Iowa

Open

Financial Sustainability

FY26 Award
$/Rural Resident
$139
Rank
15th /50
Rural Pop.

Data:CMS·KFF·Census

Funding Breakdown

Baseline
Workload
Baseline: $100.0M
Workload: $109.0M

Source: KFF funding formula analysis

Initiatives by CMS Goal Bucket

Access to Care
Hometown Connections

Build formal partnerships to restructure rural healthcare delivery through enhanced Health Hubs with telehealth, specialized equipment, and hub-and-spoke networks of care.

EMS Community Care Mobile

Invest in telehealth technology for high-risk transport of moms and babies and a mobile integrated healthcare program for prenatal, postpartum, and chronic disease management.

Workforce Development
Best and Brightest

A sub-initiative of Hometown Connections to recruit and retain an excellent rural healthcare workforce.

Financial Sustainability
Health Information Exchange

Allow health records to be accessible across the state as patients travel through new Health Hubs and seek care in new ways.

Quality & Health Outcomes
Combat Cancer — Prevent and Treat

Expand cancer screening, radon testing, and mammography access to improve early detection and outcomes in rural Iowa.

Communities of Care

Co-locate services, deploy CHWs as navigators, and implement chronic disease management programs.

Infrastructure & Technology
Telehealth and Digital Infrastructure

Deploy telehealth platforms and digital health tools to connect rural Iowans with specialty and primary care services.

Source: CMS state abstracts

How to Participate in Iowa

Steps for healthcare organizations to access RHTP funding through Iowa's programs.

Lead State Agency
Iowa Department of Health and Human Services
Visit agency website
Identify Your Role
Determine if your organization is eligible: hospitals, clinics, community health centers, health plans, and other rural healthcare providers can participate through state sub-awards.
Review State Plans
Read your state's RHTP application and initiative plans to understand which programs align with your organization's services and needs.
Engage With Your State Agency
Contact the lead state agency managing RHTP implementation. Attend stakeholder sessions and register for procurement notifications.
Respond to RFPs
When your state releases Requests for Proposals for RHTP sub-awards, submit applications aligned with the CMS goal buckets your state prioritizes.
Prepare for Compliance
Set up systems for quarterly reporting, outcome metric tracking, and financial audits required by CMS. Organizations receiving $750K+ need single audit capability.

Note: RHTP funds flow from CMS to state agencies, which then distribute to providers through sub-awards and contracts. Direct federal applications are not accepted — participation is through your state's program.

RHTP Compliance Checklist

Key obligations for organizations participating in Iowa's RHTP programs.

0 of 8 checkedSource: RHTP NOFO

Need help navigating Iowa's RHTP compliance?

Harper automates quarterly reporting, outcome metrics, and real-time compliance monitoring for RHTP participants. Get set up before your state's deadlines.

6
Healthy Hometowns initiatives
Iowa's Healthy Hometowns program includes six named initiatives: Hometown Connections, Combat Cancer, Communities of Care, Health Information Exchange, and EMS Community Care Mobile.
Source:CMS·KFF·Census

Federal Health Funding

Total HRSA grants to this state (FY16–25) vs. new CMS RHTP award

$76.6M
$82.0M
$86.3M
$92.1M
$119.5M
$165.3M
$97.2M
$102.1M
$108.0M
$89.2M
RHTP $209.0MHRSA $89.2M
2016
2025
FY26
HRSA
HRSA (proj.)
RHTP (CMS)
HRSA 10-yr avg.
HRSA FY25 (proj. FY26)
+ RHTP FY26 award
FY26 combined$298.3M

FY26 HRSA projected from FY25 actuals (FY26 not yet published). RHTP is new CMS funding in addition to existing HRSA grants.

Rural pop. (2020)
Change since 2010
Rural poverty rate
Primary care shortage areas
Practitioners needed

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