Iowa

HHS Region 7 · Iowa Health and Human Services — Healthy Hometowns

ImplementingSite activeOfficial RHTP site ↗

Program Overview

The program leverages federal funding and interactive dashboards to guide rollout and track outcomes across rural communities in Iowa. Currently in the pilot and award phase, it emphasizes hub-and-spoke models, provider partnerships, workforce recruitment, health information exchange, and EMS-led mobile integrated health. The structured plan tracks key initiatives and strategic goals to improve rural healthcare access and outcomes. Current structured plan tracks 9 key initiatives and 10 strategic goals.

Updated about 4 hours ago

RHTP Documents

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Community Health Metrics

Source: CDC PLACES 2024 ↗

County-level estimates averaged across Iowa — % of adults 18+ unless noted. Delta vs US county average shown in red/green.

7.8%

-3.6pp

Uninsured (18–64)

11%

-1.4pp

Diabetes

39.3%

+1.8pp

Obesity

15.9%

-0.2pp

Current smoking

34%

-2.1pp

High blood pressure

25.9%

-1.8pp

Physical inactivity

6.6%

-0.3pp

Heart disease

3.3%

-0.4pp

Stroke

pp = percentage points vs US county average

County Drilldown (99)

County	Pop	Poverty	Uninsured
Polk County	503,175	10.3%	7.1%
Linn County	230,004	9.4%	6.2%
Scott County	174,608	11.5%	7.3%
Johnson County	156,639	17.1%	7.2%
Black Hawk County	131,049	14.9%	9.0%
Dallas County	107,968	6.3%	4.8%
Woodbury County	106,247	14.0%	10.7%
Story County	100,466	18.2%	5.6%
Dubuque County	99,030	9.7%	5.8%
Pottawattamie County	93,424	12.1%	8.0%
Warren County	54,409	5.1%	2.7%
Clinton County	46,268	13.2%	8.6%

Iowa RHTP Dashboard

Demographics

Total population: 3.2MCensus ACS5 2024
Rural population: 1.2MUSDA ERS RUCC 2023
Rural population %: 38.6%USDA ERS RUCC 2023
Poverty rate: 11.1%Census ACS5 2024
Median household income: $75,059Census ACS5 2024
Uninsured rate: 7.0%Census ACS5 2024
CAH count: 82HRSA GIS (live)
Rural hospital facilities: 0AI extracted
Primary care HPSA: 62HRSA Data Warehouse (GIS)
Dental HPSA: 35HRSA Data Warehouse (GIS)
Mental health HPSA: 63HRSA Data Warehouse (GIS)
MUA count: 97HRSA Data Warehouse (GIS)
MUP count: 2HRSA Data Warehouse (GIS)
FQHC facilities: 103HRSA Data Warehouse (GIS)
RHC facilities: 211HRSA Data Warehouse (GIS)

AI source: IA - 2026 - Direct file link

AI auto-updated Jun 11, 2026

API refreshed May 7, 2026

RHTP Strategic Goals

1Establish a sustainable, high-quality rural health care system across Iowa.
2Improve health, well-being, and quality of life for rural Iowans.
3Increase access to essential, preventive, and specialty health services in rural areas.
4Enhance chronic disease, cancer, maternal, and cardiovascular outcomes.
5Strengthen care coordination, provider partnerships, and EMS-supported community care.
6Modernize health information exchange and expand digital, co-located, and integrated care models.
7Expand, stabilize, and upskill the rural health workforce.
8Reduce rural morbidity and premature mortality, closing the gap with urban areas.
9Achieve financial sustainability for rural providers and service sites through streamlined operations and sustainability models.
10Increase transparency and public trust in rural health funding and outcomes.

Worth to Notice / Recent Updates (8)

Federal Awards (1)$209.0M

Closed$209.0M

Iowa Federal RHTP Award (FY2026-FY2030)

Centers for Medicare & Medicaid Services (CMS)

Grouped files

7 related documents

Current Progress

Implementing

Iowa has officially moved to implementation of its Rural Health Transformation Program, branded as Healthy Hometowns. The state has issued and publicly posted multiple major Requests for Proposals (RFPs) to local providers for workforce recruitment, mobile integrated health, maternal health hub and spoke initiatives, co-location pilots, and high-risk obstetric and neonatal transport projects. Public dashboards are live for outcome tracking, and funding opportunities and awardees are being posted by Iowa HHS for several initiatives. Active procurements and continued posting of state-level funding opportunities confirm sustained engagement with providers across rural Iowa. State opportunities: 8 active (4 open, 3 upcoming, 1 closing soon, 2 past/closed), $50.0M listed funding. Key opportunities: Iowa Cardiovascular Health Hub and Spoke Networks (RFP COMPADM26007); Iowa Communities of Care Co-Location Pilot Projects (RFP COMPADM26005); Iowa High-risk Obstetric and Neonatal Transport Projects (RFP PHTHOET27002). Strategy alignment: supports telehealth, maternal health, workforce priorities.

RHTP Strategy

Iowa’s RHTP Healthy Hometowns strategy advances rural health by deploying a robust, statewide hub-and-spoke care model that integrates rural hospitals, clinics, EMS, and multi-partner co-location sites into advanced networks. The strategy emphasizes targeted initiatives in care delivery, prevention, health information exchange, and emergency response, anchored by technology investment and workforce expansion. Implementation is anchored by major procurements beginning in FY2026 and a contract period through 2031, driving innovation and improved access for rural Iowans.

Model

Statewide hub-and-spoke model connecting rural hospitals, clinics, EMS, health IT systems, co-location service hubs, and specialized maternal, oncology, and cardiovascular sites to deliver integrated, patient-centered care and coordinated population health management.

Key Initiatives

1Implement Hometown Connections: establish rural hospital and clinic hub-and-spoke networks to increase access and care coordination.
2Create Combat Cancer oncology health hubs, expand rural cancer screening, and deploy tele-oncology and tele-pharmacy technologies.
3Launch Communities of Care Co-Location Program pilots: establish multi-agency rural service hubs for integrated health and social service delivery, with shared infrastructure, streamlined functions, and co-location of at least three distinct entities.
4Develop Health Information Exchange (HIE): connect rural providers statewide for secure data sharing, interoperability, and telehealth support.
5Establish Maternal Health Hub and Spoke Networks: form rural provider partnerships, implement telehealth, and invest in provider recruitment, equipment, and co-located services.
6Develop Cardiovascular Health Hub and Spoke Networks: create provider partnerships, enhance tele-cardiology services, and expand chronic disease management infrastructure.
7Expand Mobile Integrated Health/EMS Community Care: launch EMS-led in-home and telehealth-enabled programs for treat-in-place care, chronic disease, prenatal/postpartum support, and post-discharge follow-up to reduce avoidable ED usage in rural communities.
8Enhance High-Risk OB and Neonatal Transport: provide specialized EMS training, deploy tele-OB support, supply neonatal transport equipment, and formalize statewide transfer protocols.
9Deploy workforce incentives, advanced training, and equipment upgrades to support rural provider recruitment, retention, and care capacity.

Timeline: RHTP implementation is set for FY2026–2031, with primary RFPs issued July–September 2026 and contract awards beginning October 31, 2026; initial services launched by 2027, contract period through September 2031.

Health Priority

Cancer prevention and treatment: Aims to address cancer through early detection and improved access to treatment in rural populations. (Regions: Statewide rural communities)

Jul 23, 2026

Health Priority

Health information exchange: Expanding interoperable data sharing to improve health outcomes and care coordination. (Regions: Statewide)

Jul 23, 2026

Health Priority

Emergency care and EMS access: Mobile EMS care initiatives help rural patients connect to timely healthcare services. (Regions: Rural counties and remote areas)

Jul 23, 2026

IA - 2025 - RHTP – Healthy Hometowns

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ReferencePDFBudget: $200.0M

IA - 2026 - Healthy Hometowns (e7db6c)

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SupportingPDFAward: $200.0M

IA - 2026 - Healthy Hometowns

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SupportingPDF2025No amount extracted

IA - 2025 - Iowa RHTP (Healthy Hometowns) (15e303)

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IA - 2025 - Healthy Hometowns Iowa’s RHTP

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SupportingHTML2025-2026Award: $209.0M

IA - 2025 - Vision for Iowa: Transforming Health Care in Iowa

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State Opportunities (9)$50.0M

OpenAmount not extracted

Iowa Cardiovascular Health Hub and Spoke Networks (RFP COMPADM26007)

Iowa Department of Health and Human Services

Due Oct 1, 2026

3 related documents

State Awardees (15)

Manage in admin ↗

15 rows · page 1/2

FY↓	Awardee↕	Amount↕	Activity↕
2026	Adair County Memorial Hospital Supports recruitment of MD/DO physician for rural hospital healthcare workforce.	Not disclosed	Workforce
2026	Avera Holy Family Hospital Funds rural recruitment of family practice physician (MD/DO) in Emmet County.	Not disclosed	Workforce
2026	Boone County Hospital Supports hiring of physician assistant and primary care physician for Boone County Hospital.	Not disclosed	Workforce
2026	Cass County Memorial Hospital DBA Cass Health Funds recruitment of physician (MD/DO) or ARNP for rural hospital.	Not disclosed	Workforce
2026	CHI Health Mercy Corning Supports recruitment of internal medicine physician and registered nurses for Adams and Taylor Counties.	Not disclosed	Workforce
2026	Central Iowa Hospital Corporation Centers of Excellence (RFP PHTHORC26008)	Not disclosed	Centers of Excellence
2026	Decatur County Hospital Centers of Excellence (RFP PHTHORC26008)	Not disclosed	Centers of Excellence
2026	Guttenberg Municipal Hospital Centers of Excellence (RFP PHTHORC26008)	Not disclosed	Centers of Excellence
2026	Iowa Specialty Hospital Centers of Excellence (RFP PHTHORC26008)	Not disclosed	Centers of Excellence
2026	Jennie Edmundson Memorial Hospital Centers of Excellence (RFP PHTHORC26008)	Not disclosed	Centers of Excellence

Announcement Documents (1)

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AnnouncementJul 13, 2026TXT2026

Local news reported Senator Grassley discussed the Rural Health Transformation Program in Carroll County, IA. No specific award or recipient named. Event schedule: - Announcement - 07/09/2026 - Carroll County, IA

Event Schedule

Announcement - 07/09/2026 - Carroll County, IA

Award Announcement Documents (2)

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Award AnnouncementJun 11, 2026HTMLEvent2026

Event schedule: - Healthy Hometowns - Iowa's Rural Health Transformation Plan - Health Human Services Skip to main content Official State of Iowa Website Agencies A-Z Programs & Services Health Human Services Search Menu Main navigation Assistance Programs Assistance Programs sub-navigation Apply for Services Cash Assistance Child Care Assistance Family Planning Program Food Assistance Housing Rent Assistance Job Training Medicaid Health Coverage Refugee Services State Supplementary Assistance Women, Infants, Children (WIC) All Assistance Programs Medicaid Medicaid sub-navigation Apply for Medicaid Member Services Plans Programs Services Care Provider Services All Medicaid Programs Services About Medicaid About Medicare Health Prevention Health Prevention sub-navigation Report a Disease or Outbreak Addiction Substance Use Disorders Animal Safety and Disease Prevention Birth Maternal Care Brain Memory Health Cancer Child Adolescent Health Consumable Hemp Dental Oral Health Diabetes Prevention Management Disease Information Environmental Health Family Health Family Planning Reproductive Health Food, Diet Exercise Heart Health Healthcare-associated Infections HIV, STI and Hepatitis Violence Prevention Medical Cannabis Behavioral Health Refugee Health Tobacco Use Prevention Control Vaccines Immunizations Providers Professionals All Health Prevention Family Community Family Community sub-navigation Abuse Registry Community Integration Flourish Magazine Record Check Evaluations Sunny Day Fund Thrive Iowa Aging Disability Resource Center Aging Services Adult Protective Services Child Care Child Protective Services Child Support Court-Appointed Special Advocates (CASA) Disaster Recovery Disability Services Early Intervention Support Family Development Self-Sufficiency (FaDSS) Fatherhood Support Foster Care Adoption Marriage, Birth, or Death Certificates Specialty Care Facilities All Family Community Services Report Abuse Fraud Report Abuse Fraud sub-navigation Mandatory Reporter Information Student Abuse Investigations About About sub-navigation Administrative Rules Mission Vision Strategic Plan Advisory Groups Appeal a Decision Careers Data Reports Funding Opportunities Initiatives Leadership Newsroom Open Records PHAB Accreditation Policy Manuals Public Meetings Agencies A-Z Online Services Breadcrumbs Home Initiatives Healthy Hometowns - Iowa's Rural Health Transformation Plan On this page... Overview Iowa's Application Healthy Hometowns: Iowa’s Proposal Healthy Hometowns News and Updates Funding Opportunities Notice of Intent to Award Back to top Overview The One Big Beautiful Bill Act (Section 71401) creates a new Rural Health Transformation (RHT) grants program administered by the Centers for Medicare and Medicaid Services (CMS), allocating $50 billion nationwide from federal fiscal years 2026 through 2030 — $10 billion annually. Funds will flow through states, which must submit a Rural Health Transformation Plan to CMS by Dec. 31, 2025, to access and manage these resources. To learn more about the RHT program, visit the CMS website here . Have Questions About Healthy Hometowns? Submit questions to healthyhometowns@hhs.iowa.gov Stay up to date on Healthy Hometowns Fill out the sign-up form to receive updates as they become available. Back to top Iowa's Application Project Narrative (1.2 MB) .pdf Cover Letter (173.76 KB) .pdf Project Summary (144.16 KB) .pdf Healthy Hometowns One-Pager (83.76 KB) .pdf Healthy Hometowns PowerPoint (14.35 MB) .pptx Application Overview (webinar recording) Other Supportive Materials (1.29 MB) .pdf Back to top Healthy Hometowns: Iowa’s Proposal Healthy Hometowns is the state’s submission to the Rural Health Transformation Program , a federal funding initiative managed by the Centers for Medicare and Medicaid Services (CMS). The bold and comprehensive proposal is aimed at building a high-quality, sustainable system of care that improves the health, well-being, and quality of life in rural communities across the state. If fully awarded, Iowa could receive $200 million per project year period (a total of $1 billion over the 5-year grant). Healthy Hometowns Five Key Initiatives List items for Healthy Hometowns 5 Key Initiatives Hometown Connections An initiative that builds formal partnerships to restructure healthcare delivery options for rural communities. This includes an expansion of Iowa Governor Kim Reynolds' Centers of Excellence Program and a rare opportunity to develop enhanced Health Hubs, or hub-and-spoke networks of care, with investments in telehealth, specialized medical equipment, provider recruitment and retention, efficient space utilization, and limited funds to support care for uninsured Iowans. Health Hubs may include school-based service provision. This initiative also includes Best and Brightest, a sub-initiative to recruit and retain an excellent rural healthcare workforce. For more information on the technical assistance available for this effort, see our contracted TA provider's website . For questions, contact HealthHubs-TA@uiowa.edu Combat Cancer: Prevent and Treat An initiative to comprehensively tackle cancer throughout the state via increasing access to cancer screening, forming cancer-specific Health Hubs, upgrading equipment for cancer screening and treatment, delivering supportive care for families impacted by cancer, and supporting studies and analyses by academic partners. Iowa will address lung cancer prevention through radon testing and mitigation, breast cancer by paying for mammograms and follow-up breast MRIs, colorectal cancer through FIT tests and follow-up colonoscopies, skin cancer through telehealth and new equipment, and prostate cancer through routine screening methods. Communities of Care An initiative that supports co-location of different rural provider types for convenient patient access and improved coordination, hires community health workers as system navigators, and invests heavily in chronic disease prevention and management techniques. For more information on the technical assistance available for this effort, see our contracted TA provider's website . Health Information Exchange An initiative that allows records to be accessible across the state as patients travel throughout new Health Hubs and seek care in new ways. EMS Community Care Mobile An initiative that invests in new telehealth technology for high-risk transport of mothers and their new babies to higher levels of care throughout the state and a mobile integrated healthcare program that brings prenatal, postpartum, post-surgery discharge, chronic disease management, and other types of care to rural residents in their homes or to easily accessible sites in their communities. Back to top Healthy Hometowns News and Updates Kickoff Webinar: Hometown Connections School-Based Services (May 20, 2026) New Healthy Hometowns RFP for Combat Cancer Health Hub Program, RFI for Maternal Health Hub and Spoke Networks of Care (May 15, 2026) New Notices of Intent to Release Now Available + Healthy Hometowns Updates Sign Up (April 20, 2026) New Healthy Hometowns Funding Opportunities (February 27, 2026) Iowa first in the nation to award Rural Health Transformation Program funding (January 30, 2026) Iowa awarded $209 million for first year of federal Rural Health Transformation Program (December 29. 2025) Gov. Reynolds announces “Healthy Hometowns” proposal to transform rural health care across Iowa (November 5, 2025) Back to top Funding Opportunities Funding Opportunities Healthy Hometowns Funding Opportunities Funding opportunities for Healthy Hometowns will be posted to the HHS Funding Opportunities web page linked below. Healthy Hometowns Funding Opportunities Back to top Notice of Intent to Award List items for Healthy Hometowns Notice of Intent to Award Table Format - Notice of Intent to Award and Awardees Notice of Intent to Award Awardee Provider/ Equipment Type County Provider Specialty Cancer Health Hubs Technical Assistance Provider University of Iowa N/A N/A Health Hubs Technical Assistance Provider University of Iowa N/A N/A Communities of Care Co-Location Technical Assistance Provider Iowa Primary Care Association N/A N/A Cancer Prevention and Screening Marion County Board of Health N/A N/A Best and Brightest Provider Adair County Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Adair Maternal/Child Health Cardiovascular Health Mental/Behavioral Health Chronic Disease Prevention and Management Best and Brightest Provider Avera Holy Family Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Emmet Chronic disease prevention and management Best and Brightest Provider Avera McKennan Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Lyon Chronic disease prevention and management Best and Brightest Provider Boone County Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Physician Assistant (PA) Boone Chronic disease prevention and management Best and Brightest Provider Cass County Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Cass maternal/child health, cancer, chronic disease prevention and management Best and Brightest Provider Alegent Health Mercy Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Registered Nurse (RN), Registered Nurse (RN) Adams/Adams/Taylor Chronic disease prevention and management Best and Brightest Provider Community Memorial Hospital of Missouri Valley, Iowa Advanced Registered Nurse Practitioner (ARNP), Registered Nurse (RN) Harrison Maternal/Child Health Cardiovascular Health Mental/Behavioral Health Chronic Disease Prevention Management Best and Brightest Provider Clarke County Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Clarke Chronic Disease Prevention and Management Best and Brightest Provider Community Health Care, Inc. Advanced Registered Nurse Practitioner (ARNP) Muscatine Mental/behavioral health, Chronic disease prevention and management Best and Brightest Provider Community Health Centers of Southeastern Iowa, Inc Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Physician Assistant (PA), Physician Assistant (PA) Des Moines/Des Moines/Lee/Lee Maternal/Child Health, Maternal/Child Health, Maternal/Child Health, Chronic Disease Prevention and Management Best and Brightest Provider Crawford County Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Crawford Maternal/Child Health Cardiovascular Health Mental/Behavioral Health Chronic Disease Prevention Management Best and Brightest Provider Davis County Hospital and Clinics Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Davis Chronic Disease Prevention and Management Best and Brightest Provider Decatur County Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Registered Nurse (RN) Decatur Chronic Disease Prevention and Management Best and Brightest Provider Floyd County Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Physician Assistant (PA) Floyd Chronic Disease Prevention and Management Best and Brightest Provider Floyd Valley Healthcare Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Plymouth Maternal/Child Health Best and Brightest Provider Community Hospital, Inc. - George C Grape Community Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Registered Nurse (RN) Fremont Maternal/child health, cancer, mental/behavioral health, chronic care management and prevention Best and Brightest Provider Good Neighbor Society Registered Nurse (RN) Delaware Chronic Disease Prevention and Management Best and Brightest Provider Greater Regional Medical Center Advanced Registered Nurse Practitioner (ARNP), Registered Nurse (RN) Union Cancer, Cancer Best and Brightest Provider Guthrie County Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Guthrie Chronic Disease Prevention and Management Best and Brightest Provider Guttenberg Municipal Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) or Advanced Registered Nurse Practitioner (ARNP), Registered Nurse (RN) or Physician's Assistant (PA) Clayton Chronic Disease Prevention and Management Best and Brightest Provider Hamilton County Hospital - Van Diest Medical Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Hamilton Chronic Disease Prevention and Management Best and Brightest Provider Hancock County Health System Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Hancock Chronic Disease Prevention and Management Best and Brightest Provider Hegg Memorial Hospital Registered Nurse (RN) Sioux Cancer, Cardiovascular Health, mental/behavioral health, chronic disease prevention and management Best and Brightest Provider Humboldt County Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Humboldt Chronic disease prevention and management Best and Brightest Provider Ida County Iowa Community Hospital Inc -Horn Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Ida Chronic Disease Prevention and Management Best and Brightest Provider Infinity Health Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Registered Nurse (RN) Decatur Chronic Disease Prevention and Management Best and Brightest Provider Iowa Family Counseling LLC Advanced Registered Nurse Practitioner (ARNP) Washington Mental/behavioral health Best and Brightest Provider Iowa Specialty Hospital Clarion Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Registered Nurse (RN) Wright Maternal/Child Health Best and Brightest Provider Iowa Specialty Hospital Webster City Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Hamilton Maternal/Child Health Best and Brightest Provider Keokuk Area Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Lee Mental/behavioral health Best and Brightest Provider Kossuth County Hospital Registered Nurse (RN) Kossuth Maternal/Child health and mental/behavioral health Best and Brightest Provider Lucas County Health Center Advanced Registered Nurse Practitioner (ARNP), Registered Nurse (RN) Lucas Chronic Disease Prevention and Management, Chronic Disease Prevention and Management Best and Brightest Provider Madison County Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) or Advanced Registered Nurse Practitioner (ARNP) Madison Maternal/child health Best and Brightest Provider Mahaska County Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Physician Assistant (PA) Mahaska Maternal/child health, cancer, and chronic disease prevention and management Best and Brightest Provider Manning Regional Healthcare Center Advanced Registered Nurse Practitioner (ARNP), Registered Nurse (RN) Carroll Mental/behavioral health Best and Brightest Provider Marengo Memorial Hospital - Compass Memorial Healthcare Advanced Registered Nurse Practitioner (ARNP), Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Washington, Iowa chronic disease prevention and management, cancer Best and Brightest Provider Mercy Health Services-Iowa, Corp. -MercyOne Dyersville Medical Center Advanced Registered Nurse Practitioner (ARNP) Dubuque Chronic Disease Prevention and Management Best and Brightest Provider Mercy Medical Center Clinton - MercyOne Clinton Medical Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Clinton chronic disease prevention and management Best and Brightest Provider Central Community Hospital -MercyOne Elkader Medical Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Clayton chronic disease prevention and management Best and Brightest Provider Genesis Health System - MercyOne Genesis DeWitt Medical Center Advanced Registered Nurse Practitioner (ARNP) Clinton mental/behavioral health Best and Brightest Provider Mercy Health Services -Iowa, Corp. -MercyOne New Hampton Medical Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Chickasaw chronic disease prevention and management Best and Brightest Provider Mercy Medical Center- MercyOne Newton Medical Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Jasper County chronic disease prevention and management Best and Brightest Provider Mercy Health Services-Iowa, Corp. -MercyOne North Iowa Medical Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Advanced Registered Nurse Practitioner (ARNP) or Physician's Assistant (PA) Cerro Gordo, Winnebago, Worth Maternal/child health, chronic disease prevention and management, chronic disease prevention and management Best and Brightest Provider Mitchell County Regional Health Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Mitchell chronic disease prevention and management Best and Brightest Provider Monona County Board of Health -Burgess Health Center Registered Nurse (RN) Monona Maternal/child health, mental/behavioral health, cardiovascular health, chronic disease prevention and management Best and Brightest Provider Monroe County Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Monroe chronic disease prevention and management Best and Brightest Provider Morning Glory Birth Wellness Advanced Registered Nurse Practitioner (ARNP) Sioux maternal/child health Best and Brightest Provider Osceola Community Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Osceola chronic disease prevention and management Best and Brightest Provider Ottumwa Health Group LLC Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Physician Assistant (PA) Wapello cancer, chronic disease prevention and management Best and Brightest Provider Palmer Lutheran Health Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Fayette Maternal/child health, chronic disease prevention and management, mental/behavioral health Best and Brightest Provider Palo Alto County Hospital Advanced Registered Nurse Practitioner (ARNP) Palo Alto chronic disease prevention and management primary care Best and Brightest Provider Pella Regional Health Center Registered Nurse (RN) Marion cancer Best and Brightest Provider Priority Health Northwest, PLLC Registered Nurse (RN) Clay cancer, cardiovascular health, mental/behavioral health, and/or chronic disease prevention and management Best and Brightest Provider R R Counseling Solutions Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Van Buren, Jefferson Mental/behavioral health, Mental/behavioral health Best and Brightest Provider Regional Health Services of Howard County Registered Nurse (RN), Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Howard maternal/child health, cancer, cardiovascular health, chronic disease prevention and management Best and Brightest Provider Delaware County Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Delaware chronic disease prevention and management Best and Brightest Provider Ringgold County Hospital Physician Assistant (PA), Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Ringgold maternal/child health, cancer, cardiovascular health, chronic disease prevention and management Best and Brightest Provider Sanford Health Registered Nurse (RN) Plymouth Winnebago, O'Brien cancer, cardiovascular health, mental/behavioral health, chronic disease prevention and management Best and Brightest Provider Sanford Health Network Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) O'Brien and Lyon maternal/child health, cancer, cardiovascuar health, mental/behavorial health, chronic disease prevention and management Best and Brightest Provider Shelby County Chris A Myrtue Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Registered Nurse (RN) Shelby maternal/child health, chronic disease prevention and management Best and Brightest Provider Shenandoah Medical Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Page maternal/child health Best and Brightest Provider Sioux Center Health Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Sioux maternal/child health, cancer, chronic disease prevention and management Best and Brightest Provider Sioux Valley Memorial Hospital -Cherokee Regional Medical Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Advanced Registered Nurse Practitioner (ARNP) Cherokee maternal/child health, cancer, chronic disease prevention and management; chronic disease prevention and management Best and Brightest Provider Spencer Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO), Advanced Registered Nurse Practitioner (ARNP) Clay maternal/child health, chronic disease, prevention and management Best and Brightest Provider St. Anthony Regional Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Carroll maternal/child health Best and Brightest Provider St. Joseph's Mercy Hospital - MercyOne Centerville Medical Center Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Appanoose chronic disease prevention and management Best and Brightest Provider Stewart Memorial Community Hospital Advanced Registered Nurse Practitioner (ARNP) Calhoun maternal/child health, chronic disease, prevention and management Best and Brightest Provider UnityPoint Health - Marshalltown Advanced Registered Nurse Practitioner (ARNP), Physician Assistant (PA) Marshall cancer, cardiovascular health Best and Brightest Provider Van Buren County Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Van Buren chronic disease prevention and management Best and Brightest Provider Veterans Memorial Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Allamakee Chronic Disease Management, Maternal/Child Health Best and Brightest Provider Virginia Gay Hospital, Inc. Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Benton chronic disease prevention and management Best and Brightest Provider Wayne County Hospital Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Wayne Cardiovascular health Best and Brightest Provider Whiting Commercial Development Corporation Registered Nurse (RN) Monona chronic disease prevention and management Best and Brightest Provider WinnMed Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) Winneshiek Mental/Behavorial Health Best and Brightest Equipment Adair County Memorial Hospital Low Dose CT exams Medical Systems Adair Best and Brightest Equipment Avera Holy Family Hospital MRI Emmet Best and Brightest Equipment Belmond Community Hospital Robotic surgical system Wright Best and Brightest Equipment Burgess Health Center Mammography System with High Resolution Detector, Needle Localization Kit and UAWS Ergonomic Upgrade Monona Best and Brightest Equipment Crawford County Memorial Hospital MRI Crawford Best and Brightest Equipment Dallas County Hospital MRI Dallas Best and Brightest Equipment Davis County Hospital Nuclear Imaging System Davis Best and Brightest Equipment Decatur County Hospital CT/PET Scanner Decatur Best and Brightest Equipment Ellsworth Municipal Hospital DBA Hansen Family Hospital Robotic surgical system Hardin Best and Brightest Equipment Floyd Valley Hospital Robotic Surgical System Plymouth Best and Brightest Equipment Greater Regional Medical Center Robotic Surgical System Union Best and Brightest Equipment Hancock County Health System Fixed MRI Unit Hancock Best and Brightest Equipment Hawarden Regional Healthcare DBA Hawarden Community Hospital Robotic Surgical System Sioux Best and Brightest Equipment Humboldt County Memorial Hospital MRI Humboldt Best and Brightest Equipment Lucas County Health Center MRI Lucas Best and Brightest Equipment Mahaska County Hospital dba Mahaska Health Partnership Fixed Positron Emission Tomography/Computed Tomography (PET/CT) with cardiac capability Mahaska Best and Brightest Equipment Manning Regional Healthcare Center MRI Carroll Best and Brightest Equipment Mercy Health Services-Iowa, Corp. Endoscopy System Dubuque Best and Brightest Equipment MercyOne Clinton Medical Center MRI Clinton Best and Brightest Equipment MercyOne Elkader Medical Center Xray system Clayton Best and Brightest Equipment MercyOne Genesis Foundation CT Scanner Clinton Best and Brightest Equipment MercyOne New Hampton CT scanner Chickasaw Best and Brightest Equipment MercyOne Newton Medical Center Fluoroscopy system /x-ray Jasper Best and Brightest Equipment MercyOne North Iowa Foundation Robotic Bronchoscopy System Cerro Gordo Best and Brightest Equipment MercyOne Oelwein Medical Center Digital Radiography System Fayette Best and Brightest Equipment Mitchell County Regional Health Center CT System Mitchell Best and Brightest Equipment Orange City Area Health System Robotic Surgical System Sioux Best and Brightest Equipment Pella Regional Health Center Biograph Trinion EP PET/CT Marion Best and Brightest Equipment Shelby County Chris A Myrtue Memorial Hospital, DBA Myrtue Medical Center MRI Shelby Best and Brightest Equipment Sioux Valley Memorial Hospital Association Robotic-Arm Assisted Surgical System Cherokee Best and Brightest Equipment St. Joseph's Mercy Hospital DBA MercyOne Centerville Medical Center CT Scanner Tomography (CT) scanner Appanoose Best and Brightest Equipment St. Luke's Jones Regional Medical Center DBA Jones Regional Medical Center Robotic Surgical System Jones Best and Brightest Equipment Van Buren County Hospital MRI Van Buren Best and Brightest Equipment Waverly Health Center Single Console System / robotic surgical system Bremer Best and Brightest Equipment Wayne County Hospital Linear Accelerator Wayne Best and Brightest Equipment WinnMed CT scanner Winneshiek Centers of Excellence Grinnell Regional Medical Center Maternal Iowa, Marshall, Tama, Poweshiek Centers of Excellence St. Anthony Regional Hospital Maternal Audubon, Calhoun, Carroll, Crawford, Greene, Sac Centers of Excellence Centers of Excellence Cass Health Maternal Adams, Adair, Audubon, Cass, Montgomery Centers of Excellence Mahaska Health Maternal, Cardiology, Surgery, Oncology Jefferson, Appanoose, Davis, Iowa, Jasper, Keokuk, Lucas, Mahaska, Marion, Monroe, Poweshiek, Van Buren, Wapello, Washington Centers of Excellence Van Buren County Hospital Geriatrics Van Buren, Davis, Jefferson, Lee Centers of Excellence Jennie Edmundson Memorial Hospital Cardiovascular Shelby, Cass, Audubon, Montgomery, Mills Centers of Excellence Guttenberg Municipal Hospital Chronic Disease Clayton, Dubuque, Delaware, Allamakee Centers of Excellence Sioux Center Health Maternal Sioux, O'Brien, Woodbury, Plymouth, Lyon and Osceola Centers of Excellence Marengo Memorial Hospital Cancer Iowa, Washington, Poweshiek, Benton Centers of Excellence Decatur County Hospital Chronic Disease Decatur, Ringgold, Wayne, Union, Clarke, Lucas Centers of Excellence Knoxville Hospital and Clinics Cancer, Cardiovascular, Chronic Disease Marion, Jasper, Monroe, Lucas, Mahaska, Warren Centers of Excellence Iowa Specialty Hospital Maternal Cerro Gordo, Franklin, Hamilton, Hancock, Humboldt, Wright Centers of Excellence Shelby County Chris A Myrtue Memorial Hospital, DBA Myrtue Medical Center Maternal Shelby, Audubon, Carroll, Crawford, Pottawattamie Centers of Excellence Manning Regional Healthcare Center Mental Health Carroll, Shelby, Crawford, Audubon Centers of Excellence Central Iowa Hospital Corporation Maternal Marshall, Jasper, Marion, Lucas ⤢ Document Format - Notice of Intent to Award and Awardees Notice of Intent to Award RFP #PHTHORC2601 Best and Brightest - Rural Healthcare Workforce Posted 1-30-26 to 2-13-26 Notice of Intent to Award RFP #PHTHORC26009 Best and Brightest - Medical Equipment Procurement Posted 1-30-26 to 2-13-26 Notice of Intent to Award - RFP # PHTHOCC26755 Combat Cancer Prevention and Screening Posted 2-5-2026 to 2-12-2026 (159.85 KB) .pdf Notice of Intent to Award - RFP #COMPADM26001 Combat Cancer Technical Assistance Provider Posted 2-5-2026 to 2-12-2026 (158.36 KB) .pdf Notice of Intent to Award - RFP # PHTHORC26008 Centers of Excellence Posted 2-5-2026 to 2-12-2026 (157.26 KB) .pdf Notice of Intent to Award - RFP # COMPADM26003 Communities of Care Technical Assistance Provider Posted 2-5-2026 to 2-12-2026 (168.31 KB) .pdf Notice of Intent to Award - RFP # COMPADM26002 Health Hub Technical Assistance Provider Posted 2-5-2026 to 2-12-2026 (159.98 KB) .pdf Notice of Intent to Award - RFP # PHTHORC26009 Best and Brightest- Medical Equipment Procurement, Amendment 1 Posted 2-27-26 to 3-6-26 (218.24 KB).pdf (218.24 KB) .pdf Notice of Intent to Award 657074 - FY27 RFP FWBPEHV26018 for Iowa Family Support Network Posted 06-04-2026 to 06-18-2026 (135.34 KB) .pdf Back to top Secondary Navigation Menu Initiatives Healthy Hometowns - Iowa's Rural Health Transformation Plan Anatomical Gift Public Awareness and Transplantation Fund Behavioral Health Reporting System Community Services Block Grant Contract Terms Criminal Juvenile Justice Planning Juvenile Justice Advisory Council Youth Justice Council Iowa Task Force For Young Women R/ED Subcommittee Early Childhood Iowa Contacts - Local Boards Early Childhood Policies Procedures Local Boards Government Relations Resources HHS System Alignment Behavioral Health Service System MHDS Regions County Snapshots Early Childhood and Family Services System Early Childhood and Family Service System FAQs Public Health Service System Public Health Service System FAQs BH DS FAQ IA SAIL Iowa Youth Congress Promoting Interoperability Program Public Health Infrastructure Grant Social Services Block Grant Health Human Services Footer Social Media Menu Opens in a new window. 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📄

Award AnnouncementApr 17, 2026PDFOpportunity ↗

Healthy Hometowns is Iowa’s ambitious rural health transformation plan proposing up to $1 billion over 5 years from CMS Rural Health Transformation Program focused on building Health Hubs, workforce expansion, cancer care, health information exchange, community care, and EMS mobile telehealth services.

Award: $200.0MQUALITY_IMPROVEMENT · EMS_DEVELOPMENT · NETWORK_DEVELOPMENT · HEALTH_INFORMATION_TECHNOLOGY · POPULATION_HEALTH · WORKFORCE

Application Documents (21)

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ApplicationNEWJul 16, 2026PDF2027

Key contacts: Ryan Roovaart reconsiderationrequest@hhs.iowa.gov Event schedule: - Legislation Enacted (House File 972 establishes Healthy Hometowns Program) - 2025-07-01 - America/Chicago - Iowa - Anticipated start/execution of Co-Location Site Lead contracts - 2026-10-31 - America/Chicago - Iowa - Deadline to complete minor renovations and begin services at Co-Location Site - 2027-12-31 - America/Chicago - Iowa - Federal Funding Accountability and Transparency Act (FFATA) Report Due - 2026-10-31 - CST - Insurance Certificate Due - CST - Monthly Progress Report Due (15th working day after month) - CST - Quarterly Report Due - 2027-01-15 - CST - Quarterly Report Due - 2027-04-15 - CST

NETWORK_DEVELOPMENT · HEALTH_INFORMATION_TECHNOLOGY · POPULATION_HEALTH · WORKFORCE · QUALITY_IMPROVEMENT · EMS_DEVELOPMENT · OTHER · FINANCE

Event Schedule

Legislation Enacted (House File 972 establishes Healthy Hometowns Program) - 2025-07-01 - America/Chicago - Iowa
Anticipated start/execution of Co-Location Site Lead contracts - 2026-10-31 - America/Chicago - Iowa
Deadline to complete minor renovations and begin services at Co-Location Site - 2027-12-31 - America/Chicago - Iowa

Show all schedule items (16)

Legislation Enacted (House File 972 establishes Healthy Hometowns Program) - 2025-07-01 - America/Chicago - Iowa
Anticipated start/execution of Co-Location Site Lead contracts - 2026-10-31 - America/Chicago - Iowa
Deadline to complete minor renovations and begin services at Co-Location Site - 2027-12-31 - America/Chicago - Iowa
Federal Funding Accountability and Transparency Act (FFATA) Report Due - 2026-10-31 - CST
Insurance Certificate Due - CST
Monthly Progress Report Due (15th working day after month) - CST
Quarterly Report Due - 2027-01-15 - CST
Quarterly Report Due - 2027-04-15 - CST
Quarterly Report Due - 2027-10-15 - CST
Annual Report Due - 2027-07-15 - CST
Annual Report Due - 2028-07-15 - CST
Annual Report Due - 2029-07-15 - CST
Annual Report Due - 2030-07-15 - CST
Annual Report Due - 2031-07-15 - CST
Sustainability Plan Due - 2029-10-15 - CST
Co-Location Sites begin providing clinical and non-clinical services deadline - 2027-12-31 - CST

Contacts

Ryan Roovaart - <reconsiderationrequest@hhs.iowa.gov> - HHS Issuing Officer - Statewide

Core Initiatives

Elevate organizational health, advance operational excellence, and help Iowa thrive by transforming the delivery of healthcare in rural Iowa.
Promote access to health and human services resources and help individuals, families, children, and communities thrive.
Implement a robust Hub and Spoke framework to support long-term, sustainable and high-quality health care for Iowans living in rural areas.

Show all initiatives (19)

Elevate organizational health, advance operational excellence, and help Iowa thrive by transforming the delivery of healthcare in rural Iowa.
Promote access to health and human services resources and help individuals, families, children, and communities thrive.
Implement a robust Hub and Spoke framework to support long-term, sustainable and high-quality health care for Iowans living in rural areas.
Reduce chronic disease and improve health outcomes in rural communities through co-location and care coordination.
Achieve financial sustainability of rural service delivery sites without reliance on ongoing government funding by the end of the five-year grant period.
Establish shared infrastructure technology for unified network environments and interoperable systems across all co-located partners.
Implement integrated telehealth platforms and equipment.
Enable records sharing across providers through the Iowa Health Information Exchange.
Develop legal and operational agreements to support long-term success of Co-Location Sites.
Develop a business operational plan for Co-Location Sites.
Community engagement and partnership development with various stakeholders.
Establish a quality management system with key metrics.
Streamline functions to create cost savings and support rural care.

📄

ApplicationNEWJul 16, 2026PDF2027Opportunity ↗

Key contacts: Iowa Department of Health and Human Services Event schedule: - Contract Year 1 Start - 2026-10-31 - Central - Contract Year 1 End - 2027-10-30 - Central - Contract Year 2 Start - 2027-10-31 - Central - Contract Year 2 End - 2028-10-30 - Central - Contract Year 3 Start - 2028-10-31 - Central - Contract Year 3 End - 2029-10-30 - Central - Contract Year 4 Start - 2029-10-31 - Central - Contract Year 4 End - 2030-10-30 - Central

📄

ApplicationNEWJul 16, 2026PDF2027

Key contacts: Stacey Hewitt reconsiderationrequest@hhs.iowa.gov Event schedule: - Enactment of enabling legislation (House File 972) - 2025-07-01 - America/Chicago - Iowa - Begin providing statewide Hub-and-Spoke services to Spoke sites - 2027-07-31 - America/Chicago - Iowa - Option 1 teleconsultation services start deadline - 2027-07-31 - America/Chicago - Quarterly report due Q1 - 2027-01-15 - America/Chicago - Quarterly report due Q2 - 2027-04-15 - America/Chicago - Quarterly report due Q3 - 2027-07-15 - America/Chicago - Quarterly report due Q4 - 2027-10-15 - America/Chicago - Annual report due Year 1 - 2028-07-15 - America/Chicago

Guidance Documents (2)

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GuidanceJun 11, 2026PDF2026Opportunity ↗

Iowa plans to release an RFP in mid-2026 to develop a rural residency program in Internal Medicine or Obstetrics/Gynecology. This initiative focuses on building rural healthcare workforce capacity through accredited residencies. Event schedule: - Question and answer period - July 2026 - Deadline for bid proposals - July 2026 - Award contract(s) - August 2026

WORKFORCE

Event Schedule

Question and answer period - July 2026
Deadline for bid proposals - July 2026
Award contract(s) - August 2026

Core Initiatives

Strengthen rural healthcare workforce capacity

📋

GuidanceApr 19, 2026PPTX2025Opportunity ↗

Iowa’s RHTP focuses on innovative partnerships, enhanced workforce programs, and expanded use of health information technology to transform rural health access and outcomes. Multi-pronged initiatives target maternal/child health, cancer, chronic disease, EMS integration, and provider recruitment and retention. The program expects significant infrastructure upgrades, robust telehealth deployment, and technical assistance for rural providers.

Summary Documents (1)

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SummaryApr 17, 2026PDFOpportunity ↗

The Healthy Hometowns program aims to reduce avoidable emergency department visits, increase local care and telehealth services, and improve provider-to-population ratios in rural Iowa. It includes multiple initiatives focusing on network development, workforce recruitment, cancer prevention, chronic disease management, health information exchange, and EMS integration.

Budget: $200.0MQUALITY_IMPROVEMENT · EMS_DEVELOPMENT · NETWORK_DEVELOPMENT · HEALTH_INFORMATION_TECHNOLOGY · POPULATION_HEALTH · WORKFORCE · OTHER

Core Initiatives

Support rural hospitals and their partners
Build collaborations for long term systemic sustainability of rural healthcare
Prevent and treat chronic disease

Show all initiatives (5)

Support rural hospitals and their partners
Build collaborations for long term systemic sustainability of rural healthcare
Prevent and treat chronic disease
Combat cancer
Invest in equipment and technology upgrades

Data Documents (3)

🌐

DataApr 24, 2026HTML2025-2026Opportunity ↗

Governor Reynolds shares a vision for improving health care quality and accessibility in Iowa, emphasizing the Rural Health Transformation Program funding of $209 million in year one. Healthy Hometowns is the cornerstone initiative, focusing on rural health care accessibility, connectivity, and patient focus, with significant investments in cancer prevention and treatment. Event schedule: - Cancer research project start - 07/01/2025 - Cancer research project end - 06/30/2026

Award: $209.0MPOPULATION_HEALTH · QUALITY_IMPROVEMENT · OTHER

Core Initiatives

Make rural health care more accessible
Connect rural health care services
Focus on patient-centered rural health care

📄

DataApr 17, 2026PDF2025Opportunity ↗

The Iowa Rural Health Transformation Program (Healthy Hometowns) application outlines comprehensive strategies to address chronic disease, cancer, workforce gaps, EMS, and health information exchange inequities facing rural Iowa. Data tables document substantial disparities in access, health outcomes, workforce distribution, and system performance between rural and urban areas. The technical alignment matrix details multi-sector integrated approaches, including hub-and-spoke models, technology adoption, community partnerships, and targeted workforce initiatives.

📄

DataApr 17, 2026PDF2025Opportunity ↗

This application outlines Iowa's strategy to leverage the Rural Health Transformation Program for significant improvements in rural health care. Key initiatives include care coordination, specialty access, workforce recruitment, cancer prevention and treatment, telehealth investments, health information exchange expansion, and EMS innovation. The plan targets measurable improvements in access, local service availability, care coordination, and rural health outcomes.

Reference Documents (5)

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ReferenceJul 13, 2026OTHER

Reference: Carroll County, Local News. RHTP. On Thursday, July 9, Sen. Charles Link: https://www.1380kcim.com/2026/07/11/senator-grassley-takes-question-on-rural-health-transformation-program/

🌐

ReferenceJul 8, 2026OTHER

Reference: Article 8c252439 15ce 4408 A628 E6335ad44335 Link: https://www.kimt.com/news/iowa-pca-hosts-forest-city-sessions-on-rural-healthcare-access/article_8c252439-15ce-4408-a628-e6335ad44335.html

📄

ReferenceJun 19, 2026PDF2026

Site Activity (35)

IA RHTP site updated — 4 new doc(s)
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Jul 16, 2026 02:28
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IA RHTP site updated — 3 new doc(s)
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Jun 19, 2026 02:54
·hhs.iowa.gov
IA canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated (×2, Jun 16–Jun 17)
Jun 17, 2026 03:29
·governor.iowa.gov
IA canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated
Jun 15, 2026 03:27
·governor.iowa.gov
IA canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated (×5, Jun 11–Jun 13)
Jun 13, 2026 03:14
·hhs.iowa.gov

Downloads & References (22)

Data files & reference docs ▾

Spreadsheets, data exports, and reference documents — available for download but excluded from the main activity feed.

IA - 2026 - Official State of Iowa Website Agencies A-Z Programs & Services Iowa Department of Administrative Services State of Iowa Bid Opportunities
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IA - 2026 - Carroll County, Local News. RHTP. On Thursday, July 9, Sen. Charles

Source Checks

Last checkedabout 24 hours ago

Last changed29 days ago

Core Initiatives

Reduce unnecessary ED hospital visits in participating rural communities
Increase rural residents receiving local care through new/expanded service lines
Increase provider to population ratios in rural Iowa

Show all initiatives (5)

Reduce unnecessary ED hospital visits in participating rural communities
Increase rural residents receiving local care through new/expanded service lines
Increase provider to population ratios in rural Iowa
Increase rural telehealth consultations
Increase rural providers and facilities participating in HIE with active data exchange

Develop sustainable models for rural providers and Co-Location Sites.

Establish governance structure and minor renovation/equipment procurement plans.

Identify, adapt, and implement evidence-based interventions for chronic disease prevention and management.

Develop and implement workforce attraction and retention strategies.

Collaborate with Centers of Excellence and other Healthy Hometown Initiatives.

Participate in learning collaboratives, data sharing, and contract compliance.

QUALITY_IMPROVEMENT · EMS_DEVELOPMENT · NETWORK_DEVELOPMENT · HEALTH_INFORMATION_TECHNOLOGY · POPULATION_HEALTH · WORKFORCE · FINANCE · OTHER

Event Schedule

Contract Year 1 Start - 2026-10-31 - Central
Contract Year 1 End - 2027-10-30 - Central
Contract Year 2 Start - 2027-10-31 - Central

Show all schedule items (21)

Contract Year 1 Start - 2026-10-31 - Central
Contract Year 1 End - 2027-10-30 - Central
Contract Year 2 Start - 2027-10-31 - Central
Contract Year 2 End - 2028-10-30 - Central
Contract Year 3 Start - 2028-10-31 - Central
Contract Year 3 End - 2029-10-30 - Central
Contract Year 4 Start - 2029-10-31 - Central
Contract Year 4 End - 2030-10-30 - Central
Year 1 Funds Expiration - 2028-09-30 - Central
Year 2 Funds Expiration - 2029-09-30 - Central
Year 3 Funds Expiration - 2030-09-30 - Central
Year 4 Funds Expiration - 2031-09-30 - Central
Begin MIH Service Provision Deadline - 2027-09-30 - Central
MIH Work Plan Due - Central
Monthly Progress Reports Due - Central
Quarterly Progress Reports Due - Central
Annual Reports Due - 2027-07-15 - Central
Annual Reports Due - 2028-07-15 - Central
Annual Reports Due - 2029-07-15 - Central
Annual Reports Due - 2030-07-15 - Central
Annual Reports Due - 2031-07-15 - Central

Contacts

Iowa Department of Health and Human Services - Agency overseeing RHTP and MIH program implementation - Iowa

Core Initiatives

Strengthen community-based care through implementation or expansion of Mobile Integrated Health (MIH) services.
Reduce avoidable emergency department utilization.
Address chronic disease management gaps.

Show all initiatives (8)

Strengthen community-based care through implementation or expansion of Mobile Integrated Health (MIH) services.
Reduce avoidable emergency department utilization.
Address chronic disease management gaps.
Support maternal and child health.
Improve continuity after hospital discharge.
Expand access to care in rural regions.
Support sustainability of MIH services beyond the grant period.
Ensure collection and reporting of data to support monitoring and evaluation.

NETWORK_DEVELOPMENT · QUALITY_IMPROVEMENT · HEALTH_INFORMATION_TECHNOLOGY · WORKFORCE · POPULATION_HEALTH · OTHER · FINANCE

Event Schedule

Enactment of enabling legislation (House File 972) - 2025-07-01 - America/Chicago - Iowa
Begin providing statewide Hub-and-Spoke services to Spoke sites - 2027-07-31 - America/Chicago - Iowa
Option 1 teleconsultation services start deadline - 2027-07-31 - America/Chicago

Show all schedule items (17)

Enactment of enabling legislation (House File 972) - 2025-07-01 - America/Chicago - Iowa
Begin providing statewide Hub-and-Spoke services to Spoke sites - 2027-07-31 - America/Chicago - Iowa
Option 1 teleconsultation services start deadline - 2027-07-31 - America/Chicago
Quarterly report due Q1 - 2027-01-15 - America/Chicago
Quarterly report due Q2 - 2027-04-15 - America/Chicago
Quarterly report due Q3 - 2027-07-15 - America/Chicago
Quarterly report due Q4 - 2027-10-15 - America/Chicago
Annual report due Year 1 - 2028-07-15 - America/Chicago
Annual report due Year 2 - 2029-07-15 - America/Chicago
Annual report due Year 3 - 2030-07-15 - America/Chicago
Annual report due Year 4 - 2031-07-15 - America/Chicago
Start of Year 1 funding - 2026-10-31 - America/Chicago
End of Year 1 funding - 2027-10-30 - America/Chicago
Deadline to expend Year 1 funds (except salary/fringe) - 2028-09-30 - America/Chicago
End of last eligible expenditure period (final grant) - 2031-09-30 - America/Chicago
End of Contract Year 1 funding period - 2028-09-30
Final funds available deadline - 2031-09-30

Contacts

Stacey Hewitt - <reconsiderationrequest@hhs.iowa.gov> - Contract Compliance Officer - Iowa

Core Initiatives

Transform the delivery of healthcare in rural Iowa by building a high-quality, sustainable system of care to improve health, well-being, and quality of life for rural residents.
Promote access to health and human services resources to help individuals, families, children, and communities thrive.
Implement a robust Hub and Spoke framework supporting long-term, sustainable, and high-quality health care for rural Iowans.

Show all initiatives (15)

Transform the delivery of healthcare in rural Iowa by building a high-quality, sustainable system of care to improve health, well-being, and quality of life for rural residents.
Promote access to health and human services resources to help individuals, families, children, and communities thrive.
Implement a robust Hub and Spoke framework supporting long-term, sustainable, and high-quality health care for rural Iowans.
Ensure Iowans can get health care within their rural communities at the most appropriate locations, supported by developed partnerships, additional primary care physicians and specialists, and upgraded equipment.
Improve health outcomes in rural communities so rates of morbidity and premature mortality are similar to those in Iowa’s more populous areas.
Invest in innovative technology and data infrastructures to support sustainable care options, seamless partnerships, and data sharing throughout the state.
Enable Iowans to receive prenatal, labor and delivery, and postpartum care as close to home as meets their health needs and preferences, including mental health care.
Expand and sustain access to high-quality maternal healthcare services in rural Iowa through the implementation and optimization of Hub and Spoke models.
Ensure financial sustainability and viability for rural providers and networks through streamlined operations, business planning, and sustainability models.
Increase local care provision whenever feasible, reducing rural bypass and supporting local healthcare capacity.
Support training, recruitment, and retention of a skilled maternal health workforce in rural communities.
Improve maternal health outcomes through quality improvement, care coordination, data sharing, and telehealth integration.
Build effective partnerships—including formal agreements—to create a cohesive statewide network of maternal healthcare providers.
Integrate behavioral health, social supports, and risk factor reduction into maternal care delivery.
Establish robust infrastructure, technology, and reporting systems to support high-quality, data-driven maternal care.

Core Initiatives

Develop and support new and existing rural access points for care
Ensure sustainable, long-term access through rural health providers
Enhance rural health workforce recruitment, retention, and top of license practice

Show all initiatives (5)

Develop and support new and existing rural access points for care
Ensure sustainable, long-term access through rural health providers
Enhance rural health workforce recruitment, retention, and top of license practice
Implement innovative care models
Foster innovative technological infrastructures in rural health

QUALITY_IMPROVEMENT · EMS_DEVELOPMENT · NETWORK_DEVELOPMENT · HEALTH_INFORMATION_TECHNOLOGY · POPULATION_HEALTH · WORKFORCE · OTHER

Event Schedule

Data sources access date - 2025-08
HRSA data warehouse extraction - 2025-07
EMS Registry data access - 2025-10

Core Initiatives

Implement a hub-and-spoke system to address rural provider partnerships and expand access to specialty care.
Strengthen the rural health workforce and clinical infrastructure, including EMS and telehealth capacity.
Improve population health and chronic disease prevention in rural Iowa through integrated care and technology.

Core Initiatives

Increase rural provider to population ratios
Reduce emergency department visits for ambulatory care sensitive conditions
Increase rural residents receiving care locally through new or expanded service lines

Show all initiatives (5)

Increase rural provider to population ratios
Reduce emergency department visits for ambulatory care sensitive conditions
Increase rural residents receiving care locally through new or expanded service lines
Expand telehealth consultations delivered to rural residents
Advance cancer prevention, screening, and treatment

The Iowa Department of Health and Human Services has issued a Notice of Intent to Award for the 'Best and Brightest Rural Healthcare Workforce Recruitment' proposal. Multiple community health centers, hospitals, and clinics across rural Iowa are named as apparent successful bidders, pending execution of contracts. The program aims to augment healthcare access and workforce capacity in rural regions. Key contacts: reconsiderationrequest@hhs.iowa.gov; HHSOpenRecords@hhs.iowa.gov; Julie Jones julie.jones@hhs.iowa.gov Event schedule: - Notice Date - 06/18/2026 - CT - Iowa Department of Health and Human Services - Reconsideration Request Deadline

Event Schedule

Notice Date - 06/18/2026 - CT - Iowa Department of Health and Human Services
Reconsideration Request Deadline

Contacts

<reconsiderationrequest@hhs.iowa.gov> - Reconsideration Requests Contact - Iowa
<HHSOpenRecords@hhs.iowa.gov> - Public Records Requests - Iowa
Julie Jones - <julie.jones@hhs.iowa.gov> - Procurement Contact - Iowa

Core Initiatives

Strengthen and expand the rural healthcare workforce in Iowa
Improve access to quality healthcare in rural communities
Recruit and retain high-performing healthcare professionals in underserved areas

IA - 2026 - Article 8c252439 15ce 4408 A628 E6335ad44335

IA - 2026 - Social Services Block Grant

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IA - 2017 - Please accept our apologies. We can't find that page

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IA - 2026 - Notice of Intent to Award (RFP FWBPEHV26018: Iowa Family Support Network)

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IA - 2026 - Notice of Intent to Award (COMPADM26002: Health Hub Technical Assistance Provider)

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IA - 2007 - Keeping Iowa’s Farms in the Family | Governor Kim Reynolds

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IA - 2026 - Vision for Iowa | Governor Kim Reynolds

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IA - 2026 - Welcome to the Governor of the State of Iowa | Governor Kim Reynolds

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Notice of Intent to Award Request for Proposal Number: PHTHMRH27002

2027 · PDF

Notice of Intent to Award Request for Proposal Number: COMPSCS27025 Marketing and Advertising Services

2026 · PDF

IA - 2026 - NOTICE OF INTENT TO AWARD TO ALL INTERESTED PARTIES

2026 · PDF

IA - 2026 - NOTICE OF INTENT TO AWARD TO ALL INTERESTED PARTIES

2026 · PDF

IA - 2026 - Family Planning Program | Health & Human Services

2026 · HTML

Child Care Task Force Report

2021 · PDF

Access the HCBS ID Waiver Tiered Rate Fee Schedule (185.17 KB) .pdf

2019 · PDF

Family Planning Progress Report 2019 (9.78 MB) .pdf

2019 · PDF

Family Planning Progress Report 2019 Executive Summary (649.92 KB) .pdf

2019 · PDF

Iowa SUPPORTED EMPLOYMENT FIDELITY REVIEW MANUAL Deborah R. Becker Sarah J. Swanson Sandra L. Reese Gary R. Bond Bethany M. McLeman RHTP 2008 Reference

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IA - 2017 - The Community Access and Eligibility's procurement office issues a Request for Proposal (RFP) to find organizations to handle different aspects of healthcare. RFPs require detailed answers in each request, outlined in the…

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example daily certificate (40.31 KB) .pdf

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Iowa

Community Health Metrics

Iowa RHTP Dashboard

Demographics

RHTP Strategic Goals

Worth to Notice / Recent Updates (8)

Federal Awards (1)$209.0M

Current Progress

RHTP Strategy

State Opportunities (9)$50.0M

State Awardees (15)Share

Announcement Documents (1)

Award Announcement Documents (2)

Application Documents (21)

Guidance Documents (2)

Summary Documents (1)

Data Documents (3)

Reference Documents (5)

Media (2)

Site Activity (35)

Downloads & References (22)

Source Checks

State Awardees (15)