The Iowa Department of Health and Human Services is seeking a lead “Hub” organization to create a network of cancer‑care Hub‑and‑Spoke sites across rural Iowa. The Hub must provide advanced services such as external radiation therapy, tele‑oncology, and virtual tumor boards, while three designated Spoke sites will expand chemotherapy capacity, offer additional diagnostics, and coordinate care with the Hub. Applicants must submit legally binding agreements with the Spokes, a detailed five‑year work plan (two budget options), and meet strict performance milestones (subcontract signing, chemotherapy start dates, mileage limits). Funding is fully federal (CMS) with two award ceilings ($31.9 M or $45.3 M) and an administrative cost cap of 10 %.
• Establish a central cancer‑treatment Hub capable of radiation, surgery, and tele‑oncology.
• Partner with at least three rural Spoke sites (within 60‑75 mi) to provide chemotherapy and related services.
• Deliver a five‑year plan, budget, and legal agreements; meet milestones for subcontract execution and service start‑up, with penalties for non‑compliance.
• Manage data sharing, reporting, and sustainability planning under strict federal and state compliance.
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