# Iowa Cardiovascular Health Hub and Spoke Networks (RFP COMPADM26007) The Iowa Department of Health and Human Services (HHS) is soliciting applications under RFP COMPADM26007 to establish, expand, and sustain Cardiovascular Health Hub and Spoke Networks across rural Iowa. Supported by CMS/HHS funds through the Rural Health Transformation Program, this opportunity emphasizes expanding access to advanced cardiovascular diagnostics, interventions, disease management, rehabilitation, tele-cardiology, and provider collaborations. Applicants may apply as: (1) regional Hub-and-Spoke networks for advanced cardiovascular services, (2) individual organizations expanding Hub capacity in underserved rural regions, or (3) networks focusing on support and sustainability for rural Spokes emphasizing prevention and chronic disease management. Applications must demonstrate strong formal partnerships with at least two Spoke facilities (minimum network size: three organizations), all meeting the geographic and operational requirements as set forth in the RFP. Key activities under this RFP include establishing collaborative referral agreements, recruiting providers, acquiring equipment, undertaking minor renovations, and strengthening maternal health care delivery. Networks must increase access to services, address persistent rural care gaps, promote innovative telehealth models, and reduce health disparities. This initiative is part of the larger Iowa Healthy Hometowns Project and leverages $33,361,333 in first-year funding. ## Key facts - Status: Closing soon - Type: RFP - Issued by: Iowa Department of Health and Human Services (Iowa) - Posted: 2026-09-21 - Application due: 2026-11-17 - Funding: $33.4M - Eligible applicants: Public Entities, Private Entities, Nonprofits, For-Profit Organizations, Academic Institutions, Local Health Departments, Hospitals, Rural Health Clinics, Multi-provider Partnerships, Governmental Entities - How to apply: Applications must be submitted electronically via the IowaGrants portal (https://iowagrants.gov/) no later than November 17, 2026, 12:00 PM (noon) local Iowa time. Attachments such as letters of intent and non-disclosure agreements must be emailed to the Issuing Officer by their respective deadline… - Funding source: Rural Health Transformation Program (CMS) - Official source: https://hhs.iowa.gov/media/19473/download ## Eligibility Eligible applicants include public, private, nonprofit, for-profit, academic institutions, or governmental entities physically located in Rural Iowa (as defined by the Rural Health Grants Eligibility Analyzer). Applicants must have been open and providing services in Iowa as of January 1, 2026 and currently offer services at time of application. Applicants must submit a mandatory letter of intent by October 19, 2026, specifying their program option and naming anticipated network members. Each application must represent a Hub and Spoke Network with at least three Iowa-based members (including the applicant). Additional eligibility criteria apply per program option. Recipients of technical assistance contracts under COMPADM26002 or COMPADM26003 may apply if staff non-disclosure agreements are provided by the LOI deadline. ## Requirements Applicants must submit: (1) a mandatory letter of intent by October 19, 2026; (2) a complete application via IowaGrants.gov; (3) copies of executed or draft legal hub-spoke agreements; and (4) required forms and supporting documentation as outlined in the RFP. Only one application is allowed per Hub site; Spoke sites may appear in multiple applications but will be funded under one network only. All network members must comply with established licensure and operational requirements. Required activities include formalizing collaborative partnerships, implementing or expanding tele-cardiology, developing referral networks, workforce and equipment investments, and care delivery improvements—especially for maternal health. Awardees must adhere to all performance reporting, contract, and compliance requirements throughout the contract term. ## Required attachments - Mandatory letter of intent (by October 19, 2026) - Legally executed or draft hub-spoke agreement(s) - Completed application forms (via IowaGrants.gov) - Proposal narrative, budget, and all RFP-mandated documents ## Application package and source documents - [IA - 2026 - Cardiovascular Health Hub and Spoke networks (Notice of Intent to Release — Cardiovascular Health Hub and Spokes (RFP COMPADM26007))](https://www.ruralcarejourney.com/api/documents/d9711533-eedf-42aa-92e2-ec2c22ef1cfc/file) — official: https://hhs.iowa.gov/media/18574/download?inline - [IA - 2026 - Request for Information Healthy Hometowns Cardiovascular Health Hub and Spoke Networks of Care](https://www.ruralcarejourney.com/api/documents/84a9cb7b-57ed-44cd-89f1-0f926026335a/file) — official: https://hhs.iowa.gov/media/18709/download?inline - [IA - 2026 - RFI# COMPADM26007 Regarding Healthy Hometowns Cardiovascular Health Hub and Spoke Networks of Care (Reference source: How to Submit in Response to RFI# COMPADM26007)](https://www.ruralcarejourney.com/api/documents/f5151160-f292-48bd-8ae5-a0ff888b2e7e/file) — official: https://hhs.iowa.gov/media/18710/download?inline - [IA - 2026 - Healthy Hometowns Cardiovascular Health Hub Program Request For Proposal # Compadm26007](https://www.ruralcarejourney.com/api/documents/8e0c1283-0bd2-4362-8aa7-e21fe4cb853e/file) (primary) — official: https://hhs.iowa.gov/media/19473/download - [IA - 2026 - funding opportunities](https://www.ruralcarejourney.com/api/documents/d570a76c-8e69-467b-b0cb-6631542458c1/file) — official: https://hhs.iowa.gov/about/funding-opportunities 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/iowa-cardiovascular-health-hub-and-spoke-networks-rfp-compadm26007--b7fa75bce3 — data as of 2026-09-22. Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.