 186.67 0% 0.00

Total 560.00 0.00

BVC 3: Ensures a sustainable Dental program by incentivizing value in the Service delivery model and optimizing resources.

Question Number Points Available Technical Question Score

Percent of Available Points Weighted Score

10 105.00 0% 0.00 11 105.00 0% 0.00 12 105.00 0% 0.00 13 105.00 0% 0.00

Total 420.00 0.00

BVC 4: Uses data, technology, and reporting to facilitate and demonstrate strong performance and oversight.

Question Number Points Available Technical Question Score

Percent of Available Points Weighted Score

14 86.67 0% 0.00 15 86.67 0% 0.00 16 86.67 0% 0.00

Total 260.00 0.00

Weighted Technical Question Score 1800.00 0.00

Oral Presentation

Scenario Number Points Available Oral Presentation Score

Percent of Available Points Weighted Score a 50.00 0% 0.00 b 50.00 0% 0.00 c 50.00 0% 0.00 d 50.00 0% 0.00

Weighted Oral Presentation Score 200.00 0.00

Final Weighted Score 2000.00 0.00

Weighted Scoring Conversion

Scoring Scale Percent of Available Points

0 0% 1 10% 2 25% 3 60% 4 80% 5 100%

Weighted Scoring BVC 1: Ensures Members have timely access to the Services they need.

Question Number Points Available Technical Question Score

Percent of Available Points Weighted Score

1 93.33 5 100% 93.33 2 93.33 4 80% 74.67 3 93.33 2 25% 23.33 4 93.33 5 100% 93.33 5 93.33 5 100% 93.33 6 93.33 3 60% 56.00

Total 560.00 434.00

BVC 2: Encourages Providers to participate in the Dental program.

Question Number Points Available Technical Question Score

Percent of Available Points Weighted Score

7 186.67 4 80% 149.33 8 186.67 2 25% 46.67 9 186.67 0 0% 0.00

Total 560.00 196.00

BVC 3: Ensures a sustainable Dental program by incentivizing value in the Service delivery model and optimizing resources.

Question Number Points Available Technical Question Score

Percent of Available Points Weighted Score

10 105.00 3 60% 63.00 11 105.00 3 60% 63.00 12 105.00 5 100% 105.00 13 105.00 1 10% 10.50

Total 420.00 241.50

BVC 4: Uses data, technology, and reporting to facilitate and demonstrate strong performance and oversight.

Question Number Points Available Technical Question Score

Percent of Available Points Weighted Score

14 86.67 2 25% 21.67 15 86.67 4 80% 69.33 16 86.67 5 100% 86.67

Total 260.00 177.67

Weighted Technical Question Score 1800.00 1049.17

Oral Presentation

Scenario Number Points Available Oral Presentation Score

Percent of Available Points Weighted Score a 50.00 5 100% 50.00 b 50.00 4 80% 40.00 c 50.00 3 60% 30.00 d 50.00 2 25% 12.50

Weighted Oral Presentation Score 200.00 132.50

Final Weighted Score 2000.00 1181.67

Available Points
Points Per Section
Score to Points
Weighted Scoring
Weighted Scoring EXAMPLE

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