# Iowa RHTP: Combat Cancer Health Hubs

Hub-and-spoke cancer care network program (RFP# COMPADM26008) — Hub sites propose 3 Spoke subcontractor sites (hospitals, RHCs, FQHCs, oncology practices). Sequentially numbered after DB's existing COMPADM26005/26006/26007 records. Supports new chemotherapy lines of service, care coordination between sites, remote consultations and teleoncology services, virtual tumor boards, and referral/telehealth agreements. 5 Hub organizations selected and announced 2026-06-18: Ottumwa Regional Health Center, Wayne County Hospital, Shenandoah Medical Center, Greater Regional Medical Center, and Mary Greeley Medical Center. 100% funded by CMS as part of Iowa's RHTP award.

## Key facts

- Status: Closed
- Type: RFP
- Issued by: Iowa Health and Human Services (HHS) (Iowa)
- Posted: 2026-05-08
- Application due: 2026-06-17
- Eligible applicants: Hospitals, Rural Health Clinics, Federally Qualified Health Centers, Oncology Practices
- How to apply: Applicants must submit applications via IowaGrants.gov (WebGrants portal). Registration required for new users.
- Funding source: Rural Health Transformation Program (CMS)
- Official source: https://www.iowagrants.gov/viewStorefrontOpportunity.do?OIDString=1777903375358%7COpportunity

## Eligibility

Eligible applicants are hospitals, Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and oncology practices in Iowa proposing to serve as Hub sites, each partnering with three Spoke sites. Spoke sites cannot receive funds through both this procurement and RFP# PHTHOCC26756.

## Requirements

Applicants must allocate a minimum of 75% of total funds to Spoke sites if the Hub is in a non-Rural area and at least 60% if the Hub is in a Rural area. Minor renovations or alterations are allowable, limited to $1 million per Hub-Spoke network or 20% of the total contract, whichever is lesser. Construction is not allowed. Contracting for tele-oncology services is permitted within stated cost restrictions. Spoke sites must provide or increase chemotherapy services by June 30, 2028.

## Required attachments

- Application Narrative
- Budget Justification
- Letters of Agreement with Spoke sites

## Application package and source documents

- [IA - 2026 - FY27 RFP COMPADM26008 Combat Cancer Health Hubs Round 2 (Source listing page)](https://www.ruralcarejourney.com/api/documents/4c001b58-33f3-4389-b5a8-f5bd7571dbee/file) (primary) — official: https://www.iowagrants.gov/viewStorefrontOpportunity.do?OIDString=1777903375358%7COpportunity
- [IA - 2026 - RHT RoundUp: September 24, 2026 (CMS RHTP Roundup — Combat Cancer award evidence)](https://www.ruralcarejourney.com/api/documents/edd66f8e-522e-49d1-b0d7-9ebfc99d239d/file)

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-rhtp-combat-cancer-health-hubs--e60c5fdeb5 — data as of 2026-07-27.
Cite the RCJ page for the summary and the linked official source for authoritative terms, deadlines, and amounts.