Specifications include, but are not limited to: The State of Connecticut, Department of Public Health (DPH or the Department) is seeking proposals for four (4) health care organizations (HCOs) to implement or expand evidencebased strategies that address heart disease (specifically hypertension and hypercholesterolemia) and Type 2 diabetes and improve health outcomes. The selected HCOs will collaborate with a Technical Assistance vendor selected through a separate RFP to carry out these strategies in communities at higher than usual risk for heart disease and diabetes. Deliverables include, but are not limited to, use of Electronic Health Records to identify appropriate patients to target for improve rates of diabetes and pre-diabetes education, medication therapy management and self-monitoring of blood pressure. The goal is to enhance existing activities advancing population health and chronic disease management.