# Healthy Hometowns: High-Risk OB and Neonatal Transport Request For Proposal This RFP invites applications from eligible organizations to establish or expand High-Risk OB and Neonatal Transport programs in rural Iowa, as part of the Healthy Hometowns initiative under the federal Rural Health Transformation Program (RHTP). The funded programs will enhance emergency transport capacity, training, telehealth integration, and networked connections between rural communities and specialty perinatal care centers. Up to approximately $6,000,000 is available in the first year, with total funding expected around $20M over the contract period for up to three awards. ## Key facts - Status: Closed - Type: RFP - Issued by: Iowa Department of Health and Human Services, Division of Public Health (Iowa) - Posted: 2026-07-14 - Questions due: 2026-08-17 - Application due: 2026-09-01 - Eligible applicants: Public, private, nonprofit, academic, or governmental entities providing Emergency Medical Services Care, Iowa Authorized EMS Transport Services - How to apply: Electronic submission only via IowaGrants.gov portal Portal: https://www.iowagrants.gov/ - Funding source: Rural Health Transformation Program (CMS) - Official source: https://hhs.iowa.gov/media/19010/download ## Eligibility Eligible Applicants are public, private, nonprofit, academic institutions, or governmental entities that provide Emergency Medical Services Care. Applicants must currently be an Iowa Authorized EMS Transport Service. Applicants must serve at least one county with some parts or all parts of the county eligible for Rural Health Grants as defined by the HRSA Rural Health Grants Eligibility Analyzer. Applicants may be located in any Iowa county but must serve at least one eligible rural county. Priority points are awarded for serving additional rural counties and for EMS Service Programs that commit to providing interfacility transport services open to all eligible sending and receiving facilities, regardless of health system affiliation. ## Requirements Submit all required forms in the IowaGrants.gov application portal. Applicants must currently be an Iowa Authorized EMS Transport Service and serve at least one county determined rural-eligible by the HRSA Rural Health Grants Eligibility Analyzer. Applicants must participate in the BEMTS Pilot Project and coordinated statewide initiatives, develop a High-Risk OB and Neonatal Transport plan within 60 days of contract execution, procure approved equipment, and implement required training. Applicants must comply with reporting (monthly, quarterly, annual, FFATA, insurance, etc.), complete both line-item and deliverable-based budgets, and adhere to all contract performance measures—including telehealth equipment procurement by 9/30/2027. If requesting confidential treatment, submit Form 22 and upload both a full and a redacted application copy. ## Required attachments - Application forms in IowaGrants.gov - Budget documents - Signed letter of system-wide transport commitment for EMS programs (for priority points) - High-Risk OB and Neonatal Transport plan - Redacted and full versions if requesting confidentiality (with Form 22, if applicable) ## Application package and source documents - [IA - 2026 - Healthy Hometowns: High-Risk Ob And Neonatal Transport Request For Proposal # Phthoet27002](https://www.ruralcarejourney.com/api/documents/6a73f26c-0165-4d21-a6da-e6ae4106e58a/file) (primary) — official: https://hhs.iowa.gov/media/19010/download - [IA - 2027 - Request For Proposal # Compadm26006](https://www.ruralcarejourney.com/api/documents/93ff8bf9-fd37-42e9-85d9-2383e06eb3ad/file) — official: https://hhs.iowa.gov/media/19012/download More Iowa RHTP activity: https://www.ruralcarejourney.com/states/ia (markdown: https://www.ruralcarejourney.com/states/ia.md) --- Source: Rural Care Journey (RCJ), https://www.ruralcarejourney.com/opportunities/healthy-hometowns-high-risk-ob-and-neonatal-transport-request-for-proposal--966d02c5be — data as of 2026-09-02. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.