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  Funding Opportunity Details
 -448121-FY23 RFP 58823004 for Maternal Health
  Title V Services
  Application Deadline: 05/25/2022 4:00 PM
Award Amount Range: Not Applicable
Project Start Date: 10/01/2022
Project End Date: 09/30/2023
Award Announcement Date: 07/27/2022
Eligible Applicant:
Program Officer: John McMullen
Phone: 515-380-2968 x
Categorical Area:

It is the responsibility of the Applicant to review all Attachments listed below for additional details regarding this Funding Opportunity.

The issuance of this Funding Opportunity in no way constitutes a commitment by IDPH to award a contract.

Excerpts from the RFP:


The purpose of this Request for Proposal (RFP) # 58823004 is to solicit applications that will enable the Iowa Department of Public Health (referred to as Department) to select the most qualified applicant to provide public health services at the community level for the Maternal Health (MH) Program. 

IDPH Title V Maternal Health Programs provide support and education for pregnant people and their families in all Iowa counties based on the individualized needs of the clients and community as outlined in IAC 641—76 Maternal and Child Health Program. These services include, but are not limited to: community education sessions, community coalition building activities, linking pregnant people to medical and dental homes, providing presumptive eligibility services for Iowa Medicaid, and Title V Maternal Health Direct Care Services.

Schedule of Important Dates

The following dates are set forth for informational purposes. The Department reserves the right to change them.



RFP Issued

March 23, 2022

Written Questions and Responses


Round 1 Questions Due:

Responses Posted By:

April 06, 2022

April 13, 2022

Round 2 Questions Due:

Responses Posted By:

April 27, 2022

May 04, 2022

Final Questions Due:

Responses Posted By:

May 11, 2022

May 18, 2022

Applications Due

May 25, 2022 by 4:00 PM Local Iowa Time

Post Notice of Intent to Award

July 27, 2022

 Click on the File Name to open attachment
Description File Name File Size
A. FY23 RFP58823004 MH RFP Title V Programs A. FY23 RFP58823004 MH RFP Title V Programs.pdf 888 KB
B. IowaGrants Registration Instructions Updated 2016 B. IowaGrants Registration Instructions Updated 2016.pdf 873 KB
C. IDPH Application Instruction Guidance 2016 C. IDPH Application Instruction Guidance 2016.pdf 1.9 MB
D. FY23 MH RFP58823004 Draft Contract Template D. FY23 MH RFP58823004 Draft Contract Template.pdf 245 KB
E. FY23 MH RFP58823004 Draft Review Tool Template E. FY23 MH RFP58823004 Draft Review Tool Template.pdf 115 KB
F. Third Party Resolution Guidance F. Third Party Resolution Guidance.pdf 547 KB
G. FY2023 MH RFP Evidence Based Support Attachment G. FY2023 MH RFP Evidence Based Support Attachment.pdf 61 KB
H. CSA Data Summary H. CSA Data Summary.pdf 4.7 MB
I. Service Delivery Models & Direct Service Protocol I. Service Delivery Models & Direct Service Protocol.pdf 30 KB
J. Amendment 1 FFY2023 MH RFP 58823004 J. Amendment 1 FFY2023 MH RFP 58823004.pdf 235 KB
K. County Level Funding K. County Level Funding.pdf 100 KB
L. Amendment 2 FFY2023 MH RFP 58823004 L. Amendment 2 FFY2023 MH RFP 58823004.pdf 138 KB
 Website Links
 Click on the URL to go to website
URL Description A. Collaborative Service Areas B. IDPH General Conditions C. Iowa Code Chapter 641-77.3 D. Iowa Code Chapter 441-79-3 E. 2020 Title V Needs Assessment F. Medicaid Provider Manuals G. State of Iowa IT Security Standards H. IDPH HIPAA Statement I. Medicaid Maternal Health Center Manual J. Maternal Health Services Summary K. Iowa Department of Administrative Services In-State Travel Materials L. Iowa's Title V Administrative Manual for Community Based Programs M. Iowa DHS Excluded Individuals and Entities list N. Medicaid Maternal Health Center Manual O. Maternal Health Services Summary P. Iowa's Title V Administrative Manual for Community Based Programs Q. Iowa DHS Excluded Individuals and Entities list R. 45 CFR part 160 and 164 S. 2021 Title V Needs Assessment
Submitted Date Question Answer
03/30/2022 In regards to the Maternal Health Coalition. The partner organization types list a prenatal care provider. Can you clarify if this a medical prenatal provider or a provider working with the prenatal population (home visiting, ect...) In all sections of this RFP prenatal care provider indicates the role of an obstetrical prenatal care provider, for example a midwife, MD or DO providing prenatal care, or a perinatologist/maternal fetal medicine specialist.
04/05/2022 On page 38 of the RFP it discusses the minimum credentials and experience required for the Maternal Health Medical Director. To clarify, this person does not have to be a licensed physician but just needs to meet the minimum 2 years training and/or experience working with pregnant and birthing individuals or women's health? As an example, could this person be a RN who has worked in or currently works in an OB/birthing unit or an OB GYN office or women's health clinic? The Maternal Health Medical Director must be an MD or DO. Per Iowa’s Title V Administrative Manual For Community Based Programs, the Medical Director must align with the criteria in the manual in addition to what is listed in the RFP. (Iowa’s Title V Administrative Manual for Community Based Programs can be found in Section 7 of the RFP, link P).
04/05/2022 On page 45 of the RFP, it refers to a "Family Engagement section" of the form "Partnership, Coalition Building and family Engagement Form". I am not seeing this section. Please advise. The “Family Engagement Capacity” section has been added into the IowaGrants “Partnership, Coalition Building and Family Engagement” form.
04/06/2022 For those of us subcontracting, what will “ownership” of clients look like in Signify? Will the contracting agency have access to all records for quality assurance, reporting, etc.? The subcontracted providers will document under the contracting agency. The contracting agency will be the “owners” of all clients in their service area and will have access to all records for QI, reporting, etc.
04/06/2022 For those of us subcontracting, who will be the provider of record? Will a new template for consents/ROIs be provided? The contracting agency will be the provider of record for the client and any subcontracted providers will document as a subcontractor of that agency.

As it is the start of a new project period, IDPH will review all consents to ensure subcontracted providers are covered in the consent.
04/06/2022 Please clarify the Maternal Health Coalition – are we expected to have one coalition that covers the entire CSA, or can there be multiple coalitions serving different subsets of the populations we serve? The expectation is that there is at least one coalition, if it is more appropriate to have multiple coalitions, that would be acceptable. The coalition/coalitions need to meet the needs and be representative of the entire CSA.
04/06/2022 Please provide more information on the funding formula for counties or the amount allocated to each county, as this will be helpful for distributing funds for subcontractors. An amendment to this RFP will provide county breakdowns for the funding formula by county. This only accounts for the funding that is calculated through the formula. Both the Title V and MAF funding allocations include a single base amount per CSA and would not be part of the county calculations.
04/06/2022 Will IDPH provide a Business Associates Agreement Template? Contracted agencies will need to work with their own legal counsel to develop a Business Associates Agreement that meets the needs of their agency.
04/06/2022 Can a subcontractor of the MH grantee hire nurses or dental hygienists through a hospital or other health facility? Yes.
04/13/2022 Please clarify the meaning of "provide transportation"? To help ensure that Medicaid members have access to medical and dental care within the scope of the program, contractors will arrange non-emergency medical transportation (NEMT) for Medicaid eligible non-MCO enrolled clients and Title V eligible clients.
04/13/2022 On pages 7-8, under funding allocations is says, "Actual total awards and individual contract funding levels may vary from that listed or funding may be withdrawn completely..." If funding is withdrawn completely, will the contractor still be required to provide the services listed with no funding? If anticipated funding amounts changed significantly, the required scope of work may be revised to appropriately reflect the funding available. If funding is withdrawn completely a contract will not be issued.
04/13/2022 Some insurance companies offer a stop nicotine program of their own, if the woman has an insurance company that offers this, do we still refer to Quitline Iowa? The agency should still refer to Quitline, the Quitline staff will ensure the client gets the proper resources.
04/13/2022 Item "h" in required services, page 32, does this mean the contracting agency has to drive a person labeled as "Medicaid Fee-For-Service" and "Title V" to any appointment? The statement does not indicate it's for a doctor's appointment or dentist appointment - it says to provide transportation services, so, because they are in this population (Medicaid FFS and Title V), do we have to provide transportation to the grocery store? What about school or a massage? If that's the case, what is the boundary for "in-town?" And does "in town" apply to every small town in the service area? Am I reading too much into it? I'm assuming when you say "provide" are you meaning to do it ourselves and not pay for it, right? Is that a wrong assumption? Refer to policy 708 of the MCAH Administrative manual for information about Medical transportation: To help ensure that Medicaid members have access to medical and dental care within the scope of the program, contractors will arrange non-emergency medical transportation (NEMT) for Medicaid eligible non-MCO enrolled clients and Title V eligible clients.
04/13/2022 On page 33, 4th bullet says "comply with the Departments," reading through several times, I was assuming it was a typo with a missing apostrophe, but realized you could actually mean more than one Department. So, please clarify, was that a typographical error? or identify the other Department. Thanks! This is a typographical error and only refers to IDPH
04/13/2022 On page 39, under Medicaid Administrative Funds Budgets, the 5th bullet talks about the MH Coordinator, are you using that term interchangeably with MH Director? Yes, the MH Coordinator is the same as the MH Director
04/13/2022 On page 61, item number 5 says, "If requested by the Department and the Iowa DHS, the successful applicant shall provide a fully completed copy of the Iowa DHS Vendor Security Questionnaire (VSQ)." What is a Vendor Security Questionnaire? Can we have a copy of a sample of it to determine if it's doable by our agency. Thanks! The need to complete a Vendor Security Questionnaire is determined by the Iowa Department of Human Services and the format for gathering this information is determined by them. The current template is available at at the bottom of the page under “Additional Resources”, but this is subject to change based on Iowa DHS requirements.
04/14/2022 Is a contingency plan required for vacant roles? Yes
04/18/2022 Can you please provide guidance on your definition of Micropolitan and Rural counties in the data provided. Specifically for counties without a city larger than 10,000. Rurality is based on the National Center for Health Statistics designations. These designations focus on access to service for the county population, as opposed to only the number of people residing in the county. For more information see the 2013 NCHS Urban-Rural Classification Scheme for Counties ( Applicants can find more information at the State Library of Iowa’s State Data Center, Metropolitan, Micropolitan, and Combined Statistical Areas (
04/22/2022 Could the Maternal Health Director position be split between two individuals at .25 FTE each if duties were split accordingly? A minimum of 0.5 FTEs in a single staff person must be dedicated to the duties of the MH Director position.
04/22/2022 Grant funding appears to be reduced when comparing to MH grant funds issued in 2017. Federally, funding appears to be level to slightly increased for the Title V block grant. Is there an explanation for the reduced funding offered to grantees this cycle? Iowa’s Title V state plan increased the amount of state level work within the last project period, focusing on Maternal Mortality and Safe Sleep. Providing funding to state level initiatives directly impacts the amount of funding available for local contracts. The work associated with the MH program locally was reviewed based on the funding available.
04/22/2022 Can partnership with CLPPP be utilized to offer lead draws to clients in required age groups in required counties when the CLPPP program is within the same agency as MCAH? This question refers to RFP [CAH RFP], please resubmit the question under the correct funding opportunity
04/22/2022 Can RDH and other health-related professionals complete training as phlebotomists so that they can complete lead testing while they are providing other CAH and OH services in the community? This question refers to RFP [CAH RFP], please resubmit the question under the correct funding opportunity
04/25/2022 In the past, there were specific direct services that had to be completed at each MH visit. Will this be the same in FY2023 and beyond or should the contractor only provide the gap filling services as determined by their needs assessment. There aren’t specific minimum services that must be provided - applicants should plan to provide services based on the results of their needs assessments. Successful applicants will also be required to work with the Department to develop and maintain a direct service protocol that meets the needs of each county.
04/27/2022 On page 25 of the RFA, it states that "all work and activities proposed within an applicant's service area must cover the entire CSA." Does this mean that each activity must be applied to every county in the CSA and there is no room to customize them based on the need of the county? Activities may be customized by county based on need so long as each county receives comparable levels of services and infrastructure building work.
05/04/2022 Can you please clarify in regards to transportation, will it be the applicants responsibility to PROVIDE or PAY FOR transportation in any format. Transportation refers to Non-emergency Medical Transportation to a Medicaid covered service only. For MCO-covered clients, this includes referring the client to the MCO transportation service. For non-MCO covered clients with FFS Medicaid, the agency is responsible for coordinating transportation (by providing it or covering the cost of a cab, ride share service, volunteer drivers, or public transportation). MCAH agencies can bill Iowa Medicaid for NEMT provided for FFS clients. Title V grant funds should be used to cover the cost of NEMT transportation for Title V clients. Refer to the Iowa Medicaid NEMT website for more information:
05/05/2022 The Letter of Commitment template reads as if it is being sent from the the (prospective) Title V agency to the (potential) partner. Is this correct? Usually you think of letters of support coming from the wanted to confirm in case this was in error. The letter of commitment template was provided as a way for applicants to demonstrate that potential partners understand the Title V local program work and that they are agreeable to the specific goals of the applicant. This is provided as a template, and can be modified as needed.
05/05/2022 Can the role of Maternal Health Director be subcontracted? Yes
05/06/2022 In the CSA data summary, I'm having trouble wrapping my mind around the numbers, specifically "Number and percent of women who obtained prenatal education about selected topics." For Adair County, it says 161 women received education re: IPV and the percentage is 34.2%. So, 161 equals a little over 1/3 of those eligible - the number eligible would be around 470. But the resident births lists 99. Even if calculating 99 births per year, that's only around 300 for the time period of 2018-2020, well below the 470. Right? The heading is number and percentage of WOMEN, not the number of times it was done, right? I'm sorry, I feel I'm missing some component as I don't understand the data. Thank you. All data sourced from the Iowa Prenatal Care Survey are based on numbers of survey responses for the time period, rather than the resident births reported in other tables (which may also include out of state births). Many data tables from the Iowa Prenatal Care Survey (more commonly referred to as “Barriers”) combine multiple years to obtain high enough numbers to ensure confidentiality and statistical accuracy. The numbers and percentages can be used to make rough estimates of the need in each county but are not exact reflections of outcomes, as they are pulled from different years and the response rate for the Iowa Prenatal Care Survey varies at the hospital level from 15% to 100%.
05/06/2022 Maternal Health Personal: Can you please clarify how we identify other maternal health personal. As other is not listed: RHD, Medical Director etc... The option of Maternal Health Medical Director, Maternal Health Registered Dental Hygienist, and Other have been added to the dropdown list in IowaGrants.
05/10/2022 Can the Project Director and the MH Director be the same person? Should the title of Project Director be listed in the Key Personnel if they are allowed to be the same person? The MH Director and Project Director may be the same person as long as all requirements for the MH Director (FTE minimum, job responsibilities, meeting attendance, etc.) can be met by the Project Director.
05/11/2022 Page 45 provides information about the Partnerships, Coalition Building, and Family Engagement Form and states that a letter from one hospital with labor and delivery services must be included in the application. Can you provide information about who at the hospital is required to sign that letter? Is it a doctor with admitting privileges? Nurse Manager? CEO? What would be acceptable for this purpose? The letter from the hospital may be signed by any individual within the hospital leadership who can commit to partnering with the applicant organization. This could include, but is not limited to, the CEO, OB Nurse Manager, OB provider (including family medicine providers, midwives), or other hospital employee with appropriate authority within the perinatal care team.
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