Iowa Department of Health and Human Services · Posted July 14, 2026
Application Due
September 1, 2026
LOI Deadline
August 10, 2026
Q&A Deadline
August 10, 2026
The program establishes rural Co-Location Sites that integrate at least three separate and distinct service delivery entities (including the Site Lead), each providing different types of initiatives or services under one roof. The goal is to expand and sustain access to health and health-related social services; foster new partnerships among local providers; improve outcomes for chronic diseases; and embed preventive and chronic disease management services—such as Community Health Workers (CHWs) for enhanced care coordination—within rural communities. The pilot is part of the Healthy Hometowns Rural Health Transformation Program, financially supported by the Centers for Medicare & Medicaid Services (CMS) as part of a five-year, $209,040,063.71 federal award under opportunity #: CMS-RHT-26-001. For the initial contract year, a total of approximately $39,558,631 will be available, with an anticipated contract term total of $168,234,514. Awardees must connect with Iowa’s Health Information Exchange and adhere to federal and state eligibility, documentation, and reporting requirements. All activities and funding are subject to CMS approval of the Agency’s year 2 budget, and HHS reserves the right to modify the number and amounts of awards based on need, quality of applications, and geographic distribution.
Eligible applicants are public, private, nonprofit, for-profit, academic institutions, or governmental entities providing health or health-related social needs. The applicant must be the Co-Location Site Lead and identify at least two additional, distinct service delivery entity partners (minimum of three entities in total, including the Lead), each providing different types of initiatives or services. The Co-Location Site must be physically located in a Rural area as defined by the Rural Health Grants Eligibility Analyzer. Applicants may propose either a new Co-Location Site not currently in existence, or expansion of an existing site by adding at least two new, unaffiliated service entities offering substantially different services not managed by the same organization as the Lead or each other. Meaningful project expansion is required. Awardees of RFP# COMPADM26001, COMPADM26002, or COMPADM26003 are eligible only if all other eligibility criteria are met and Non-Disclosure Agreements are submitted (with required technical separation). All awarded projects must connect and exchange data with Iowa's Health Information Exchange contractor.
Required attachments
Submit all application forms and required attachments via the IowaGrants Electronic Grant Management System (https://iowagrants.gov/) by 12:00 PM CT, September 1, 2026. Letters of Intent and Non-Disclosure Agreements (if applicable) must be emailed to ryan.roovaart@hhs.iowa.gov (cc shannon.garland@hhs.iowa.gov) by August 10, 2026, 4:00 PM CT. All written questions must be submitted via IowaGrants.
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Application Prep
Key Dates: Application Due: September 1, 2026
Budget Range
Contact
RFP Issuing Officer
Ryan Roovaart
ryan.roovaart@hhs.iowa.gov
CC
Shannon Garland
shannon.garland@hhs.iowa.gov
IowaGrants Helpdesk
iowagrants.helpdesk@hhs.iowa.gov
IowaGrants Helpdesk
1-866-520-8987
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