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Cost-Effective, Coordinated Care for Caregivers and Substance Exposed Newborns (C4SEN) Investment Program

UPDATE: Proposals are now due February 5, 2021 by 3:00 PM EST


The “Cost-Effective, Coordinated Care for Caregivers and Substance Exposed Newborns” (C4SEN) investment program is a quality improvement effort aligned with the Massachusetts legislature’s priorities for expanded access to evidence-based, appropriate addiction treatment. Investments made through C4SEN will add to the knowledge base regarding clinical best practices for caring for Substance Exposed Newborns (SEN) and improve quality of care of SEN and their Caregivers. The HPC also recognizes the social marginalization and inequities that have been cultivated by racism in many of our systems including housing, education, and health care. With this in mind, C4SEN seeks to support programs that emphasize cultural relevance, acknowledge the effects of structural racism, and take accountability for improving outcomes for marginalized populations.  

Through the C4SEN investment program, the HPC intends to support community hospitals and other providers to develop innovative care models that promote collaboration among appropriate primary care and specialty providers, behavioral health providers, community-based organizations (CBOs), and social service agencies to better coordinate care across domains to address the holistic health care and social needs of SEN and their Caregivers. The purpose of the C4SEN initiative is to connect SEN and their Caregivers to cost-effective treatments, care options, and resources that will help mitigate future health care and systemic costs including Early Intervention and Medication-Assisted Treatment (MAT) programs.

Request for Proposals

The HPC has issued a Request for Proposals (RFP) to solicit proposals from eligible entities seeking an opportunity to support improved access to services and improved quality of care for SEN and their Caregivers. Proposals must describe how the program will meet the following requirements while addressing health equity considerations for the target population:

  • Support SEN and Caregivers for a minimum of 12 months following birth;
  • Coordinate with outpatient providers and/or directly provide access to pediatric services, adult primary care, and adult behavioral health, including evidence-based SUD treatment – particularly MAT -- for the Caregiver;
  • Collaborate with community-based and/or social service organizations to meet the non-medical needs (including health-related social needs) of Caregivers and SEN;
  • Ensure that SEN who are experiencing or at risk for developmental delays have access to supportive services, including Early Intervention; and
  • Provide Culturally Competent Care that is free of stigma and bias.

The RFP and its attachments may be found here on the state’s procurement website, CommBuys. Please check CommBuys regularly for any RFP amendments, FAQs, and other information that the HPC may issue during the procurement period. Responses to the RFP must be submitted to the HPC via CommBuys by 3:00 PM EST on Friday, February 5 , 2021.

Please submit all questions about the C4SEN RFP to by 3:00 PM EST on January 22, 2021.