Healthy Hometowns Cardiovascular Health Hub Program

The Iowa Department of Health and Human Services is seeking qualified organizations to serve as cardiovascular health “Hub” and “Spoke” sites forming a statewide network that expands access to advanced cardiac diagnostics, interventional procedures, disease management, rehabilitation, and tele‑cardiology for rural residents. Applicants may choose among three participation models: (1) a regional Hub with at least two Spokes offering a full suite of cardiac services; (2) a single organization expanding Hub capacity in underserved rural areas; or (3) a consortium of Spokes supported by existing Hub(s) focused on preventive and chronic‑disease care. The program is funded by CMS with approximately $209 million available in the first year of a possible five‑year period, and contracts are expected to run up to five years. • Targeted services: emergency cardiac care, interventional cardiology (PCI), cardiac catheterization, advanced imaging, cardiac/vascular surgery, heart‑failure and electrophysiology, cardiac rehab, disease‑management, tele‑cardiology. • Eligible applicants: hospitals, health systems, integrated delivery networks, or consortia capable of delivering the above services and establishing formal referral agreements with Spokes by Dec 2028. • Funding: CMS‑HHS award covering up to 100 % of costs in Year 1; subsequent years subject to budget approval (anticipated award by Oct 15 2026). • Contract length: up to 5 years, with performance milestones and reporting requirements. • Geographic focus: rural Iowa (Polk County listed as example; statewide eligibility). • Submission window: 9/21/2026 – 11/17/2026.