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638841 - FY26 RFP BHTHPTR26093 for Opioid Settlement Funding
Funding Opportunity Details
Substance Misuse Prevention & Treatment (Behavioral Health)
Final Application Deadline: Dec 2, 2025 4:00 PM
Status Closed
Posted Date Oct 31, 2025 1:09 PM
Award Amount RangeNo Limit - $1,000,000.00
Project Dates 01/09/2026 - 01/08/2028
Award Announcement Date 12/23/2025
Categorical Area
Recurring Opportunity No
Program Officer John McMullen
Phone (515) 416-8565 x
Email [email protected]
Description
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 Iowa HHS to award a contract.
Excerpts from the RFP:
Purpose
The purpose of this Request for Proposal (RFP)#BHTHPTR26093 is to solicit applications that will enable the Iowa Department of Health and Human Services (referred to as Agency) to select the most qualified applicants to conduct opioid abatement strategies. Applicants may apply to provide any service allowed by Iowa law, that is supported and referenced in the menu of approved opioid abatement strategies and uses, outlined in the national opioid settlements Exhibit E. List of Opioid Remediation Uses.
Schedule of Important Dates (All times and dates listed are local Iowa time.)
The following dates are set forth for informational purposes. The Agency reserves the right to change them.
EVENT
DATE
RFP Issued
October 31, 2025
Written Questions and Responses
Round 1 Questions Due:
Responses Posted By:
November 7, 2025
November 12, 2025
Final Questions Due:
Responses Posted By:
November 19, 2025
November 24, 2025
Applications Due
December 2, 2025
Post Notice of Intent to Award
December 23, 2025
| Description | File Name | Type | Size | Upload Date |
|---|---|---|---|---|
| A. RFP # BHTHPTR26093 Opioid Settlement Funding | A. RFP BHTHPTR26093 Opioid Settlement Funding .pdf | 409 KB | 10/30/2025 03:56 PM | |
| B. HHS Application Instructions Guidance New IG | B. HHS Application Instructions_Guidance New IG.pdf | 2 MB | 09/24/2025 03:22 PM | |
| C. RFP # BHTHPTR26093 Opioid Settlement Funding Draft Contract. | C. RFP BHTHPTR26093 Opioid Settlement Funding Draft Contract..pdf | 310 KB | 10/30/2025 04:11 PM | |
| D. RFP # BHTHPTR26093 Opioid Settlement Funding Draft Application Score Tool | D. RFP BHTHPTR26093 Opioid Settlement Funding Draft Application Score Tool .pdf | 228 KB | 10/30/2025 03:56 PM | |
| E. Exhibit E. The List of Opioid Remediation Uses | E. Exhibit E. The List of Opioid Remediation Uses.pdf | 218 KB | 10/30/2025 03:57 PM | |
| F. RFP Amendment 1 OSF | F. RFP Amendment 1 OSF.pdf | 95 KB | 11/12/2025 02:17 PM |
| Description | Link |
|---|---|
| A. IowaGrants Registration and Login Instructions | https://dom.iowa.gov/state-government/grant-management |
| B. General Terms and Contingent Terms | https://hhs.iowa.gov/initiatives/contract-terms |
| C. Behavioral Health Services System District Map | https://hhs.iowa.gov/media/14863/download?inline |
| Submitted Date | Question | Answer |
|---|---|---|
| Oct 31, 2025 3:18 PM | Do transitional housing facilities need to be NARR certified to qualify for funding? | Transitional housing is not a listed service in Exhibit E. Recovery housing funded with opioid settlement funding must become NARR certified. |
| Oct 31, 2025 3:20 PM | Can funds aquired be used for staffing expenses - if the grant is written to aquire a new facility for example - such as staff aquisition, training, and staff salaries? Can these funds be used to purchase a facility and for needed renovations as well as appliances and furniture? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 2, 2025 10:20 AM | Can this funding be used to expand services at an existing Recovery Residence? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 3, 2025 6:55 AM | If our organization received funding for the initial HF1038 distribution, are we eligible to apply for additional funding in this offering? | Original Response: Iowa HHS will follow all state and federal laws and requirements in awarding funds associated to this funding opportunity Updated Response: Organizations who received funding identified in Div. II of HF 1038 (known as supplemental appropriations or “earmarks”) are eligible to apply for the funding opportunity. |
| Nov 3, 2025 10:57 AM | Medication costs of skyrocketed in the years since Medicaid rates were increased. Can opioid funds be used to supplement daily rates for services- for instances, can we apply for funds to cover medications used for 3.7 level of care due to rates not equaling actual costs of services. | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 3, 2025 7:56 PM | Do we as an agency need to submit applications for separate funding? If we want to provide community based, evidence based programs and peer recovery coaching? Do we submit separate applications. | An agency can submit one application per service area. If multiple services are being planned, they should be included in one application. |
| Nov 5, 2025 9:14 AM | Can we apply for funds to assist in either startup costs or capex/opex for our clinics | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 5, 2025 10:23 AM | Can this funding be used for infrastructure needs (flooring, bathroom tile, windows, etc.) at a hospital-based inpatient behavioral health unit serving those in treatment for Opioid Use Disorder/Substance Use Disorder? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 5, 2025 1:14 PM | Would a van for a mobile clinic be an allowable cost or would that be considered equipment? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 5, 2025 1:14 PM | Can funds be used to support contingency management? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 5, 2025 1:15 PM | Does the limit of 1 application/12 month period apply to an entire organization or individual investigators within an organization? | This funding opportunity does not reference or address the role of an investigator. An applicant may submit one application per funding opportunity. This question is also addressed in a posted RFP amendment. |
| Nov 5, 2025 1:15 PM | Can an investigator be listed on multiple applications as a non-PI? | This funding opportunity does not reference or address the role of an investigator. |
| Nov 5, 2025 1:16 PM | If an investigator is listed as a collaborator on an application now, are they ineligible to apply as a PI on a future RFP early next year? | This funding opportunity does not reference or address the role of an investigator. |
| Nov 5, 2025 1:16 PM | If application is submitted now and unfunded, can the team apply again in the next round? | An applicant may submit one application per funding opportunity. This question is also addressed in a posted amendment to the RFP. |
| Nov 5, 2025 3:48 PM | Are agencies eligible that received first round of funding through House file 1038? | Original Response: Iowa HHS will follow all state and federal laws and requirements in awarding funds associated to this funding opportunity Update Response: Organizations who received funding identified in Div. II of HF 1038 (known as supplemental appropriations or “earmarks”) are eligible to apply for the funding opportunity. |
| Nov 5, 2025 4:09 PM | If application is submitted now and unfunded, can the team apply again in the next round? | An applicant may submit one application per funding opportunity. This question is also addressed in a posted amendment to the RFP. |
| Nov 6, 2025 9:32 AM | The RFP states that eligible organizations must demonstrate two years of experience providing services aligned with Opioid Abatement Strategies and Exhibit E. Can you clarify whether this must be direct opioid use disorder treatment, or whether mental health programs addressing co-occurring trauma, crisis stabilization, early intervention, and behavioral health needs of individuals affected by opioid use also qualify? | An applicant can only apply to deliver services if they have two years of experience providing the service. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 9:48 AM | Does the two-year requirement apply only to programs providing medication-assisted treatment (MAT) or substance use treatment, or does it include behavioral health services that directly support individuals and families impacted by opioid use? | An applicant can only apply to deliver services if they have two years of experience providing the service. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 9:57 AM | If an organization has not provided direct opioid-specific services for two years, but has provided mental health services to individuals with co-occurring conditions, adverse childhood experiences, trauma from overdose, or substance-related crisis, does this meet eligibility criteria? | An applicant can only apply to deliver services if they have two years of experience providing the service. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 10:02 AM | Would partnerships with community providers, referral coordination, and indirect services count toward meeting the two-year requirement, as mentioned in Eligibility Requirements - 1.03? | An applicant can only apply to deliver services if they have two years of experience providing the service. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 10:16 AM | Core Strategy B in EXHIBIT E references Medication-Assisted Treatment (MAT). Since MAT refers to the use of medications to treat SUD, does an applicant need to have prescribing providers on staff to qualify under this strategy, or can an applicant's role be as a behavioral-health partner supporting mental health needs of individuals enrolled in MAT through community providers? | An applicant can only apply to deliver services they have two years of experience providing or have an identified subcontract. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 10:16 AM | Core Strategy B in EXHIBIT E references Medication-Assisted Treatment (MAT). Since MAT refers to the use of medications to treat SUD, does an applicant need to have prescribing providers on staff to qualify under this strategy, or can an applicant's role be as a behavioral-health partner supporting mental health needs of individuals enrolled in MAT through community providers? | An applicant can only apply to deliver services they have two years of experience providing or have an identified subcontract. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 10:17 AM | Core Strategy B in EXHIBIT E references Medication-Assisted Treatment (MAT). Since MAT refers to the use of medications to treat SUD, does an applicant need to have prescribing providers on staff to qualify under this strategy, or can an applicant's role be as a behavioral-health partner supporting mental health needs of individuals enrolled in MAT through community providers? | An applicant can only apply to deliver services they have two years of experience providing or have an identified subcontract. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 10:23 AM | If an applicant collaborates with MAT prescribers or MOUD clinics but do not prescribe medication themselves, can an applicant still apply under Core Strategy B in EXHIBIT E as a behavioral health partner? | An applicant can only apply to deliver services they have two years of experience providing or have an identified subcontract. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 10:34 AM | If an applicant does not directly provide substance use disorder treatment or opioid medication management, but does provide mental health therapy, crisis stabilization, trauma services, and family support to individuals and families affected by opioid use, does this qualify an applicant for the treatment and prevention-related strategies and uses outlined in Schedule A and B of EXHIBIT E? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 6, 2025 10:35 AM | Would HHS consider proposals where the primary role of the applicant is behavioral health care coordination, trauma treatment, early intervention, or post-overdose mental health engagement rather than direct substance use treatment? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 6, 2025 10:44 AM | Can HHS clarify which mental-health-focused services are allowable under this RFP and as referenced in EXHIBIT E, such as screenings for opioid risk, trauma treatment following overdose incidents, crisis stabilization, peer/family support groups, and behavioral health integration within OUD settings? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 6, 2025 10:48 AM | As referenced in Schedule B of EXHIBIT E, are community education, stigma reduction, school-based outreach, and early intervention activities allowable even if they are not tied directly to MAT or OUD treatment? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 6, 2025 10:50 AM | If an applicant proposes a model involving formal partnerships with local EMS, MOUD clinics, public health, or substance-use programs, does the applicant still need independent two-year opioid-specific experience, or can partner experience be used to meet the requirement? | An applicant can only apply to deliver services if they have two years of experience providing the service. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 10:51 AM | For organizations providing behavioral health services rather than medication or substance use treatment, what specific outcomes or data measures would HHS expect an applicant to track? | Please refer to the RFP, section 2.03. Specific data measures may differ depending on proposed project. |
| Nov 6, 2025 11:16 AM | How many grants will be awarded from this grant? Does HHS encourage cross-county or regional collaborations among applicants? Are there existing state-funded initiatives we should coordinate with to avoid duplication and maximize impact? Will reviewers prioritize new applicants or continuation of existing successful models? Are there any common pitfalls or reasons previous applicants were disqualified that we should be aware of? Does the state have specific counties or regions prioritized for funding? Could you confirm which Exhibit E opioid abatement strategies are the highest priority for this funding cycle? Could you please clarify whether staff working under this grant are required to hold any state-issued certifications or credentials through the State of Iowa, particularly for positions providing peer support, recovery services, or wraparound care? If so, could you specify which certifications or licenses are recognized or required for these roles? | Please refer to the RFP, section 1.05. Please refer to the RFP, sections 3.02 and 4.02. No. There are no recommendations on what core strategy or approved use an applicant chooses to focus on. All applications will be scored on the quality of the submitted proposal. This is the first funding opportunity under this funding source and program. No. No. Applications should be submitted based on the established criteria and expertise of the applicant. Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. Application must demonstrate that providers of the proposed activity meet any associated credentialing or licensing requirements as defined in Iowa Code. |
| Nov 6, 2025 2:51 PM | If our organization already received Division II (HF 1038) funds from the State Opioid Settlement, can we also apply for Division I funds? If so, would the Division I funds need to be used for a completely different project than the one funded by Division II? | Original Response: Iowa HHS will follow all state and federal laws and requirements in awarding funds associated to this funding opportunity. Updated Response: Organizations who received funding identified in Div. II of HF 1038 (known as supplemental appropriations or “earmarks”) are eligible to apply for the funding opportunity. |
| Nov 6, 2025 3:03 PM | For a project that is jointly planned and implemented by two agencies, is a joint application permitted, or must one agency be identified as the lead applicant and fiscal agent, with the partner agency listed in a supporting role? | Joint applications are permitted. Only one application per project is required |
| Nov 6, 2025 4:45 PM | Does over two years of experience working with HIV testing for those using opioids and linking them to care qualify as an eligible applicant? | An applicant can only apply to deliver services if they have two years of experience providing the service. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 4:46 PM | What is the timeline for completion of subcontract agreements, if proposed in the application? If subcontracts are used, what oversight/approval of the contract (or preapproval) is needed by HHS? | No timeline exists for the completion of subcontract agreements. Iowa HHS reserves the right to approve all subcontractors. |
| Nov 6, 2025 4:46 PM | Is it acceptable for collaborating organizations' services to be accessible to the community applied for but located outside of Iowa? What if Iowa collaborating organizations have locations outside of Iowa - as in a recovery center? (referral and partner, no funding intended) | Collaborating organizations are expected to be direct service providers, located in the community, or communities, in which the proposed project is being offered. |
| Nov 6, 2025 9:03 PM | 1.03 Eligibility Requirements - Is a recovery community center eligible to apply for this grant program if the recovery community center recently recieved funding from Iowa HHS through the Opioid Settement legislation? | Original Response: Iowa HHS will follow all state and federal laws and requirements in awarding funds associated to this funding opportunity. Updated Response: Organizations who received funding identified in Div. II of HF 1038 (known as supplemental appropriations or “earmarks”) are eligible to apply for the funding opportunity. |
| Nov 6, 2025 9:05 PM | 1.03 Eligibility Requirements - Could an organization that is not a nonprofit, such as an association or a local governement agency, apply for this grant program? | An applicant can only apply to deliver services if they have two years of experience providing the service. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 6, 2025 9:24 PM | Under Section 1.03, it states that organizations are only eligible for funds if they have at least two years of experience providing services aligned with the approved opioid abatement strategies. Does this requirement mean that the organization must have been operating the specific program proposed in the application for more than two years? For example, if an organization seeks funding for start-up costs to establish a new Level 3.7 program, would it still be eligible if it has been providing other substance use disorder services for over two years? | An applicant can only apply to deliver services if they have two years of experience providing the service. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code. |
| Nov 7, 2025 11:01 AM | Are Graduate Medical Education programs such as Fellowships – Addiction eligible for funding in this offering? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 7, 2025 11:01 AM | Under 1.04 Service Delivery area: Can the service area be the whole state? If the answer to #1 is yes, we believe Addiction Psychiatrists could be needed in various parts of Iowa. | Yes, the service area can be statewide project. |
| Nov 7, 2025 12:08 PM | The RFP (Sections 1.02 and 2.04) describes a contract term of up to two years (January 9, 2026–January 8, 2028), consisting of a one-year base term with an optional one-year extension. Can you confirm whether the “not to exceed $1,000,000” award amount refers to: 1. a maximum of $1,000,000 for the entire two-year term, or 2. up to $1,000,000 per year if the contract is extended to a second year? | The maximum award for a contract is $1,000,000. Applications should propose a project and budget that can be completed in one year as a second project year is not guaranteed and is at the sole discretion of Iowa HHS. |
| Nov 7, 2025 12:08 PM | The RFP (Section 1.04 and 2.03) notes that applicants define their service delivery areas and that the goal is to have local opioid abatement services in each of the seven districts of Iowa’s Behavioral Health and Disability Services System. Can an applicant propose a statewide initiative (e.g., training and technical assistance to multiple hospitals across the state), or are applicants limited to applying for a single district? | Applications can propose a statewide project. |
| Nov 7, 2025 12:10 PM | The RFP uses the term “services” throughout (e.g., Sections 2.03 and 2.04) when describing the applicant’s scope of work and deliverables. Can you clarify whether “services” are limited to direct patient care or clinical interventions, or whether training, technical assistance, and other capacity-building activities (such as curricula development for service providers) are also considered eligible “services” under this funding opportunity? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 7, 2025 12:10 PM | Section 4.02 (Scoring Criteria) states that additional points will be awarded for applications providing documentation of matching funds, with a minimum of 25% required to receive the additional points. Can you confirm whether matching funds are required for eligibility or only optional for scoring, and what forms of match (e.g., in-kind staff time, existing grant-funded activities) are acceptable? | Matching funds are not required for eligibility. A match must be in the form of additional funding. |
| Nov 7, 2025 12:11 PM | The RFP includes performance measures tied to providing “direct services to individuals impacted by the opioid crisis” (Section 2.03.E). Can you clarify what performance measures would apply to projects focused on training, education, or system capacity-building, where there may be no direct client counts? | The performance measures will vary based on project activities, some measures will be developed during the contracting process, if a project is awarded. |
| Nov 7, 2025 12:18 PM | Section 3.02 requires applicants to demonstrate collaboration with at least three organizations and provide MOUs. Can the Agency clarify whether these required partners must be Iowa-based direct service providers, or whether subcontractors and other collaborating organizations (such as training or technical assistance entities) may also fulfill this requirement? | Collaborating organizations are expected to be direct service providers, located in the community, or communities, in which the proposed project is being offered. |
| Nov 7, 2025 1:11 PM | Does the match need to be in dollars or can it be in-kind contributions? | A match must be in the form of additional funding. |
| Nov 7, 2025 1:11 PM | Under F-1 in exhibit E what is allowed for recovery support? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 7, 2025 1:12 PM | Is Generation RX an allowable evidence/community based program? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 7, 2025 1:13 PM | The connection to services for client – Recovery Support Services – what would be the documentation requirement for providing these? | Because documentation needs will vary based on project activities, some requirements will be developed during the contracting process, if a project is awarded. |
| Nov 7, 2025 1:14 PM | Is there a list of approved evidence-based programs that will be utilized under this grant? | No. |
| Nov 7, 2025 1:15 PM | Are there any required trainings that need to be budgeted for? | No. |
| Nov 7, 2025 1:15 PM | Do staff listed under this grant need to be certified or working towards certification? | Application must demonstrate that providers of the proposed activity meet any associated credentialing or licensing requirements as defined in Iowa Code. |
| Nov 7, 2025 1:17 PM | Is there any restrictions on the type of MAT provided? | MOUD must be one of the three FDA-approved medications for opioid use disorder. |
| Nov 7, 2025 1:18 PM | Are individuals who are part of the program subject to the eligibility guidelines of other state funded grants? *Sliding fee scale *200% of the poverty level *Something else | No. |
| Nov 7, 2025 1:48 PM | Does a needs assessment need completed for the entire behavioral health district or can it be completed for a smaller area? | A needs assessment should be conducted for the area in which the proposed project will be implemented. |
| Nov 7, 2025 1:49 PM | What is the maximum amount of funds for each contract period of the project? | The maximum award for a contract is $1,000,000. |
| Nov 7, 2025 1:52 PM | Is the total award amount up to $1,000,000 for 01/09/2026 – 01/08/2028? Or is the total award amount up to $1,000,000 for each year of contract for an up to total of $2,000,000? | The maximum award for a contract is $1,000,000. Applications should propose a project and budget that can be completed in one year as a second project year is not guaranteed and is at the sole discretion of Iowa HHS. |
| Nov 7, 2025 2:36 PM | Section 1.03 references HF 1038 (2025) and the definition of “administrative services organization” in § 225A.1. Can the Agency confirm that eligibility is open to all Iowa-based organizations meeting the experience criteria, and is not limited solely to the designated Administrative Services Organizations? | Yes. Eligibility is not limited to the Iowa Behavioral Health and Disability Services administrative service organizations. |
| Nov 7, 2025 2:38 PM | The RFP states “the anticipated contract term is from January 9, 2026, to January 8, 2028. The Agency expects the initial base term of the contract to be a one-year term from January 9, 2026, to January 8, 2027 The Agency shall have the option to extend the contract at its sole discretion for up to one additional one (1) year term.” Since the second year term is not guaranteed, and the RPF states “the amount for a Contract to provide services awarded as a result of this RFP, shall not exceed $1,000,000 for the length of the contract term” are we budgeting up to $1,000,000 for one or two years? | Applications should propose a project and budget that can be completed in one year as a second project year is not guaranteed and is at the sole discretion of Iowa HHS. |
| Nov 7, 2025 2:39 PM | Under this grant funding, to receive services/treatment for a co-occurring SUD/MH condition, does one have to have an OUD diagnosis? If so, does the OUD diagnosis have to be the primary diagnosis? | In order to utilize opioid settlement funding for treatment services, the individual receiving treatment must have an opioid use disorder or a cooccurring Opioid Use Disorder and other Substance Use Disorder / Mental Health disorder(s). |
| Nov 7, 2025 2:39 PM | How can incentive money be spent? Are the dollars unrestricted? Or must they be used exclusively for the awarded contract’s work plan? Or can the dollars be used to support any approved opioid abatement strategy in Exhibit E, even if the strategy is not included in the awarded contract’s workplan? | There are no restrictions on incentive funding awarded. |
| Nov 7, 2025 2:39 PM | The RFP (page 26 of 35) under Application Certifications and Conditions states “This form will also identify the individual designated as the Grantee Contact with full responsibility for assignment of individuals to a resulting grant site (if applicable) in IowaGrants.” In IowaGrants, there is a Primary Contact Information and Authorized Official; which of these two are the Grantee Contact? That said, what is meant by “assignment of individuals to a resulting grant site?” Why are individuals assigned to a resulting grant sites? | All awarded grants will be monitored and documented through IowaGrants. The identified Grantee Contact will be assigned as the initial primary contact on the grant site for an awarded organization. |
| Nov 7, 2025 2:58 PM | One of the approved uses outlined in Exhibit E/Schedule B is to "support mobile intervention, treatment, and recovery services", but the RFP states that equipment may not be purchased with grant funds. Is there a way to include funds for a van in which to provide these mobile MOUD services? | A van would be considered equipment and would not an allowable use of funding. |
| Nov 7, 2025 3:29 PM | Does the agency have the option to extend the contract for an additional year AND an additional money? | Please refer to the RFP, sections 1.02 and 1.05. |
| Nov 7, 2025 3:30 PM | In addition to the seven awards in each of the districts, will the Agency make additional awards in the districts until the $7million is exhausted? | If the total amount of funding is not requested by the initial seven awarded projects, additional awards may be considered. |
| Nov 7, 2025 3:30 PM | Do private dollar contributions to the project count as matching funds? | Yes. |
| Nov 7, 2025 3:38 PM | Eligibility & Alignment Question 1 Hillcrest Family Services operates across multiple Behavioral Health and Disability Services (BHDS) districts and offers prevention, treatment, recovery, and harm-reduction services. May an applicant propose multiple project sites or service components under a single application if all are part of one overall project design and budget (≤ $1,000,000), or must separate applications be submitted for each distinct service delivery area? | An organization can submit one application that serves multiple districts. |
| Nov 7, 2025 3:39 PM | Question 2 The RFP specifies that applicants must have two years of experience providing services aligned with approved opioid abatement strategies. Will experience under related federal or state grants (for example, SAMHSA CCBHC, IDPH SUD, or MHDS-funded programs that address opioid use disorder prevention or treatment) meet this requirement? | In order to utilize opioid settlement funding for treatment services, the individual receiving treatment must have an opioid use disorder or a cooccurring Opioid Use Disorder and other Substance Use Disorder / Mental Health disorder(s). |
| Nov 7, 2025 3:39 PM | Question 3 If the lead applicant subcontracts with community partners (e.g., law enforcement, county jail programs, peer recovery organizations), may those partners deliver services that cross into adjacent BHDS districts as long as the lead applicant remains responsible for the primary district’s coverage and overall contract performance? | Yes. |
| Nov 7, 2025 3:39 PM | Funding Scope & Use of Funds Question 4 The RFP states that funds may not be used for inpatient treatment or hospital-based detoxification services. May funds be used to support post-detox transition, stabilization, or outpatient re-engagement services delivered by a community-based provider following discharge from an inpatient or hospital setting? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 7, 2025 3:40 PM | Question 5 Would mobile outreach and medication management activities—including MOUD initiation, follow-up visits, and care coordination in rural or underserved areas—be considered allowable expenditures under this RFP? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 7, 2025 3:40 PM | Question 6 The RFP notes that non-clinical support services (e.g., bus tokens) are allowable to improve access and retention. May applicants propose supportive housing-related stipends, transportation contracts, or intensive case management services when these are clearly tied to recovery stability and engagement in opioid use disorder treatment and supports? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 7, 2025 3:40 PM | Question 7 Are technology-related tools allowable under the “Other” cost category if they directly support service delivery and reporting (for example, telehealth platforms, tablets for outreach staff, data tracking systems, or EHR integration enhancements)? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 7, 2025 3:40 PM | Question 8 Regarding indirect or administrative costs, may the indirect/administrative budget share be allocated proportionally across the lead applicant and any subcontractors, or must all indirect/administrative costs fall under the lead applicant’s 15% (in the absence of a NICRA)? | Indirect costs are only applicable to the applying organization. |
| Nov 7, 2025 3:41 PM | Match Funding and Budget Question 9 For the purpose of the optional 25% match that receives additional scoring points, will in-kind contributions (such as existing staff time, donated facility space, or local philanthropy-funded services) be allowable as match, or must the 25% match be strictly cash? | The 25% match must be an actual funding award or donation. |
| Nov 7, 2025 3:41 PM | Question 10 Because the State Opioid Settlement Fund is appropriated by the Legislature, should applicants assume level funding for Year 2 in a two-year project (subject to performance), or should we plan budgets with the expectation that Year 2 funding levels could differ and would be contingent on future appropriations? | The maximum award for a contract is $1,000,000. Applications should propose a project and budget that can be completed in one year as a second project year is not guaranteed and is at the sole discretion of Iowa HHS. |
| Nov 7, 2025 3:41 PM | Program Design & Evaluation Question 11 Will the Agency provide or require a standardized reporting template or data system for quarterly and performance reporting (e.g., unduplicated individuals served, individuals with OUD, MOUD utilization, services provided), or may contractors propose their own data collection systems as long as they meet the required reporting elements? | Applicants are expected to provide required information as part of the grant project and should address how they will accomplish this in their proposal. |
| Nov 7, 2025 3:42 PM | Question 12 The RFP allows for both evidence-based and community-based approaches. Does the Agency have a preferred or prioritized list of specific models or strategies from Exhibit E (for example, hub-and-spoke models, recovery coaching, LEAD-type diversion programs, family-based treatment), or is innovation within evidence-informed frameworks encouraged? | No. |
| Nov 7, 2025 3:42 PM | Question 13 Can applicants propose cross-sector collaboration pilots that involve behavioral health providers, law enforcement, EMS, and community partners if the proposed activities clearly address overdose prevention, rapid connection to treatment, and recovery support in alignment with the Exhibit E opioid remediation uses? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the proposed activities will support and expand opioid abatement and/or access for Iowans impacted by Opioid Use Disorder (OUD) and any co-occurring Substance Use Disorder or Mental Health (SUD/MH) conditions through evidence-based or evidence-informed programs or strategies. |
| Nov 7, 2025 3:42 PM | Administration & Contracting Question 14 If awarded, when does the Agency anticipate contract negotiations and final contract execution will occur relative to the anticipated January 9, 2026 start date, and how much lead time should applicants expect for implementation and staffing ramp-up? | The application process is expected to be completed by January 9, 2026. No other timelines are outlined. |
| Nov 7, 2025 3:42 PM | Question 15 Will contract oversight and technical assistance be assigned to specific contract managers or program officers by BHDS district, or will contract management be centralized through the Division of Behavioral Health? | Contract management will be determined following selection of awarded projects. |
| Nov 7, 2025 3:43 PM | District Coordination & Partnerships Question 16 The RFP notes a goal of having local opioid abatement services in each of the seven behavioral health and disability services districts. Will the Agency intentionally balance awards across districts (for example, at least one per district) as part of the final funding decisions, or will awards be made solely on statewide competitive scoring without regard to geographic distribution? | All applications will be scored on the quality of the submitted proposal. |
| Nov 7, 2025 3:43 PM | Question 17 To strengthen the demonstration of collaboration and local alignment, are applicants encouraged (or expected) to include letters of support or Memoranda of Agreement from MHDS Regions, ASOs, local boards of health, and community partners as part of the application materials? | Please see RFP Section 3.02 and 4.02. |
| Nov 7, 2025 4:07 PM | If an entity has already received state opioid settlement funding this fiscal year, are they eligible for this grant? | Original Response: Iowa HHS will follow all state and federal laws and requirements in awarding funds associated to this funding opportunity. Updated Response: Organizations who received funding identified in Div. II of HF 1038 (known as supplemental appropriations or “earmarks”) are eligible to apply for the funding opportunity. |
| Nov 7, 2025 5:13 PM | If an organization previously received Opioid Settlement funding through HF 1038, are they eligible to apply for funding under this RFP? If so, are there any restrictions or limitations on how the proposal must differ from previously funded projects? | Original Response: Iowa HHS will follow all state and federal laws and requirements in awarding funds associated to this funding opportunity. Updated Response: Organizations who received funding identified in Div. II of HF 1038 (known as supplemental appropriations or “earmarks”) are eligible to apply for the funding opportunity. |
| Nov 7, 2025 5:16 PM | If an agency is included as a subcontractor in other organizations proposal, would that agency still be eligible to apply as a primary applicant for funding in the second round? | If an organization is part of an awarded application, either as the primary applicant or a subcontractor, they are not eligible to apply for another funding opportunity during that contract project period. An organization may only be part of one funding award per district, regardless of whether they are a primary applicant or a subcontractor. |
| Nov 7, 2025 5:18 PM | Can funds awarded under this RFP be used for infrastructure expenses, such as facility renovations, capital improvements, or the purchase of a building, if those activities directly support approved opioid abatement strategies? | Please refer to Exhibit E. to determine if the proposed activity aligns with the identified core strategies and/or approved uses for opioid settlement funding. All proposed activities must be supported with a demonstration of need and explanation of how the service will expand opioid related services. |
| Nov 7, 2025 5:24 PM | The RFP announcement mentions a second round of funding in the spring. Can you provide an anticipated release date or timeframe for the spring RFP cycle? | No anticipated release date is available at this time for the next funding opportunity. |
| Nov 8, 2025 1:53 PM | If we designate two beds in our recovery house for opioid recovery can we use the funds to pay that portion of the mortgage. Alternatively, could we use the funds to pay the program fees for the opioid designated beds for the life of the grant. | While funding for services are intended to be used on a fee-for-service reimbursement, applicants may submit other costs as long as their sustainability plan supports this. |
| Nov 9, 2025 2:30 PM | Section 1.03 (Eligibility Requirements) specifies that eligible applicants must be “Iowa-based organizations demonstrating two years of experience providing services aligned with the approved opioid abatement strategies.” Could you please clarify whether an organization headquartered outside of Iowa, but proposing a project that will be implemented exclusively in Iowa by staff based in Iowa, would meet the eligibility requirement, or must the applicant organization itself be incorporated or headquartered in Iowa? | To be eligible, applicants must be established in Iowa as demonstrated by active filing with the Iowa Secretary of State. |
| Nov 11, 2025 5:13 PM | The RFP states, "Grant funds cannot be provided to any individual who or organization that provides or permits marijuana use for the purposes of treating substance use or mental disorders." What is "an organization that permits marijuana use for the purpose of treating mental disorders"? In particular, if a participant is legally prescribed medical marijuana by that individual's properly licensed provider, is an organization considered to be permitting use by offering housing and/or supportive services to that individual? | Opioid settlement funds cannot be provided to any individual or organization that provides or permits marijuana as a method of treatment for substance use or mental disorders. |
| Nov 11, 2025 5:21 PM | The RFP states housing is not an eligible expense. To be clear, does this include utility and maintenance costs for shelter or housing operated by the applicant in which participants reside? In particular, if an applicant operates a recovery residence, are utilities and maintenance for that residence eligible for funding? | Utility and maintenance costs are not allowable expenses. |
| Nov 11, 2025 5:39 PM | To be clear, under RFP page 18 section 2.03A, is abstinence from substance misuse considered "a specific approach to recovery" in the context of providing "an environment that is free of judgement and does not require that a specific approach to recovery be used in order to participate in programming"? In particular, will applicants requiring abstinence from substance misuse in order to participate in programming be deemed ineligible? | Evidence-based abstinence-centered programs are supported with this funding opportunity as long as the program supports use of MOUD for individuals receiving services. |
| Nov 11, 2025 5:48 PM | Attachment C: Draft Contract (page 9, item 1.3.1.9) indicates awarded applicants will report quarterly on the number of individuals with an Opioid Use Disorder served. Can an applicant's existing project be eligible for funding if such data is unavailable at the time of application? | Quarterly reporting will begin post award. |
| Nov 13, 2025 2:51 PM | Can a single organization apply for two grants, serving two separate Districts? | Organizations can submit one application for this funding opportunity. An application can be for one District or multiple Districts. |
| Nov 13, 2025 2:52 PM | Is the maximum funding $1,000,000 per year or $1,000,000 spread across grant year 1 and the option year? | The maximum total award is $1,000,000 per contract. Applications should propose a project and budget that can be completed in one year. An additional project year is not guaranteed and is at the sole discretion of Iowa HHS. |
| Nov 14, 2025 3:08 PM | Under 1.6 Contract Payment Clause, 1.6.1 Pricing, can you please further explain this. It states "....the Contractor will be compensated an amount not to exceed $500,000 during the entire term of this contract...... The grant is $1 million for one year. | Section 1.6.1 is contained in the Draft Contract. This document is an example. The contracts will be amended as appropriate for the organization awarded. |
| Nov 14, 2025 4:05 PM | Are we able to refer to a licensed facility to provide the service within the applicate entity if it sits in a different state (neighboring Iowa)? | This funding opportunity is intended to expand service availability in Iowa. Applicants must be clear about site locations for any service dollars included in their proposals. |
| Nov 14, 2025 4:06 PM | Section 2.02 Definitions, Section B - Matching Funds: Allocation of funding – would you please provide example(s)? | Matching funds are dollars allocated to the organization and used for the specifically proposed project. Examples include, but are not limited to, county opioid settlement funds, donations, and other grants. |
| Nov 14, 2025 4:06 PM | Section 2.02 Definitions, Section B - Matching Funds means an award or allocation of funding, separate from this funding opportunity, that will be used to support the proposed project in the submitted application. ‘Allocation of funding’ is it defined as using fee-for-service dollars we use make pay for staff, equipment, mileage, and space? | Matching funds are awarded or allocated to the organization specifically for the proposed project. Examples include,but are not limited to: county opioid settlement funds, donations, and other grants. |
| Nov 14, 2025 4:07 PM | Where can the match funds come from? • Other state grants • Federal grants • Additive Revenue by program staff • Service Revenues • Other | Matching funds are dollars allocated to the organization specifically for the proposed project. Examples include but are not limited to: county opioid settlement funds, donations, and other grants. |
| Nov 17, 2025 11:31 AM | Can you please define what acquired, sited, approved, and meet all requirements for human habitation and services means for a location? | The applicant must demonstrate ownership of a suitably placed facility location that is safe and habitable for humans and has met all local and state inspections or permissions. |
| Nov 17, 2025 2:55 PM | Can we interpret this answer "An applicant can only apply to deliver services they have two years of experience providing or have an identified subcontract. If an applicant does reference the ability to provide a specific core strategy or approved use, they must reference the ability to follow all applicable licensing, accreditation, or prescribing regulations as defined in Iowa Code." as if we have NOT been operating for 2 years but we can show that it is a core strategy, we have a license, accreditation and have been approved by DEA, we would be eligible? | An applicant must demonstrate two years of experience providing services aligned with the approved opioid abatement strategies and uses as outlined in the national opioid settlements. |
| Nov 18, 2025 3:47 PM | Is it allowable to use matching funds for equipment purchases? | Yes. |
| Nov 19, 2025 8:14 AM | What are the FDA MOUD that are approved for this grant? | There are three FDA-approved medications used to treat opioid use disorder - methadone, naltrexone and buprenorphine. |
| Nov 19, 2025 11:56 AM | Can state agencies be listed as partners on the application? HHS or Divisions, programs or services within HHS? | No. |
| Nov 19, 2025 3:00 PM | Subcontracts – Will subcontracts $2,000 and greater be subject to prior approval while those less than $2,000 do not? | The Agency reserves the right to provide prior approval for any subcontractor used to perform services under any contract that may result from this RFP. |