MACPAC Survey Data RFP FY26-35_PPQ_Appendix B.docx
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- Attached to
- MACPAC Survey Data Analysis Task Order Contract for Fiscal Years 2026–2035 Request for Proposals
- Solicitation number
- 202502
About this file
This document is a Past Performance Questionnaire (PPQ) for the MACPAC Survey Data Analysis Task Order Contract (Solicitation No. 202502) for Fiscal Years 2026-2035. The PPQ is designed to evaluate potential contractors' past performance across three key areas: technical performance and quality, management approach, and schedule adherence. The questionnaire uses a performance rating scale from Exceptional (E) to Unsatisfactory (U), with evaluators required to provide detailed comments for ratings at or below Satisfactory.
The associated solicitation seeks a contractor to perform survey data analysis and technical assistance for MACPAC, with specific requirements including a pool of statistical programmers, expertise in survey design and methodology, proficiency in programming languages like SAS and STATA, and ability to analyze complex survey data. The solicitation is open to all sources, with a NAICS code of 541720. Key dates include a question submission deadline of May 19, 2025, response posting by May 23, 2025, and proposal submission deadline of June 6, 2025 at 5:00 PM Eastern Time. Prospective contractors must be registered in the System for Award Management (SAM) database prior to contract award.
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Attachment B: Past Performance Questionnaire Instructions The Medicaid and CHIP Payment and Access Commission (MACPAC) appreciates your time and thoughtfulness in completing this past performance questionnaire. The information included in this questionnaire will be used to evaluate the past performance of offerors responding to solicitation no. 202502, “MACPAC Survey Data Analysis Task Order Contract for Fiscal Years 2026–2035.” Please note that the questionnaire will only be considered complete if all performance ratings at or below “Satisfactory” include comments to support the rating.
The questionnaire requests information on the technical performance and quality, management approach, and schedule of the offeror. Please complete the questionnaire as indicated on the form. All information submitted as part of this questionnaire will be kept confidential and not disclosed outside of MACPAC.
Please upload the completed questionnaire by 5pm EDT on June 6, 2025 to: https://macpacgov.app.box.com/f/092654e7817344a7b7ab6269738077a8.
Contact contracts@macpac.gov with questions.
Offeror Information Please provide the offeror’s name and contract information for the contract that is being evaluated in this past performance questionnaire. Note: This is the only section that the offeror may fill out. All other areas must be filled out by the evaluator.
| Name |
| Click or tap here to enter text. |
| Contract name |
| Click or tap here to enter text. |
| Contract type |
| Click or tap here to enter text. |
| Period of performance |
| Click or tap here to enter text. |
| Total contract value |
| Click or tap here to enter text. |
| Contract description |
| Click or tap here to enter text. |
Evaluator Information Please provide the name, title, and contact information for the person filling out this questionnaire. The evaluator may be a contracting officer, contracting specialist, contracting officer’s representative, or other project manager. If there is more than one individual who has contributed to this questionnaire, please also provide their contact information.
Evaluator contact information
| Name |
| Click or tap here to enter text. |
| Title |
| Click or tap here to enter text. |
| Organization |
| Click or tap here to enter text. |
| Phone number |
| Click or tap here to enter text. |
| Email address |
| Click or tap here to enter text. |
Additional evaluator contact information
| Name |
| Click or tap here to enter text. |
| Title |
| Click or tap here to enter text. |
| Phone number |
| Click or tap here to enter text. |
| Email address |
| Click or tap here to enter text. |
Performance Ratings The following rating and definitions (Table 1) will be used by the evaluator to rate the performance of the offeror in Table 2. For additional information on ratings, please see Table 42-1 found at FAR 42.1503(h)(4).
TABLE 1. Performance Evaluation Rating Definitions
| Rating |
| Abbreviation |
| Definition |
| Exceptional |
| E |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. |
| Very good |
| VG |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the element or sub-element being evaluated was accomplished with some minor problems for which corrective actions taken by the contractor were effective. |
| Satisfactory |
| S |
| Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. |
| Marginal |
| M |
| Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being evaluated reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor’s proposed actions appear only marginally effective or were not fully implemented. |
| Unsatisfactory |
| U |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains a serious problem(s) for which the contractor’s corrective actions appear or were ineffective. |
| Not applicable |
| NA |
| Measure does not apply to the contract discussed in this questionnaire. |
Source:
FAR 42.1503(h)(4).
Please place an X in the appropriate rating for each performance measure. We also request that you justify each of your ratings with a comment. Please be as specific in your comment as possible, particularly for situations that warrant a very high or very low rating.
TABLE 2. Performance Ratings
| E |
| VG |
| S |
| M |
| U |
| NA |
| Comments |
Technical performance and quality
| Accomplish project technical requirements | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Overall quality of deliverables | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Ensures accuracy and completeness of work | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Effectively performed quality control on subcontractor work and deliverables | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Management approach |
| Effectiveness of overall project management (including ability to manage entire project effort) | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Timeliness/effectiveness of project problem resolution | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Offeror communication with client | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Ability to hire and provide a highly qualified workforce | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Ability to retain quality personnel | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Manage subcontractors effectively | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| Schedule |
| Offeror consistently met project timelines and submitted deliverables on schedule | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
| If issues arose, offeror communicated timeline issues and worked with the client to revise the schedule | ||||||
| ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | Click or tap here to enter text. |
Would you use this contractor again for similar work in the future? Why or why not?
Click or tap here to enter text.
Please describe an issue or challenge that occurred during the contract and how the contractor provided a solution. For example, this could be an issue related to timeliness of receipt of deliverables, poor communication, transparency, staff turnover, etc.
Click or tap here to enter text.
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