Iowa Healthy Hometowns Cardiovascular Health Hub Program (COMPADM26007)

Iowa HHS issued RFP COMPADM26007 on September 21, 2026 to build and expand rural cardiovascular Hub-and-Spoke Networks through the Healthy Hometowns Rural Health Transformation Program. The procurement supports advanced cardiovascular diagnostics and interventions, chronic-disease prevention and management, rehabilitation, care coordination, tele-cardiology, virtual consultation, remote patient monitoring, workforce strategies, and qualified equipment and technology investments.

Funding: Iowa HHS anticipates approximately $33,361,333 for the first contract year across an undetermined number of awards. Maximum four-year budgets are $16,283,040 for Option 1 Regional Hub-and-Spoke Networks, $21,710,720 for Option 2 expansion of rural Hub capacity, and $10,855,360 for Option 3 support and sustainment of rural Spokes. Applicants may request less. The RFP does not state an applicant match or cost-share requirement. Payments are reimbursement based, administrative costs are capped at 10%, and minor renovations are subject to a 20% cap and Agency/CMS approval; new construction is not allowable.

Eligibility and timing: Eligible applicants may be public, private, nonprofit, for-profit, academic, or governmental entities that meet the applicable rural-location, operating-history, network, and service requirements for the selected option. A mandatory Letter of Intent is due October 19, 2026. Applications are due November 17, 2026 at 12:00 p.m. (noon), local Iowa time, through IowaGrants. Iowa HHS requires applicants to monitor IowaGrants for written questions, responses, and amendments.

Atlas analysis: This is a top-tier Iowa rural-health opportunity because telehealth equipment, remote patient monitoring supplies, cardiovascular diagnostic and imaging equipment, care coordination, technology integration, and workforce support are expressly contemplated. N9+ fit is high but conditional and should be evaluated only where the qualified applicant can document a cardiovascular-care need, allowable telehealth/equipment use, procurement compliance, clinical integration, and sustainability. Ordinary original outreach must not sell or introduce N9+. Dr. Miltie or QC Healthcare should not be treated as the lead applicant unless all published eligibility requirements are independently satisfied; any vendor or subcontractor participation must flow through a qualified applicant and applicable procurement rules.