678003 - FY27 RFP COMPADM26006 Maternal Health Hub and Spoke Program
Funding Opportunity Details

Healthy Hometowns

Final Application Deadline: Sep 1, 2026 12:00 PM

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) # COMPADM26006 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 serve as maternal health Hub and Spoke sites. The purpose of developing Hub and Spoke sites is to sustain current maternal health care in Iowa and increase access to and availability of high-quality prenatal care, labor and delivery services, postpartum care, mental health support, and behavioral health support for those pregnant and postpartum in Rural Iowa. Through the Healthy Hometowns Rural Health Transformation Program, Iowa is working toward innovative and transformative models of healthcare delivery to best serve rural Iowans.

  Hub and Spoke sites will work collaboratively to build networks that sustain and increase access to maternal healthcare, which includes maternal mental health care, in Rural Iowa. This work aims to keep care available locally, when appropriate, and increase the long-term sustainability of rural healthcare providers.

  This procurement describes three options for organizations to apply to become part of a Hub and Spoke Network of care for maternal health in Iowa. Iowa HHS seeks to offer as much flexibility as possible through the application process to meet the differing needs of Iowa’s Rural areas. Through this procurement, Iowa HHS will select the most appropriate applicants with the most compelling project plans to sustain and improve maternal health care in Iowa. Applicants can apply for one of the following three options, with more details included below:

  1. Option 1 - Statewide Hub: Apply as a single organization committing to being a statewide hub for specific needed services as described below. The Agency anticipates applicants will be a Level III or Level IV Maternal Care Hospital.
  2. Option 2 - Expand Iowa’s Hub Capacity: Apply as a single organization committing to upscale from a Level I Maternal Care Hospital to a Level II Maternal Care Hospital. This organization will then serve as a Hub for higher-risk pregnancy care in the state.
  3. Option 3 – Support and Sustain Iowa’s Spokes: Apply as a network of Level I and Level II Maternal Care Hospitals committing to carry out specific strategies to support and maintain maternal health care across Iowa.

   

  This procurement is supported by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling approximately $209,040,063.71 with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official view of, nor an endorsement, by CMS/HHS, or the U.S. Government.

  Iowa’s year two award for this program is anticipated by October 31, 2026 and budget amounts could change at that time. All activities presented within this RFP, including access to funds, are subject to CMS approval of the Agency’s year 2 budget.

  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	July 14, 2026
  Applicant’s Conference (optional)	July 22, 2026 at 10:00 am
  Letter of Intent (Mandatory)	August 10, 2026
  Written Questions and Responses
  Round 1 Questions Due:   Responses Posted By:	July 27, 2026 by 12:00 pm (noon)  August 3, 2026
  Round 2 Questions Due:   Responses Posted By:	August 17, 2026 by 12:00 pm (noon)  August 24, 2026
  Applications Due	September 1, 2026, by 12:00 PM (noon)
  Applicant’s Oral Presentations, if requested by the Agency	On or around October 12, 2026
  Post Notice of Intent to Award	On or around October 16, 2026

Attachments

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