This Iowa HHS RFP seeks qualified EMS organizations to develop and operate a statewide high‑risk obstetric (OB) and neonatal transport program, funded entirely by CMS’s Rural Health Transformation Program. The award will support equipment acquisition, tele‑transport technology, workforce incentives, and training to strengthen emergency maternal and neonatal care in rural Iowa.
• Provide 24/7 high‑risk OB and neonatal transport services across designated rural counties, including both ground and air modalities.
• Procure and install approved specialty medical equipment (≥ $10 k per unit) and telehealth systems, without using funds for vehicle renovation.
• Implement a comprehensive transport plan, workforce incentive structure (5‑year rural service commitments), and mandatory BLS‑O/ALSO training for all EMS clinicians.
• Submit extensive reporting (monthly, quarterly, annual) and comply with a 10 % administrative‑cost cap and other CMS‑RHT restrictions.
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