The Iowa Department of Health and Human Services is seeking a qualified Lead Entity to provide comprehensive school‑based health services—including medical, mental/behavioral, and dental care—to rural Iowa schools under the Healthy Hometowns initiative. Applicants must be an Iowa‑registered health provider (hospital, clinic, FQHC, CHC, CCBHC, or RHC) that was operational on January 1 2026, submit a mandatory Letter of Intent by September 10 2026, and deliver a full application by September 23 2026. The contract spans up to five years (Nov 30 2026 – Sep 30 2031) with possible one‑year extensions, offering up to $4.2 million per year per awardee, and requires extensive collaboration, reporting, and compliance with federal and state regulations.
• Eligibility: Iowa‑based hospitals, clinics, FQHCs, CHCs, CCBHCs, or RHCs.
• Scope: Establish new school‑based sites or meaningfully expand existing ones with additional service lines.
• Funding: Up to $4.215 M per year per award, total program budget ~ $80.19 M over four years.
• Reporting: Monthly progress, quarterly and annual reports, sustainability plan, and strict audit requirements.
• Mandatory deliverables: Letters of support from schools and provider partners, MOUs within six months of award, and compliance with FFATA, insurance, and subcontract approvals.