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645596 - FY26 RFP COMPADM26001 for Combat Cancer Technical Assistance Provider
Funding Opportunity Details

Healthy Hometowns

Final Application Deadline: Jan 5, 2026 4:00 PM

  • Status Closed

    Posted Date Dec 19, 2025 7:19 AM

    Award Amount RangeNot Applicable

    Project Dates 02/15/2026 - 09/30/2031

    Award Announcement Date 02/02/2026

    Categorical Area

    Recurring Opportunity No

Description
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) # COMPADM26001 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 Rural Iowa cancer service providers with expertise, assessment and evaluation, and technical assistance on evidence-based strategies for designing, implementing, and sustaining cancer-focused Hub and Spoke models for achieving success in the Combat Cancer Projects of Iowa's Rural Health Transformation Grant. Activities in the Combat Cancer initiative of the Healthy Hometowns project include the development of hub and spoke models for cancer care, including the development of rural provider strategic partnerships. This includes developing and implementing arrangements that include exchanging best practices and coordination of care (which includes but is not limited to remote care services), 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 possible and appropriate, and developing models of sustainability for rural cancer providers. Other efforts include the coordination of patient navigation and survivorship services and the oversight of fidelity to evidence-based cancer screening, treatment, and care coordination practices. The Contractor will also support long-term sustainability planning, including workforce development, tele-oncology integration, and alignment with Commission on Cancer (CoC) standards. This work implements a portion of the Combat Cancer: Prevent and Treat 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, 2026, 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
Attachments
DescriptionFile NameTypeSizeUpload Date
A. Combat Cancer Technical Assistance Provider RFP # COMPADM26001COMPADM26001 RFP Cancer Hub and Spoke TA.pdfpdf488 KB12/08/2025 01:52 PM
B. Attachment B Work Plan Formatting SpecificationsCOMPADM26001 Attachment B Work Plan Formatting Specifications.pdfpdf101 KB12/08/2025 01:53 PM
C. HHS Application Instructions Guidance C. HHS Application Instructions_Guidance New IG.pdfpdf2 MB12/05/2025 09:08 AM
D. Sample Draft ContractCOMPADM26001 Contract Special Terms - Cancer Health Hub TA.pdfpdf339 KB12/08/2025 01:53 PM
E. Amendment 1 RFP COMPADM26001 Combat Cancer Technical Assistance ProviderE. Amendment 1 RFP COMPADM26001 Combat Cancer Technical Assistance Provider.pdfpdf162 KB12/12/2025 11:02 AM
Website Links
Website links
DescriptionLink
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 Information https://hhs.iowa.gov/initiatives/rural-health-transformation-rht
D. Iowa Cancer Plan https://canceriowa.org/Iowa-Cancer-Plan/
E. Iowa Cancer Plan https://canceriowa.org/Iowa-Cancer-Plan/
Questions
Submitted DateQuestionAnswer
Dec 10, 2025 4:25 PMHow will the Agency define success for the TA provider in Phase 1 vs. Phase 2? Are there specific performance metrics beyond those listed?1) 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. 2) See Section 2.03 Scope of work subsection E. Contract Performance Measures. Any additional information regarding performance measures will be provided at the time of contract issuance.
Dec 10, 2025 4:26 PMWill the TA provider have any role in direct engagement with patients, or is all work limited to provider capacity-building?See RFP Section 2.03 Scope of Work subsection B. Deliverables, including Community Engagement and Outreach activities. See pages 41-42 for evaluation criteria related to audience and reach. The Agency does not anticipate the successful applicant for this RFP establishing any direct relationships with any individual patients.
Dec 10, 2025 4:26 PMAre there expectations for integration with academic research or opportunities for publication/dissemination of findings?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. See RFP Section 2.03 Scope of Work. The Agency expects broad, public-facing training and tools and individualized technical assistance for cancer health hubs. See Pages 41-42 for evaluation criteria related to audience and reach. The Agency does not anticipate academic research or preparing academic, peer-reviewed publications to be allowable uses of funds for this RFP.
Dec 10, 2025 4:26 PMThe RFP prohibits subcontracting—can the TA provider partner with other organizations (e.g., through MOUs) for specialized expertise without violating this rule?Refer to REQUEST FOR PROPOSAL #COMPADM26001 Amendment #1
Dec 10, 2025 4:26 PMWhat level of data access will the TA provider have (e.g., Iowa Cancer Registry, HIE)? Will the Agency facilitate these connections?Several publicly available data sources exist on cancer incidence and mortality, including the Iowa Cancer Registry and National Cancer Institute SEER database. The Agency will review requests for additional, confidential data, on a case by case basis and pursuant to Agency data sharing policies and procedures.
Dec 10, 2025 4:26 PMWill the Agency provide templates for legal agreements (MOUs, telehealth agreements), or is the TA provider expected to create these from scratch?See RFP Section 2.03 Scope of Work. The Agency expects the Contractor to provide or develop these materials.
Dec 10, 2025 4:26 PMCan you clarify the deliverable-based reimbursement process—is payment contingent on Agency approval of each deliverable, and what is the typical turnaround time for payment?Refer to Section 2.1, Contract Payment Methodology, D. Deliverable-based Reimbursement. All Deliverables must meet Agency approval prior to payment of the reimbursement. Refer to Attachment D, Sample Draft Contract, Section 1.6.4 - Payment Terms.
Dec 10, 2025 4:26 PMDoes the 10% administrative cap include technology costs (e.g., virtual training platforms) or only overhead?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 applicant should provide sufficient detail to aid the Agency in determining if the associated costs are administrative. These costs may be considered programmatic expenses, not administrative costs, if they are directly related to implementing / executing / delivering activities described within specific initiatives in the application and the applicant provides sufficient detail in their application to justify their project and budget. The Agency will review all budgets and administrative costs. If the technology is already existing prior to project initiation, the original funding source must continue to pay for those costs. The funds provided within this RFP cannot supplant other funds.
Dec 10, 2025 4:27 PMHow strictly will the Agency enforce CoC Rural Track Accreditation—is it mandatory for all Hubs or aspirational?Refer to RFP Section 2.03, Scope of Work, page 24. Applicants shall "support hubs and spokes, as appropriate" in pursuing CoC Rural Track Accreditation.
Dec 10, 2025 4:27 PMAre there any state-specific telehealth regulations or Stark/Anti-Kickback compliance requirements the TA provider must address in templates?See RFP Section 2.03 Scope of Work. The Agency intends for the Contractor to provide such information.
Dec 10, 2025 4:27 PMIf federal funding changes, how will amendments be handled? Will the Agency prioritize continuity of TA services?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.
Dec 10, 2025 4:27 PMWhat is the Agency’s expectation for rapid mobilization—is there a minimum staffing level required at contract start?Refer to RFP Section 3.02 Application Form instructions. The work plan should include the Applicant’s approach to ramp-up and mobilization to meet the Agency’s deliverables. Including a timeline showing how Phase 1 activities will begin within 30 days of contract execution. This should include steps for rapid mobilization, hiring staff, scheduling workshops, developing initial materials, and initiating outreach. Refer to Section 4 for evaluation criteria.
Dec 10, 2025 4:27 PMGiven that much of the funding after the initial phase is anticipated via future amendments, what is the Agency's formal process and timeline for notifying the Contractor of the availability and allocation of these subsequent rounds of funding?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.
Dec 10, 2025 4:27 PMSince Section 1.18 prohibits the use of Subcontractors, does this prohibition extend to specialized, short-term subject matter experts needed for time-limited support on highly technical topics (e.g., specific telehealth legal compliance)?Refer to REQUEST FOR PROPOSAL #COMPADM26001, Amendment 1
Dec 10, 2025 4:27 PMHow many individual "Cancer Health Hubs" does the Agency anticipate selecting for the Intensive TA (Phase 2) in the first year, and what is the expected capacity (e.g., number of staff, budget) of these Hub awardees?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. Monitor https://hhs.iowa.gov/initiatives/rural-health-transformation-rht and iowagrants.gov for information regarding future funding opportunities. The number of Cancer Health Hub awardees has not yet been determined and will vary based on available funding and needs of successful applicants. The Agency anticipates fewer than 10 Health Hubs over the five year period.
Dec 10, 2025 4:28 PMWhat is the Agency's definition or expectation for ensuring that Hub and Spoke models remain "health system agnostic", especially regarding data sharing protocols and shared staffing models potentially proposed by the Contractor?Refer to RFP Section 2.03, Scope of Work, page 24. The Contractor shall develop written implementation plans that account for the possibility of disparate health systems across participating organizations.
Dec 10, 2025 4:28 PMWhat documentation or level of effort is the Contractor expected to provide to satisfy the requirement of "supporting Hubs to meet all CoC Rural Track Accreditation Standards", particularly in sites where the necessary baseline infrastructure is currently absent?Refer to RFP Section 2.03, Scope of Work, page 24. Applicants shall "support hubs and spokes, as appropriate" in pursuing CoC Rural Track Accreditation.
Dec 10, 2025 4:28 PMIs the Contractor expected to propose a specific library of approved Evidence-Based Interventions (EBIs) for the Cancer Hubs, or is the role strictly technical assistance to help the Hubs select from the Agency's or CMS's pre-approved lists?Refer to RFP Section 2.03, Scope of Work, page 25, "the Contractor shall provide TA for the selection, adaptation, implementation, and evaluation of EBIs related to cancer. EBIs should be selected through Agency approved sources such as Centers for Disease Control (CDC), The Community Guide (CPSTF), National Cancer Institute (NCI) and American Cancer Society (ACS).
Dec 10, 2025 4:28 PMWill the Agency provide a standardized, integrated reporting system or platform (e.g., an online data entry portal) for collecting the required quarterly and annual data from the Contractor, or is the Contractor expected to build this system?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. See RFP Section 2.03 Scope of work subsection E. Contract Performance Measures. Any additional information regarding performance measures will be provided at the time of contract issuance. The Agency does not anticipate an online data entry portal to be necessary for the level of reporting expected.
Dec 10, 2025 4:28 PMThe contract term begins February 15, 2026. What is the Agency's expectation for the Contractor's readiness to begin Phase 2: Cancer Health Hub Intensive TA, given that the Hubs may not be selected or funded until a later date?'Refer to RFP Section 3.02 Application Form instructions. The work plan should include the Applicant’s approach to ramp-up and mobilization to meet the Agency’s deliverables. Including a timeline showing how Phase 1 activities will begin within 30 days of contract execution. This should include steps for rapid mobilization, hiring staff, scheduling workshops, developing initial materials, and initiating outreach. Refer to Section 4 for evaluation criteria. The Agency anticipates that Phase 2 activities will not begin until after Cancer Health Hubs are selected.
Dec 10, 2025 4:28 PMSection 3.3.3 requires a detailed and expedited hiring plan if staff are hired after the award. What specific benchmarks or metrics will the Agency use to evaluate if a proposed hiring plan is deemed "expedited" enough for a contract starting in February 2026?Refer to RFP Section 3.02 Application Form instructions. The work plan should include the Applicant’s approach to ramp-up and mobilization to meet the Agency’s deliverables. Including a timeline showing how Phase 1 activities will begin within 30 days of contract execution. This should include steps for rapid mobilization, hiring staff, scheduling workshops, developing initial materials, and initiating outreach. Refer to Section 4 for evaluation criteria.
Dec 10, 2025 4:28 PMSection 2.03 Phase 2 states “Phase 1 TA offerings shall continue to be offered as well during Phase 2”: Is it the Agency's intent for the Phase 1 to remain open to all eligible rural health providers throughout the entire contract or is the expectation that this Group-Based TA will primarily shift to the selected Phase 2 Cancer Health Hubs once they are finalized?The agency intends for Phase 1 TA offerings to continue to be offered for the selected Cancer Health Hub pilot sites, as well as for any organizations not selected for awards.
Dec 10, 2025 4:29 PMWork Plan Formatting (Attachment B): Is Attachment B (Work Plan Formatting Specifications) available and located in the Attachments section of the Funding Opportunity, and does it prescribe specific font, margin, or page limits?Refer to Attachment B as posted with the Funding Opportunity in IowaGrants. Attachment B provides the requirements on work plan formatting.
Dec 17, 2025 8:25 AMWhat (if any) budget is 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 2:23 PMAre 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 PMWhen 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 Sample Draft Contract 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 PMCan 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.