HHS Region 7 · Iowa Department of Health and Human Services
Program Overview
The program leverages federal funding and interactive dashboards to guide active rollout and track outcomes across rural communities. Iowa is in the pilot and RFP release phase, emphasizing hub-and-spoke models, provider partnerships, and EMS-led mobile integrated health. Current structured plan tracks 9 key initiatives and 9 strategic goals.
Updated
County-level estimates averaged across Iowa — % of adults 18+ unless noted. Delta vs US county average shown in red/green.
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% |
AI source: IA - 2026 - Direct file link
AI auto-updated Jun 11, 2026
API refreshed May 7, 2026
Grouped files
8 related documents
IA - 2025 - Project Narrative (1.2 MB) .pdf
Supporting source: Iowa Project Narrative
1,232,642 rural residents
Iowa has officially moved to implementation of its Rural Health Transformation Program, branded as Healthy Hometowns. The state has issued and announced apparent successful bidders for a rural healthcare workforce recruitment program, with contract negotiations underway. Public dashboards for outcome tracking are live, and funding opportunities and awardees are being posted by Iowa HHS for multiple initiatives. Procurement activities, including RFIs and subsequent contract awards, mark active engagement with local providers and stakeholders. State opportunities: 6 active (4 open, 2 upcoming, 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.
Iowa's RHTP Healthy Hometowns strategy leverages a robust statewide hub-and-spoke care model to integrate rural hospitals, clinics, and EMS into advanced provider networks. The strategy emphasizes deployment of cutting-edge health IT, workforce expansion, co-located services, and targeted investments in maternal, cardiovascular, and oncology health to modernize care coordination, chronic disease management, and emergency response. Implementation is anchored by major competitive procurements launching in FY2026, driving data-driven care, technological innovation, and transparency.
Model
Statewide hub-and-spoke model connecting rural hospitals, clinics, EMS, health IT systems, and specialized service hubs to deliver integrated, patient-centered care and support coordinated population health management.
Key Initiatives
Timeline: RHTP implementation is set for FY2026–2030, with primary RFPs issued July–September 2026 and contract awards beginning October–November 2026.
Cancer prevention and treatment: Aims to address cancer through early detection and improved access to treatment in rural populations. (Regions: Statewide rural communities)
Health information exchange: Expanding interoperable data sharing to improve health outcomes and care coordination. (Regions: Statewide)
Emergency care and EMS access: Mobile EMS care initiatives help rural patients connect to timely healthcare services. (Regions: Rural counties and remote areas)
IA - 2026 - CMS RHTP 50-State Spotlight (FY2026) — Iowa
IA - 2025 - Iowa STATE OF IOWA KIM REYNOLDS RHTP 2025 Application
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IA - 2026 - Iowa – RHTP Application CMS-RHT-26-001 – Project Summary
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IA - 2026 - Iowa’s RHT Plan Application
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IA - 2025 - Other Supportive Materials (1.29 MB) .pdf
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IA - 2025 - Healthy Hometowns PowerPoint (14.35 MB) .pptx
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IA - 2025 - Transforming Health Care in Iowa | Governor Kim Reynolds
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Iowa Department of Health and Human Services
Due Oct 1, 2026
3 related documents
IA - 2026 - Notice of Intent to Release for Cardiovascular Health Hub and Spokes, RFP # COMPADM26007 (167.54 KB) .pdf
Notice of Intent to Release — Cardiovascular Health Hub and Spokes (RFP COMPADM26007)
IA - 2026 - RFI# COMPADM26007 Cardiovascular Health Hub and Spoke Networks of Care .pdf
Supporting source: Iowa Cardiovascular RFI and submission guidance
IA - 2026 - How to Submit in Response to RFI# COMPADM26007 .pdf
Reference source: How to Submit in Response to RFI# COMPADM26007
Iowa Department of Health and Human Services
Due Sep 30, 2026
1 related document
IA - 2026 - Notice of Intent to Release for Mobile Integrated Health, RFP # PHTHOET27001 (190.93 KB) .pdf
Notice of Intent to Release — Mobile Integrated Health (RFP PHTHOET27001)
Iowa Department of Health and Human Services
Due Sep 30, 2026
1 related document
IA - 2026 - Notice of Intent to Release for Communities of Care Co-Location, RFP # COMPADM26005 (147.27 KB) .pdf
Notice of Intent to Release — Communities of Care Co-Location (RFP COMPADM26005)
| FY↓ | Awardee↕ | Amount↕ | Activity↕ | Source |
|---|---|---|---|---|
| 2026 | Adair County Memorial Hospital Supports recruitment of MD/DO physician for rural hospital healthcare workforce. | $1 | Workforce | |
| 2026 | Avera Holy Family Hospital Funds rural recruitment of family practice physician (MD/DO) in Emmet County. | $1 | Workforce | |
| 2026 | Boone County Hospital Supports hiring of physician assistant and primary care physician for Boone County Hospital. | $1 | Workforce | |
| 2026 | Cass County Memorial Hospital DBA Cass Health Funds recruitment of physician (MD/DO) or ARNP for rural hospital. | $1 | Workforce | |
| 2026 | CHI Health Mercy Corning Supports recruitment of internal medicine physician and registered nurses for Adams and Taylor Counties. | $1 | 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 |
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
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. Opens in a new window. Opens in a new window. Opens in a new window. Opens in a new window. Department of Health and Human Services Lucas Building 321 East 12th Street Des Moines , IA 50319 Phone (800) 972-2017 How can we help? Share feedback with us Footer Menu Footer About Iowa HHS About HHS Public Meetings Events Careers Volunteer Opportunities Newsroom Data Breach Notifications Resources Data Reports Request Vital Records Your Life Iowa Office of the State Medical Examiner Accessibility Assistance Contact Locations Contact Us Report a Disease or Outbreak Area Agencies on Aging HHS Office Locations Legal Accessibility HIPAA Nondiscrimination Policy Privacy Archived Documents Contact Menu Send Feedback © 2026 State of Iowa - Read our accessibility, data, and privacy policies .
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.
This is a Request for Information soliciting input on developing hub and spoke cardiovascular health networks in rural Iowa. The focus is on telehealth capabilities, provider consultations, and partnership agreements to improve cardiovascular care. Key contacts: Stacey Hewitt stacey.hewitt@hhs.iowa.gov Event schedule: - RFI Submission Deadline - 06/26/2026 - 4:30 PM CT - Email submission to Stacey Hewitt
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Contacts
Core Initiatives
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
Event Schedule
Core Initiatives
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.
This document summarizes eligible RHTP FY26 state applications for Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, and Louisiana. Each state proposes multi-dimensional initiatives focusing on rural hospital stability, workforce expansion, quality improvement, technology modernization (including telehealth), maternal and behavioral health, and population health management. Aggregate federal funding requests range from $150M–$275M per state, with robust strategic alignment to RHTP priorities. Application details reflect a broad mix of direct services, infrastructure improvements, and innovation pilots.
Core Initiatives
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.
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
Core Initiatives
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.
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: 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/
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
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
IA RHTP site updated — 3 new doc(s)
IA canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated (×2, Jun 16–Jun 17)
IA canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated
IA canonical state summary updated: progressSummary updated · transformationStrategy updated · strategicGoals updated (×5, Jun 11–Jun 13)
IA RHTP site updated — 1 new doc(s)
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IA - 2026 - Carroll County, Local News. RHTP. On Thursday, July 9, Sen. Charles
IA - 2026 - Article 8c252439 15ce 4408 A628 E6335ad44335
Core Initiatives
Event schedule: - Iowa Department of Health and Human Services Request for Information Healthy Hometowns Cardiovascular Health Hub and Spoke Networks of Care RFI# COMPADM26007 , 2026 Issuing Officer: Stacey Hewitt Iowa Department of Health and Human Services stacey.hewitt@hhs.iowa.gov The Iowa Department of Health and Human Services (“Agency”) will receive responses to this Request For Information until: 4:30 PM on June 26, 2026 Page 1 of 6 - May 13 - 3.1. Not a Competitive Procurement or Purchasing Instrument. The purpose of this RFI is solely to gather information on potential methods, approaches, and solutions related to anticipated outcomes. Note that: • Issuing this RFI does not commit the Agency to solicit services, award a contract, or make any purchase; • The State of Iowa and the Agency will not form a contract with any entity based on responses to this RFI; • Responses will not influence future competitive awards. Any subsequent bidding opportunity will be publicly announced in accordance with applicable procurement notice requirements; and • If pricing is requested, it will be reviewed for informational purposes only. This RFI is not a request for a formal quote from any Respondent. 3.2 Costs of Responding to RFI. The Agency is not responsible for any costs the Respondent incurs related to the preparation or delivery of the response, any presentation, or any other activities related to this RFI. 3.3 Right to Modify. The Agency reserves the right to modify this RFI at any time or to reject responses, in whole or part. 3.4 Clarification of Responses The Agency reserves the right to contact a Respondent for the purpose of clarifying a response to ensure mutual understanding. 3.5 Ownership of Information and Copyrights By submitting a response, the Respondent agrees that the Agency: • Owns Information submitted in response to this RFI, • May copy and distribute the response for purposes of reviewing the response or to respond to requests for public records and such copying does not violate the rights of any third party, and • Has the right to use ideas or adaptations of ideas that are presented in the responses and such usage does not violate the rights of any third party. 3.6 Respondent Requests for Confidential Treatment With the submission of a response, each Respondent agrees that information submitted in response to this RFI will be treated as public information unless the Respondent properly requests that information in its submission be treated as confidential at the time of submitting the response to this RFI. Form 22 is the sole means of requesting confidential treatment of information. The Agency’s release of information is governed by Iowa Code Chapter 22. Respondents are encouraged to familiarize themselves with Chapter 22 before submitting a response to this RFI. The Agency will copy public records as required to comply with public records laws. The Agency will treat the information marked confidential as confidential information to the extent such information is determined confidential under Iowa Code chapter 22 or other applicable law by a court of competent jurisdiction. Page 5 of 6 - Section 1.0 Overview 1.1 Purpose for the Request for Information (RFI). The Iowa Department of Health and Human Services (hereafter “Agency”) released this RFI to welcome input from the contractor community interested stakeholders (hereafter “Respondents”) on various aspects of cardiovascular health hub and spoke networks of care to support rural Iowans and rural healthcare organizations. This RFI is issued to obtain information only and will not result in a contract or vendor agreement with any Respondent. The Agency encourages Respondents with experience in particular segments of the services or products described herein to respond to Agency questions with information related to best practices, industry standards, technology issues, qualifications and capabilities of potential vendors, and any other information the respondent deems responsive. Respondents are asked to complete the attachment titled Submissions in Response to RFI# RFI# COMPADM26007 and submit it to the Agency’s Issuing Officer by the due date. This RFI does not commit the Agency to publish a procurement, such as a request for proposal, or award any contract. Should the Agency issue a procurement at a later time, it will be open to all qualified vendors, whether or not those vendors chose to submit a response to this RFI. This RFI is not a pre-qualification process for any future contract solicitation. 1.2 Background Iowa’s rural communities face persistent and intensifying public health challenges, including limited access to care, workforce shortages, and disparities in health outcomes. In response, the Agency developed the Healthy Hometowns initiative 1 as the state’s submission to the federal Rural Health Transformation Program (RHTP), authorized under the One Big Beautiful Bill Act. 2 This initiative is designed to transform the delivery of healthcare in rural Iowa by building a high-quality, sustainable system of care that improves health, well-being, and quality of life for rural residents. Through the Iowa HHS Strategic Plan and Strategic Plan in Action 3 , the Agency has committed to elevate organizational health, advance operational excellence, and help Iowa thrive. The Iowa Rural Health Transformation Plan, Healthy Hometowns, is in direct alignment with those goals by promoting access to health and human services resources and helping individuals, families, children, and communities thrive. Iowa Governor Kim Reynolds set the foundation for Healthy Hometowns via House File 972 of the 91st Iowa General Assembly. This legislation, enacted , 2025, establishes a multi-prong strategy for improving rural health care access and health outcomes for rural Iowans. This plan revolves 1 https://hhs.iowa.gov/initiatives/rural-health-transformation-rht 2 https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview 3 https://hhs.iowa.gov/about/strategic-plan Page 2 of 6 - July 1 - 3.1. Not a Competitive Procurement or Purchasing Instrument. The purpose of this RFI is solely to gather information on potential methods, approaches, and solutions related to anticipated outcomes. Note that: • Issuing this RFI does not commit the Agency to solicit services, award a contract, or make any purchase; • The State of Iowa and the Agency will not form a contract with any entity based on responses to this RFI; • Responses will not influence future competitive awards. Any subsequent bidding opportunity will be publicly announced in accordance with applicable procurement notice requirements; and • If pricing is requested, it will be reviewed for informational purposes only. This RFI is not a request for a formal quote from any Respondent. 3.2 Costs of Responding to RFI. The Agency is not responsible for any costs the Respondent incurs related to the preparation or delivery of the response, any presentation, or any other activities related to this RFI. 3.3 Right to Modify. The Agency reserves the right to modify this RFI at any time or to reject responses, in whole or part. 3.4 Clarification of Responses The Agency reserves the right to contact a Respondent for the purpose of clarifying a response to ensure mutual understanding. 3.5 Ownership of Information and Copyrights By submitting a response, the Respondent agrees that the Agency: • Owns Information submitted in response to this RFI, • May copy and distribute the response for purposes of reviewing the response or to respond to requests for public records and such copying does not violate the rights of any third party, and • Has the right to use ideas or adaptations of ideas that are presented in the responses and such usage does not violate the rights of any third party. 3.6 Respondent Requests for Confidential Treatment With the submission of a response, each Respondent agrees that information submitted in response to this RFI will be treated as public information unless the Respondent properly requests that information in its submission be treated as confidential at the time of submitting the response to this RFI. Form 22 is the sole means of requesting confidential treatment of information. The Agency’s release of information is governed by Iowa Code Chapter 22. Respondents are encouraged to familiarize themselves with Chapter 22 before submitting a response to this RFI. The Agency will copy public records as required to comply with public records laws. The Agency will treat the information marked confidential as confidential information to the extent such information is determined confidential under Iowa Code chapter 22 or other applicable law by a court of competent jurisdiction. Page 5 of 6 - around the concept that Iowa describes as Health Hubs, often referred to as Hub and Spoke models of care. The vision for Healthy Hometowns is to implement a robust Hub and Spoke framework that supports long-term, sustainable and high-quality health care for Iowans living in rural areas. Healthy Hometowns has three primary goals: 1. Iowans will be able to get health care within their rural communities at the most appropriate locations for type and level of care thanks to support from newly developed partnerships, more rural primary care physicians and specialists, and upgraded equipment. 2. Iowans living in rural areas will have improved health outcomes with similar rates of morbidity and premature mortality to those living in Iowa’s more populous areas. 3. Iowa will invest in the development and utilization of innovative technology and data infrastructures to support sustainable care options close to home, seamless care partnerships, and data sharing throughout the state. The purpose of developing Hub and Spoke networks of care for cardiovascular healthcare is to increase access to and availability of cardiovascular care in Rural Iowans. Through the Healthy Hometowns Rural Health Transformation Program, Iowa is working toward innovative and transformative models of healthcare delivery to best serve rural Iowans. Hub and Spoke networks typically work collaboratively to increase access to cardiovascular healthcare, including associated preventive care, in Rural areas in a manner that keeps care available locally when appropriate, while simultaneously increasing patient volume and long- term sustainability of rural healthcare providers. 1.3 Definitions. Reserved. 1.4 RFI Timetable Below is the anticipated timeline for this RFI. The Agency reserves the right to alter, modify, or delete activities and deadlines as it chooses. These times are provided in Central Standard Time. Agency releases RFI , 2026 Respondent Questions Regarding the RFI due by May 27, 2026 Agency Posts Answers to Questions June 1, 2026 Page 3 of 6 - May 13 - 3.1. Not a Competitive Procurement or Purchasing Instrument. The purpose of this RFI is solely to gather information on potential methods, approaches, and solutions related to anticipated outcomes. Note that: • Issuing this RFI does not commit the Agency to solicit services, award a contract, or make any purchase; • The State of Iowa and the Agency will not form a contract with any entity based on responses to this RFI; • Responses will not influence future competitive awards. Any subsequent bidding opportunity will be publicly announced in accordance with applicable procurement notice requirements; and • If pricing is requested, it will be reviewed for informational purposes only. This RFI is not a request for a formal quote from any Respondent. 3.2 Costs of Responding to RFI. The Agency is not responsible for any costs the Respondent incurs related to the preparation or delivery of the response, any presentation, or any other activities related to this RFI. 3.3 Right to Modify. The Agency reserves the right to modify this RFI at any time or to reject responses, in whole or part. 3.4 Clarification of Responses The Agency reserves the right to contact a Respondent for the purpose of clarifying a response to ensure mutual understanding. 3.5 Ownership of Information and Copyrights By submitting a response, the Respondent agrees that the Agency: • Owns Information submitted in response to this RFI, • May copy and distribute the response for purposes of reviewing the response or to respond to requests for public records and such copying does not violate the rights of any third party, and • Has the right to use ideas or adaptations of ideas that are presented in the responses and such usage does not violate the rights of any third party. 3.6 Respondent Requests for Confidential Treatment With the submission of a response, each Respondent agrees that information submitted in response to this RFI will be treated as public information unless the Respondent properly requests that information in its submission be treated as confidential at the time of submitting the response to this RFI. Form 22 is the sole means of requesting confidential treatment of information. The Agency’s release of information is governed by Iowa Code Chapter 22. Respondents are encouraged to familiarize themselves with Chapter 22 before submitting a response to this RFI. The Agency will copy public records as required to comply with public records laws. The Agency will treat the information marked confidential as confidential information to the extent such information is determined confidential under Iowa Code chapter 22 or other applicable law by a court of competent jurisdiction. Page 5 of 6 - Last Day Agency will Accept Responses , 2026 Section 2.0 RFI Responses and Activities 2.1 Response Submission Respondents are requested to utilize the documents posted with this RFI to submit written responses to the Agency’s questions. Responses will be accepted through the date and time posted in the timetable above. The electronic word document must be in a format that is compatible with Microsoft Word software. Respondents are encouraged to request confirmation of receipt of the emailed response from the Issuing Officer. Responses shall be concise, but with enough detail to facilitate clear understanding. Respondents are not obligated to address each section or question. Interested parties may submit more than one response prior to the submission deadline. Please only include new information in subsequent submissions. 2.2 Questions and Communication About the RFI This RFI contains a written question and answer process to address questions or clarifying information provided in this RFI and the process of responding to this RFI. Note that the Agency is using this process to seek feedback to assist with making future decisions and cannot address questions related to future plans at this time. Any clarifying or procedural questions related to responding to this RFI must be received by the Issuing Officer by the date and time provided in the RFI timetable. Questions should be submitted in an electronic word processing document that is compatible with Microsoft Word software and sent as an attachment to an email directed to the Issuing Officer. Parties submitting questions are encouraged to request a confirmation of the Issuing Officer’s receipt in their email. The Agency anticipates responses to the questions will be posted with the previously posted RFI at the State of Iowa’s website for bid opportunities: http://bidopportunities.iowa.gov by the end of business on the date noted in the RFI timetable. All communications about this RFI should be directed to the Issuing Officer. Should a potential bidder attempt to contact an employee of the Agency other than the Issuing Officer in an attempt to gather information about a future procurement, it may be grounds for that bidder’s disqualification in that future procurement process. 2.3 RFI Presentations Reserved. Section 3.0 General Terms and Conditions Page 4 of 6 - June 26 - 3.1. Not a Competitive Procurement or Purchasing Instrument. The purpose of this RFI is solely to gather information on potential methods, approaches, and solutions related to anticipated outcomes. Note that: • Issuing this RFI does not commit the Agency to solicit services, award a contract, or make any purchase; • The State of Iowa and the Agency will not form a contract with any entity based on responses to this RFI; • Responses will not influence future competitive awards. Any subsequent bidding opportunity will be publicly announced in accordance with applicable procurement notice requirements; and • If pricing is requested, it will be reviewed for informational purposes only. This RFI is not a request for a formal quote from any Respondent. 3.2 Costs of Responding to RFI. The Agency is not responsible for any costs the Respondent incurs related to the preparation or delivery of the response, any presentation, or any other activities related to this RFI. 3.3 Right to Modify. The Agency reserves the right to modify this RFI at any time or to reject responses, in whole or part. 3.4 Clarification of Responses The Agency reserves the right to contact a Respondent for the purpose of clarifying a response to ensure mutual understanding. 3.5 Ownership of Information and Copyrights By submitting a response, the Respondent agrees that the Agency: • Owns Information submitted in response to this RFI, • May copy and distribute the response for purposes of reviewing the response or to respond to requests for public records and such copying does not violate the rights of any third party, and • Has the right to use ideas or adaptations of ideas that are presented in the responses and such usage does not violate the rights of any third party. 3.6 Respondent Requests for Confidential Treatment With the submission of a response, each Respondent agrees that information submitted in response to this RFI will be treated as public information unless the Respondent properly requests that information in its submission be treated as confidential at the time of submitting the response to this RFI. Form 22 is the sole means of requesting confidential treatment of information. The Agency’s release of information is governed by Iowa Code Chapter 22. Respondents are encouraged to familiarize themselves with Chapter 22 before submitting a response to this RFI. The Agency will copy public records as required to comply with public records laws. The Agency will treat the information marked confidential as confidential information to the extent such information is determined confidential under Iowa Code chapter 22 or other applicable law by a court of competent jurisdiction. Page 5 of 6
Event schedule: - Notice of Intent to Release To all interested parties: The Iowa Department of Health and Human Services (the Agency) is providing this notice of intent to release a request for proposal (RFP) on or around May 8, 2026; to procure RFP# COMPADM26008 Combat Cancer Health Hub Program, Round 2. This procurement is for establishing the framework for hub and spoke networks of care for the delivery of cancer care in Iowa. The Agency anticipates that this work may include forming rural provider strategic partnerships, advancing telehealth, establishing referral networks and agreements (particularly among non-affiliated provider organizations), provider recruitment, equipment purchases and associated minor renovations, and other funds needed to establish or advance the provision of cancer care at spoke sites providing routine cancer care and hub sites providing specialty care and advanced cancer care. Please see the Agency’s Rural Health Transformation Grant website (Rural Health Transformation (RHT) - Health & Human Services) for additional information about the Healthy Hometowns initiative. The RFP for the Combat Cancer Health Hub Program, Round 2, RFP # COMPADM26008, that the Agency anticipates releasing on or around May 8, 2026, will be posted to IowaGrants . The following is a tentative timeline for the RFP; these dates are estimates and are subject to change: May-June 2026: Question and answer period after release of the RFP Mid-June 2026: Deadline for bid proposals. August 2026: HHS to award contract(s) September 2026: Contract begins. Sincerely, Stacey Hewitt Issuing Officer - This Combat Cancer Health Hub Program, Round 2 is supported by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling approximately $209,040,063.71 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official view of, nor an endorsement, by CMS/HHS, or the U.S. Government.
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IA - 2026 - Social Services Block Grant
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IA - 2026 - Notice of Intent to Award (RFP FWBPEHV26018: Iowa Family Support Network)
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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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