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645592 - FY26 RFP COMPADM26002 for Health Hub Technical Assistance Provider
Funding Opportunity Details
Healthy Hometowns
Final Application Deadline: Jan 5, 2026 4:00 PM
Status Closed
Posted Date Dec 19, 2025 7:26 AM
Award Amount RangeNot Applicable
Project Dates 02/15/2026 - 09/30/2031
Award Announcement Date 02/02/2026
Categorical Area
Recurring Opportunity No
Program Officer John McMullen
Phone (515) 416-8565 x
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) # COMPADM26002 is to solicit applications that will enable the Iowa Department of Health and Human Services (referred to as Agency) to select the most qualified applicant to provide technical assistance to Rural Iowa healthcare organizations and providers. This technical assistance will support providers with planning, partnership building, assessment and evaluation, and overall implementation of Hub and Spoke models of care in the areas of maternal and child health, mental/behavioral health, cardiovascular health, and/or chronic disease prevention and management.
This technical assistance should allow Rural healthcare organizations to achieve success in future Health Hubs Projects of Iowa's Rural Health Transformation Grant. Activities in the Health Hubs Project will include the development of hub and spoke models for health care, including the development of rural provider strategic partnerships and agreements. It will also include developing and implementing arrangements for exchanging best practices, coordinating care across regions via telehealth and referral networks, expanding access to specialty services in a financially sustainable manner, streamlining or centralizing functions to create cost savings, improving the financial viability of rural providers, preserving independence of rural providers, keeping care local in rural communities when appropriate and possible, and developing models of sustainability for rural health care. The Contractor will support the Health Hubs on the items listed above, while also assisting with long-term sustainability planning, workforce development, and telehealth integration. This work implements a portion of the Hometown Connections initiative of the Iowa Healthy Hometowns Project, funded through the Centers for Medicare & Medicaid Services’ Rural Health Transformation Program, opportunity #: CMS-RHT-26-001.
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
December 8, 2025
Written Questions and Responses
Round 1 Questions Due:
Responses Posted By:
December 10, 2025
December 12, 2025
Final Questions Due:
Responses Posted By:
December 17, 2025
December 19, 2025
Applications Due
January 5, 2026 by 4:00 PM Local Iowa Time
Applicant’s Oral Presentations, if requested by the Agency
Anticipated January 26 and January 27, 2026; subject to change at the Agency’s discretion
Post Notice of Intent to Award
On or around February 2, 2026
Attachments
| Description | File Name | Type | Size | Upload Date |
|---|---|---|---|---|
| A. Healthy Hometowns Health Hubs Technical Assistance Request for Proposal (RFP) #COMPADM26002 | COMPADM26002 RFP Health Hubs TA.pdf | 451 KB | 12/08/2025 01:25 PM | |
| B. Attachment B Work Plan Formatting Specifications | COMPADM26002 Attachment B Work Plan Formatting Specifications.pdf | 101 KB | 12/08/2025 01:26 PM | |
| C. HHS Application Instructions Guidance | C. HHS Application Instructions_Guidance New IG.pdf | 2 MB | 12/05/2025 02:07 PM | |
| D- Sample Draft Contract | COMPADM26002 Contract Special Terms - Health Hub TA.pdf | 359 KB | 12/08/2025 01:27 PM | |
| E. Amendment 1 RFP COMPADM26002 Health Hub Technical Assistance Provider | E. Amendment 1 RFP COMPADM26002 Health Hub Technical Assistance Provider.pdf | 196 KB | 12/12/2025 11:25 AM |
Website links
| 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. Rural Health Transformation (RHT) | Health & Human Services | https://hhs.iowa.gov/initiatives/rural-health-transformation-rht |
| D. Rural Health Transformation (RHT) Program | CMS | https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview |
| Submitted Date | Question | Answer |
|---|---|---|
| Dec 10, 2025 2:12 PM | In Section 1.01, the RFP describes technical assistance for rural providers in developing hub and spoke models, including telehealth integration, equipment procurement, and workforce development for areas such as cardiovascular health and chronic disease management. Could the Agency clarify whether this scope encompasses direct support or procurement for remote patient monitoring (RPM) solutions, including hardware, software, and clinical monitoring services? If not, will future RFPs or funding opportunities be issued specifically seeking vendors to provide such RPM solutions to participating Health Hubs? Additionally, while dedicated RFPs exist for cancer care and prevention (e.g., #COMPADM26001 and #PHTHOCC26755), will similar targeted opportunities be released in the future for cardiovascular disease-focused initiatives, especially given its prominence as the leading cause of death in Iowa, once full RHT awards are granted to states at year-end? | Refer to RFP Section 2.03 for the scope of work for this RFP. This RFP does not include procurement of remote patient monitoring solutions. Monitor https://hhs.iowa.gov/initiatives/rural-health-transformation-rht and iowagrants.gov for information regarding future funding opportunities. |
| Dec 10, 2025 2:46 PM | Page 4 – Purpose Will the Contractor have access to any analyses completed, e.g., sustainability analysis? | The Agency is unaware of any analyses related to the question asked. |
| Dec 10, 2025 2:47 PM | Page 18 – Health Hub Awardees Understand these will be awarded in FF27 – FF31 What is the Agency’s plan: Number of awardees per year? Total number to be awarded for the 6 years? Will there be funding available for them to purchase equipment if needed? | The Agency will follow all funding restrictions and requirements provided from the Centers for Medicare & Medicaid Services for the Rural Health Transformation Program, opportunity #: CMS-RHT-26-001. The Agency anticipates receiving these terms on or around December 31, 2025. Continue to monitor Iowagrants.gov for any RFP amendments. 1) The number of Health Hub awardees has not yet been determined and will vary based on available funding and needs of successful applicants. 2) The Agency anticipates fewer than 20 Health Hubs over the five year period. 3) The Agency anticipates equipment purchases to be allowable. |
| Dec 10, 2025 2:48 PM | Page 18 – Health Hub Awardees What is the criteria for an organization to be selected as an Awardee? | The Agency will follow all funding restrictions and requirements provided from the Centers for Medicare & Medicaid Services for the Rural Health Transformation Program, opportunity #: CMS-RHT-26-001. The Agency anticipates receiving these terms on or around December 31, 2025. Continue to monitor Iowagrants.gov for any RFP amendments. The eligibility criteria for Health Hubs has not yet been determined. |
| Dec 10, 2025 2:48 PM | Page 22 – Health Hub Technical Assistance Just to clarify, the Contractor will work with the Agency to build the service offerings? | Refer to Section 2.03 for the scope of work for this RFP. The Agency expects the Contractor to cover a variety of topics, tailored to rural organizational capacity building. The Contractor's work will be reviewed and approved by the Agency. |
| Dec 10, 2025 4:16 PM | Will a single organization serve as the TA provider for all Health Hubs statewide, or will multiple awards be made for different regions? | Refer to Section 1.05 of the RFP. The Agency anticipates approximately one award. |
| Dec 10, 2025 4:16 PM | Does the TA provider need to demonstrate prior experience specifically in rural Iowa, or is a comparable national rural health experience acceptable? | Refer to RFP Section 1.03 for eligibility requirements and Section 4 for Application Evaluation Process and Criteria. Applicants are not required to have prior experience in rural Iowa. |
| Dec 10, 2025 4:16 PM | What is the expected balance between individualized TA for each Health Hub vs standardized, statewide TA curricula? | Refer to RFP Section 2.03(A). The Applicant will develop and implement Work Plans compliant with the Deliverables and timelines listed in compliance with Section 2 and 3 of the RFP. |
| Dec 10, 2025 4:16 PM | Can the TA provider propose additional value-added activities (e.g., workforce pipeline support, specialty care pathways, Epic/tech support)? | Refer to Section 2.03 for the scope of work for this RFP. |
| Dec 10, 2025 4:16 PM | Are there specific templates or models the Agency expects for readiness assessments, implementation plans, performance improvement plans, sustainability plans? | Refer to Section 2.03 for the scope of work for this RFP. The Agency will follow all funding restrictions and requirements provided from the Centers for Medicare & Medicaid Services for the Rural Health Transformation Program, opportunity #: CMS-RHT-26-001. The Agency anticipates receiving these terms on or around December 31, 2025. Continue to monitor Iowagrants.gov for any RFP amendments. Details of any additional requirements will be available at the time of contract issuance. The Agency expects the Contractor to develop templates. |
| Dec 10, 2025 4:16 PM | Will the Agency provide standardized tools (e.g., data dashboards, assessment instrument’s), or is the TA vendor expected to develop these? | Refer to Section 2.03 for the scope of work for this RFP. The Agency will follow all funding restrictions and requirements provided from the Centers for Medicare & Medicaid Services for the Rural Health Transformation Program, opportunity #: CMS-RHT-26-001. The Agency anticipates receiving these terms on or around December 31, 2025. Continue to monitor Iowagrants.gov for any RFP amendments. Details of any additional requirements will be available at the time of contract issuance. The Agency expects the Contractor to develop instruments and dashboards where applicable. |
| Dec 10, 2025 4:16 PM | How should the TA provider coordinate with the Center of Excellence RFP, Rural Innovation Grants, or other related IHHS initiatives? | Refer to Section 2.03 for the scope of work for this RFP. Refer to Section 4 for evaluation criteria. |
| Dec 10, 2025 4:17 PM | Does IHHS anticipate requiring the TA contractor to facilitate collaboration between Hubs and other statewide partners (e.g., public health, mental health regions, EMS, higher education)? | Refer to Section 2.03 for the scope of work for this RFP. Refer to Section 4 for evaluation criteria. |
| Dec 10, 2025 11:29 PM | Would Iowa HHS consider awarding this RFP to a vendor considered a contractor as opposed to a subrecipient, removing the requirement of Full Uniform Guidance (2 CFR 200) compliance? | The Agency will follow all funding restrictions and requirements provided from the Centers for Medicare & Medicaid Services for the Rural Health Transformation Program, opportunity #: CMS-RHT-26-001. The Agency anticipates receiving these terms on or around December 31, 2025. Continue to monitor Iowagrants.gov for any RFP amendments. Refer to Attachment D, Sample Draft Contract, Section 1.10.2, Contingent Terms for Service Contracts. Contractors must comply with Federal Terms. 2 C.F.R. Part 200 |
| Dec 10, 2025 4:30 PM | Rurality Verification: The Location and HIE Verification Form requires confirmation of rurality using the HRSA Eligibility Analyzer. Is this HRSA analysis the sole acceptable source for determining rural eligibility, or can other official Federal or State rural designations be utilized as supporting documentation? | The Agency will follow all funding restrictions and requirements provided from the Centers for Medicare & Medicaid Services for the Rural Health Transformation Program, opportunity #: CMS-RHT-26-001. The Agency anticipates receiving these terms on or around December 31, 2025. Continue to monitor Iowagrants.gov for any RFP amendments. For the purposes of this application, the Agency will use the definition of rural provided in Section 2.02 of the RFP. |
| Dec 16, 2025 11:26 AM | Will subcontractors be allowed? Our organization is interested in applying but we are a small business and would require partners. | Refer to REQUEST FOR PROPOSAL #COMPADM26002, Amendment #1. Subcontractors are allowable. |
| Dec 17, 2025 8:24 AM | What (if any) components of a budget are needed in the application? What level of detail is needed? | Refer to Section 3, Application Content. The applicant shall submit the Reimbursement Attestation form as part of the application. No additional budget detail is required for this Application. |
| Dec 17, 2025 10:45 AM | Please clarify whether the state intends to have distinct (for a total of 4) hub and spoke models in each of the following areas: 1. Maternal and child health 2. Mental/Behavioral health 3. Cardiovascular health 4. Chronic disease prevention and management Reason for clarification is the use of “and/or” in this sentence: “This technical assistance will support providers with planning, partnership building, assessment and evaluation, and overall implementation of Hub and Spoke models of care in the areas of maternal and child health, mental/behavioral health, cardiovascular health, and/or chronic disease prevention and management.” From Section 1, 1.01 Purpose. | The Agency will follow all funding restrictions and requirements provided from the Centers for Medicare & Medicaid Services for the Rural Health Transformation Program, opportunity #: CMS-RHT-26-001. The Agency anticipates receiving these terms on or around December 31, 2025. Continue to monitor Iowagrants.gov for any RFP amendments. The Agency does not have a pre-determined number of hub and spoke models for each of the described areas. The Agency has not yet determined eligibility criteria for future potential funding proposals. However, the Agency anticipates that a single health hub network could be for a single topic area or could be for more than one of the described topic areas. |
| Dec 17, 2025 10:46 AM | Please clarify whether the state intends to have distinct (for a total of 4) hub and spoke models in each of the following areas: 1. Maternal and child health 2. Mental/Behavioral health 3. Cardiovascular health 4. Chronic disease prevention and management Reason for clarification is the use of “and/or” in this sentence: “This technical assistance will support providers with planning, partnership building, assessment and evaluation, and overall implementation of Hub and Spoke models of care in the areas of maternal and child health, mental/behavioral health, cardiovascular health, and/or chronic disease prevention and management.” From Section 1, 1.01 Purpose. | Medicaid Services for the Rural Health Transformation Program, opportunity #: CMS-RHT-26-001. The Agency anticipates receiving these terms on or around December 31, 2025. Continue to monitor Iowagrants.gov for any RFP amendments. The Agency does not have a pre-determined number of hub and spoke models for each of the described areas. The Agency has not yet determined eligibility criteria for future potential funding proposals. However, the Agency anticipates that a single health hub network could be for a single topic area or could be for more than one of the described topic areas. |
| Dec 17, 2025 2:23 PM | Are there any limitations to the work subcontractors can perform? Any limitations on the reimbursement for subcontractors relative to the total budget? | See RFP Section 2.03 Scope of Work, subsection B. Deliverables. The Contractor shall perform all described services under Phase 1 and Phase 2. See 1.18 Use of Subcontractor and Section 2.03 Scope of Work stating "the contractor may utilize subcontracts to accomplish various aspects of this work". Pursuant to Attachment D, Sample Draft Contract, 1.10, General Terms for Service Contracts, Section 2.12.9, The Contractor shall notify the Agency in writing of all subcontracts relating to Deliverables to be provided under this Contract prior to the time the subcontract(s) become effective. The Agency reserves the right to review and approve all subcontracts. The Contractor may enter into these contracts to complete the project provided that the Contractor remains responsible for all Deliverables provided under this Contract. While the use of subcontractors is allowable, the Agency may place limitations on the work subcontractors perform on a case by case basis, at the discretion of the Agency. Applicants must describe all proposed subcontracts in the Subcontract Plan form of their Application. Also refer to section 4, the Subcontract Plan will be evaluated relative to the overall application and proposed work plan. |
| Dec 17, 2025 2:28 PM | When the contractor invoices the state, are they guaranteed the deliverable dollars that are listed in the RFP? Or will the reimbursement need to have specific costs listed in the invoice? | Refer to the Sample Draft Contract in Section 2.1, Contract Payment Methodology. Reimbursement for this project will be deliverable-based. The Agency has identified the deliverables and corresponding reimbursement amounts for the base contract term in the charts below. The deliverables and corresponding amounts may change at the sole discretion of the Agency. These amounts are all inclusive for the defined deliverables and no other associated costs or expenses will be provided. Additionally, pursuant to Attachment D, Sample Draft Contract, Section 1.6.2.1, Reimbursement for this project will be deliverable-based. The Agency has identified the deliverables and corresponding reimbursement amounts for the base contract term in the charts below. The deliverables and corresponding amounts may change at the sole discretion of the Agency. These amounts are all inclusive for the defined deliverables and no other associated costs or expenses will be provided. Following approval of the deliverable, the Contractor will receive the funding amount that corresponds with that deliverable. The Contractor shall follow all funding limitations of the RFP (for example, 10% limit on administrative costs) and may be required to provide detail as evidence to this effect. |
| Dec 17, 2025 2:29 PM | Can you provide specific examples what administrative costs would be compared to billable costs? Project/program managers? Coordinators? Professional advisory? | The Agency will follow all funding restrictions and requirements provided from the Centers for Medicare & Medicaid Services for the Rural Health Transformation Program, opportunity #: CMS-RHT-26-001. The Agency anticipates receiving these terms on or around December 31, 2025. Continue to monitor Iowagrants.gov for any RFP amendments. The 10% limit applies to administrative costs for the entire budget, including indirect and direct costs. The Agency anticipates that tasks such as compliance, evaluation, data collection, grant reporting,and fiscal management will be considered administrative. More details will be available at the time of contract issuance. |