Communities of Care Co-Location Program

Communities of Care Co-Location Program is sponsored by Iowa Department of Health and Human Services. Encourages co-location of services to improve access and coordination of care for communities.

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673438 - FY27 RFP COMPADM26005 Communities of Care Co-Location Program Funding Opportunity Details Final Application Deadline: Sep 1, 2026 12:00 PM Posted Date Jul 14, 2026 2:52 PM Award Amount Range Not Applicable Project Dates 10/31/2026 - 09/30/2031 Award Announcement Date 10/16/2026 Program Officer Ryan Roovaart The purpose of Request for Proposal (RFP) #COMPADM26005 is to identify qualified applicants to serve as pilot Communities of Care Co-Location Sites for the Iowa Department of Health and Human Services (the Agency).

This procurement seeks to establish rural Co-Location Sites where multiple providers work together in one place so residents can access a broad range of services that address health and health related social needs in a single visit. This project will also transform Rural healthcare delivery by providing an opportunity for Co-location Sites to share costs and sustain care long term in their local communities.

The Co‑Location Sites will bring together at least three separate and distinct service delivery entities, each offering different types of initiatives or services, which will collaborate in integrating services within a single rural location.

The purpose of these co-location sites is to expand and sustain access to care in rural communities, foster new partnerships among local providers, improve chronic disease outcomes, and embed preventive and chronic disease management services so individuals can access multiple coordinated appointments in one place.

Through the Healthy Hometowns Rural Health Transformation Program, Iowa is working toward innovative and transformative models of healthcare delivery to best serve rural Iowans. This procurement is supported by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling approximately $209,040,063.

71 over a five-year period with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official view of, nor an endorsement, by CMS/HHS, or the U.S. Government. Iowa’s year two award for this program is anticipated by October 31, 2026, and budget amounts could change at that time.

All activities presented within this RFP, including access to funds, are subject to CMS approval of the Agency’s year 2 budget. This work implements a portion of the Communities of Care initiative of the Iowa Healthy Hometowns Project, funded through the Centers for Medicare & Medicaid Services’ Rural Health Transformation Program, opportunity #: CMS-RHT-26-001.

Applicants for this RFP will be known as Co-Location Site Leads. Co-Location Site Leads will identify at least three separate and distinct service delivery entities (inclusive of the Co-Location Site Lead to make a total of three) in which each will provide different types of initiatives or services at a single Rural site.

Service delivery entities may include, but are not limited to: · Local public health agencies · Federally Qualified Health Centers, · Community Health Centers, · Rural Health Clinics · Physician groups and other primary care providers · Behavioral health organizations · Substance use treatment programs · Dentists and oral health providers · Maternal, adolescent, and child health entities · Nutrition services · Aging and disability service organizations · Community Based Organizations · Outpatient rehabilitation services · Minor urgent care clinics · Laboratories and diagnostic testing entities · Other healthcare or social service entities committed to reducing chronic disease These entities are expected to collaborate on the application; however, the Co-Location Site Lead is ultimately responsible for submitting the application and leading the work of the funded Co-Location Site.

At least one of the service delivery entities must provide services related to chronic disease prevention and management. The applicant may include up to two Service Delivery Entities at the Co-Location Site who are affiliated with or managed by the same organization.

However, priority points in the application scoring shall be awarded for Co-Location Sites that indicate that all three (3) Co-Location Site Service Delivery Entities (inclusive of the Co-Location Site Lead) are not affiliated with or managed by the same organization.

Priority points shall be awarded to applicants in which at least one of the three designated Co-Location Site Service Delivery Entities is a provider that offers services that addresses health related social needs. Priority points shall be awarded to applicants in which only one of the three designated Co-Location Site Service Delivery Entities provides medical care by an Iowa licensed medical practitioner.

The Co-Location Site Lead must include signed memorandums of understanding (MOUs) with all proposed service delivery entities at the time of application (signed by ALL parties). These MOUs must demonstrate the partners’ commitment to collaboration and state that the parties are working in good faith toward a formal legal agreement within six months of the MOU’s signature date.

This Agreement must be signed by an authorized official from the Co-Location Site Lead Entity and the other organization that will join the site. Agreements must also show mutual agreement on the budget included in the application (refer to section 1. 03).

Co-Location Sites may include more than three service delivery entities, but only three will be considered for evaluation in this procurement. Only three service delivery sites will receive financial support through this procurement unless prior written approval is received from the Agency following the selection of applications.

Letter of Intent ( Mandatory ) August 10, 2026, by 4:00 PM Non-Disclosure Agreement or equivalent, required if applicable (refer to 1.

03) August 10, 2026, by 4:00 PM Written Questions and Responses July 27, 2026, by 4:00 PM August 3, 2026, by 4:00 PM August 10, 2026, by 4:00 PM August 17, 2026 by 4:00 PM Applicant’s Conference (Optional) August 5, 2026, at 3:00 PM September 1, 2026, by 12:00 PM Applicant’s Oral Presentations, if requested by the Agency On or around October 2, 2026 Post Notice of Intent to Award On or around October 16, 2026 Description File Name Type Size Upload Date A.

Communities of Care Co Location RFP A. Communities of Care Co Location RFP. pdf pdf 633 KB 07/13/2026 02:48 PM B.

Work Plan Formatting Specifications B. Work Plan Formatting Specifications. pdf pdf 120 KB 07/13/2026 02:48 PM C.

HHS Application Instructions_Guidance New IG C. HHS Application Instructions_Guidance New IG. pdf pdf 2 MB 07/13/2026 02:49 PM D.

Sample Draft Contract Community of Care Co-Location D. Sample Draft Contract Community of Care Co-Location. pdf pdf 332 KB 07/13/2026 02:49 PM E.

Co-Location Proposed Line Item Budget E. Co-Location Proposed Line Item Budget. xlsx xlsx 37 KB 07/13/2026 02:50 PM F.

Iowa HHS District Map F. Iowa HHS District Map. pdf pdf 669 KB 07/13/2026 02:50 PM G.

Amendment 1 RFP COMPADM26005 Communities of Care Co-Location Program 08-03-26 G. Amendment 1 RFP COMPADM26005 Communities of Care Co-Location Program 08-03-26. pdf pdf 142 KB 08/03/2026 02:59 PM H.

Amendment 2 RFP COMPADM26005 Communities of Care Co-Location Program 08-17-26 H. Amendment 2 RFP COMPADM26005 Communities of Care Co-Location Program 08-17-26. pdf pdf 97 KB 08/17/2026 05:11 PM Website Links Website links A.

IowaGrants Registration and Login Instructions https://dom. iowa. gov/state-government/grant-management B.

General Terms and Contingent Terms https://hhs. iowa. gov/initiatives/contract-terms C.

Iowa HHS Rural Health Transformation (RHT) | Health & Human Services https://hhs. iowa. gov/initiatives/healthy-hometowns-iowas-rural-health-transformation-plan D.

CMS Rural Health Transformation (RHT) Program | CMS https://www. cms. gov/initiatives/rural-health-transformation-rht-program/overview E.

Rural Health Grants Eligibility Analyzer https://data. hrsa. gov/topics/rural-health/rural-health-eligibility https://www.

iowagrants. gov/fileDownloadExternal. do?

filename=1760541640021_E. +Iowa+HHS+District+Map. pdf G.

Thrive Iowa Community Alliance https://hhs. iowa. gov/family-community/thrive-iowa https://www.

iowagrants. gov/index. do https://hhs.

iowa. gov/about/funding-opportunities#healthy-hometowns-funding-opportunities Iowa HHS Only Questions Submitted Date Question Answer Jul 27, 2026 12:24 PM The position that is employed 100% to coordinate the project, can this be more than one individuals that make up 100% FTE? Can the co-location site lead be a few blocks from the site location of the other two services?

The site that the other two services would be is rented by the site lead and performs other services there as well. The rented site shares the same server and phone system as the site lead. The duties of the project coordinator must represent 1.

0 FTE. The number of personnel to implement the duties and responsibilities of the project coordinator is at the discretion of the applicant and associated partners for the project. Section 2.

03. B 1. a.

Scope of Work: The Co-Location Site Lead in conjunction and collaboration with the Co-Location Site Service Delivery Entities will co-locate into a single rural site location at least three (3) service delivery entities. Also see Section 2. 02 Definitions �Co-Location Sites�.

Sites cannot be a few blocks from each other to qualify for this procurement. Jul 27, 2026 3:15 PM Must the three Service Delivery Entities remain independent and unaffiliated throughout the full five-year contract term to retain priority points, or is affiliation determined at the time of application?

Specifically, if one Service Delivery Entity is acquired by the Co-Location Site Lead during the term, does that acquisition affect the priority points awarded at application, or create any eligibility or compliance concern? Service delivery entities do not need to remain independent and unaffiliated throughout the full five year contract term to retain priority points assigned at the time of application.

Any future acquisitions would need to be reviewed with the Agency at that time to ensure compliance with all grant requirements. Jul 27, 2026 3:16 PM Section 1. 01 awards priority points when no two of the three Service Delivery Entities are "affiliated with or managed by the same organization."

How does the Agency define affiliation for this purpose? As a specific example: the applicant is a hospital, and a proposed Service Delivery Entity is a separate 501(c)(3) with its own independent board of directors. The two organizations share one individual who holds a leadership role at the applicant and also serves as a board member of the separate entity.

Would these two organizations be considered affiliated or managed by the same organization? Two organizations would be considered to be affiliated with or managed by the same organization if they have a common parent organization and/or Management Services and Affiliation Agreements.

Additionally, organizations that are separate branches of the same company (for example, a for-profit branch and a non-profit foundation) would be considered to be managed by the same organization. The agency does not have enough information from the question submitted to make a formal determination regarding this specific situation.

Jul 27, 2026 3:17 PM The RFP lists eligible service delivery entity types and separately references coordination with school-based initiatives. Can a school or school district serve as one of the three counted Service Delivery Entities at a Co-Location Site, or are schools intended only as external referral and coordination partners?

A school or school district may count as one of the three Service Delivery Entities if the applicant demonstrates that it meets the RFP�s definition of a Co Location Site Service Delivery Entity�meaning committed to reducing chronic disease and providing services at a single rural site.

Because the RFP allows Service Delivery Entities to include, but not be limited to, a wide range of healthcare and social service organizations, schools may qualify when they fulfill the minimum requirements identified in Section 2. 03 Scope of Work. If they do not meet all of those requirements, they should instead be treated as external referral or coordination partners.

Jul 27, 2026 3:19 PM The RFP requires that all Co-Location Sites exchange data through Iowa's Health Information Exchange. How does this requirement apply to non-clinical Service Delivery Entities, such as fitness, food access, or other non-medical partners, that are not traditional HIE participants?

Is it sufficient for the medical entity to maintain the HIE connection while non-clinical partners share data through other consented mechanisms? The Iowa Health Information Exchange (HIE) is a secure, statewide network that enables healthcare providers, payers, public health agencies, and other entities to share health information across different organizations and systems.

Its purpose is to improve care coordination, quality, and efficiency by ensuring that accurate and timely information is available to those involved in a patient�s care.

Providers of non clinical services will be expected to work with Co Location Site Lead and Co-Location Site Service Delivery Entities to share appropriate information (with patient consent) so that both clinical and non clinical members of the care team can support all aspects of the client�s health needs.

The functionality of the Iowa Health Information Exchange is expanding through the Rural Health Transformation Program and Iowa HHS will work collaboratively with awardees of this procurement to use new features for collecting non-clinical data.

Jul 27, 2026 3:20 PM If an applicant proposes a co-location site at a clinic that is newly opening around the same time as the contract start, does that qualify as "establishing a new Co-Location Site" or as "expanding an already established" one? Refer to Section 1.

03 Eligibility Requirements for the descriptions of �Establish a new Co-Location Site� and �Expand an already established Co-Location Site,� and apply the specific criteria outlined in each to make the appropriate determination. Considerations in RFP Section 2. 04.

B Cost Restrictions may also help clarify whether a proposal qualifies as establishing a new site or expanding an existing one. Aug 3, 2026 11:27 AM For purposes of the priority points awarded when only one service-delivery entity provides medical care through an Iowa-licensed medical practitioner, are licensed dietitians, dentists, or dental hygienists considered �Iowa-licensed medical practitioners�?

Specifically, would onsite nutrition services provided by a licensed dietitian or preventive dental screenings performed or supervised by licensed dental professionals cause those partner entities to be counted as providing medical care? A licensed medical practitioner for this RFP is considered an individual who is legally licensed to practice medicine in the state of Iowa.

As related to the example listed in the question, licensed dietitians, dentists, or dental hygienists are not considered licensed medical practitioners as they do not practice medicine.

Aug 5, 2026 3:35 PM For entities that have established some of these community partnerships/relationships already based on community and patient need/interest, does it feel like a disadvantage to those entities when completing the application as those established relationships don't receive priority points?

Priority Points are intended to encourage consideration of engaging partnerships from diverse service delivery entities as well as creating new availability in communities. The RFP does not preclude applicants from choosing to partner with entities from the same affiliation or providing �like-kind� services if they wish to do so. Aug 6, 2026 8:56 AM May the Site Lead use a subcontractor to fulfill a portion of the required 1.

0 FTE project coordinator role, with Site Lead staff and the subcontractor together meeting the full 1. 0 FTE requirement, provided the Site Lead retains full responsibility for the grant contract and a Site Lead employee serves as the primary contact for Iowa HHS? "Yes, The Co-Location Site Lead may subcontract for personnel to fulfill a portion of the required 1.

0 FTE project coordinator role. The individual(s) who will serve in the project coordinator role must be clearly identified and documented in the application. Pursuant to Section 2.

12. 9 of the General Conditions for Service Contracts effective July 1, 2026, The Contractor shall notify the Agency in writing of all subcontracts relating to Deliverables to be provided under this Contract prior to the time the subcontract(s) become effective. The Agency reserves the right to review and require modifications all subcontracts.

The Contractor may enter into these contracts to complete the project provided that the Contractor remains responsible for all Deliverables provided under this Contract. All restrictions, obligations, and responsibilities of the Contractor under this Contract shall also apply to the subcontractors and the Contractor shall include in all of its subcontracts a clause that so states.

The Agency shall have the right to request the removal of a subcontractor from the Contract for good cause." Aug 6, 2026 12:47 PM May an applicant charge the reasonable, allocable portion of an organization-wide professional liability insurance premium attributable to physician FTE assigned to approved, non-billable Co-Location activities?

The policy is renewed electronically and may provide a total group premium rather than separate invoices for each covered provider. If allowable, will an online renewal confirmation, proof of payment, policy and provider schedule, insurer- or broker-supported premium information, and an FTE allocation worksheet be sufficient documentation?

Please also clarify the appropriate budget category and whether the expense should be classified as administrative or non-administrative. Pursuant to RFP Section 2. 04(B)(3)(f), contractors must follow all funding restrictions and requirements within documentation for the Centers for Medicare and Medicaid Services Rural Health Transformation Program, CMS-RHT-26-001, including that funds cannot supplant existing sources of funding.

The Agency anticipates that providers would already have liability insurance and in that case, this would not be an allowable cost under this RFP. In the event that this is a new cost and is needed to provide the services described within the RFP, this may be an allowable cost if applicants ensure they are following all cost principles of 2 CFR Part 200, especially 2 CFR Part 200. 400.

Funds must be reasonable, allocable, and specific to the project. If this is a new cost and required to complete the work and services of this RFP, applicants should put this cost under "other" within the application budget and considered administrative OR under indirect if these costs are already considered within the applicant's approved indirect rate and costs.

All budgets and uses of funds will be submitted to CMS following awarding and prior to issuing a contract. This would be reviewed by CMS at that time. The Agency will discuss appropriate documentation for receiving approval of invoices and payment following the awarding of contracts.

Aug 6, 2026 12:48 PM Under Sections 2. 04(D) and 3. 02.

6(A)(2), may an applicant that owns the proposed Co-Location Site charge a reasonable, documented share of actual utilities, routine maintenance, janitorial, security, property insurance, and similar occupancy expenses attributable to space dedicated to the project? If allowable, should these costs be reported as direct Other costs or indirect costs, and is allocation based on dedicated project square footage acceptable?

A reasonable, documented share of utilities, routine maintenance, janitorial, security, and similar occupancy expenses may be allowable as long as the costs directly support the project and conforms to the contract terms and conditions. Applicants must ensure all cost principles of 2 CFR Part 200 are met. Funds from this contract may not supplant existing State, local, tribal, or private funding.

Funds must be reasonable, allocable, and specific to the project. Awardees of this RFP may recover both direct and indirect costs. It is possible these types of expenses may be included in the Subcontract, Other, or Indirect Costs line item depending on the applicant's structure.

All budgets and uses of funds will be submitted to CMS for review and approval following awarding and prior to issuing a contract. These use of funds would be reviewed by CMS at that time and CMS will have the final determination as to the appropriateness of the costs.

Aug 6, 2026 12:48 PM If the applicant is an independent 501(c)(3) organization that does not have a current federally negotiated indirect cost rate and elects the 15% de minimis rate under 2 CFR 200. 414(f). May the applicant calculate indirect costs using the 15% de minimis rate but limit the amount requested so that combined direct and indirect administrative costs do not exceed the RFP�s 10% administrative-cost cap?

What documentation should be submitted to support use of the de minimis rate? Administrative costs may be recovered up to 10% of the total budget as direct costs, indirect costs, or through an approved indirect cost rate methodology or by using the de minimis rate under 2 CFR 200. 414(f).

Administrative costs must be allowable, allocable, reasonable, necessary, and specifically identifiable to the project. For eligible organizations electing to use the de minimis indirect cost rate, the rate is applied to Modified Total Direct Costs (MTDC). MTDC excludes certain cost categories, including equipment, capital expenditures, and other costs identified under federal regulations.

For eligible organizations electing to use the de minimis rate, the organization should state that they do not have a federally negotiated indirect cost rate and the organization is electing to use the de minimis rate. The Agency may request additional documentation to justify these costs following the awarding of contracts to successful applicants.

Aug 7, 2026 1:52 PM The RFP states that minor renovations and alterations are limited to 20% of the total approved budget within each budget year, while Section 2. 04(B) also states that such costs may not exceed 20% of the total Contract amount.

Because renovations must be completed by December 31, 2027, may an applicant budget renovation costs totaling up to 20% of the four-year Contract amount in Years 1 and 2, or is the applicant limited to 20% of the separately approved budget for each of Years 1 and 2? Applicants must limit minor renovations and alterations to up to 20% of the budget for each budget year.

All minor renovations are subject to Agency and CMS review and approval. Aug 8, 2026 6:02 AM Can the co-location site change during the grant period? A larger space will become available estimated in year 2 that would allow us to see more people and we would transition to that as the co-location site.

The Co-Location Site may relocate with prior notification and approval from the Agency; however, all service activities, scope of work, and deliverables must continue without interruption and comply with contract terms and conditions.

The applicant must clearly note and explain this planned relocation at the beginning of the project and no contract funds should be used for any minor renovations or equipment costs in years 1 and 2 that will knowingly not benefit the program in future years following any relocation of the co-location site. Aug 8, 2026 6:03 AM Can rent be prepaid in year 1 instead of over the course of 4 years?

No, funds may not be used to prepay rent in advance. Awardees of this RFP must follow 2 CFR Part 200, specifically 2 CFR 200. 305.

Funds may only be claimed to meet the actual, immediate cash requirements of the recipient carrying out this program. Aug 8, 2026 6:09 AM Is it required that all parties do HIE if one entity is providing services that are not clinical.

The Iowa Health Information Exchange (HIE) is a secure, statewide network that enables healthcare providers, payers, public health agencies, and other entities to share health information across different organizations and systems. Its purpose is to improve care coordination, quality, and efficiency by ensuring that accurate and timely information is available to those involved in a patient�s care.

Providers of non-clinical services will be expected to work with Co-Location Site Lead and Co-Location Site Service Delivery Entities to share appropriate information (with patient consent) so that both clinical and non-clinical members of the care team can support all aspects of the client�s health needs IF the Iowa Health Information Exchange has the functionality to accept these data feeds.

The functionality of the Iowa Health Information Exchange is expanding through the Rural Health Transformation Program and Iowa HHS will work collaboratively with awardees of this procurement to use new features for collecting non-clinical data as they become available. Aug 8, 2026 6:14 AM Pg 30 of the RFP: m.

Affirm at least one CHW per Co-Location Site will receive specialized training as directed by HHS in Medicare and Medicaid benefit enrollment to support dually eligible individuals. To confirm, only one of the two required CHWs must receive this training? Correct, per Section 2.

03 B. 1. m.

at least one CHW per Co-Location Site will receive specialized training as directed by HHS in Medicare and Medicaid benefit enrollment to support dually eligible individuals. Aug 9, 2026 9:57 AM Can the lead site pay rent to one of the other entities? For this question, we are interpreting that the statement �other entities� refers to the designated Service Delivery Entities.

In that context, yes�the Co‑Location Site Lead may rent space from one of the other two Service Delivery Entities within the Co‑Location Site. Aug 9, 2026 10:01 AM If the Co-Location Site is owned by Entity 2, is the Co-Location Site Lead able to pay rent to Entity 2 and include that in the budget as a cost for reimbursement?

Yes, the Co‑Location Site Lead may rent space from one of the other two Service Delivery Entities within the Co‑Location Site. Reimbursements must be clearly identified in the budget. The Agency will work collaboratively with any successful applicant for which this situation applies to ensure that this is represented in budget documents appropriately and is only billed to grant funds once.

Aug 10, 2026 9:45 AM Would vouchers for healthy meals be an allowable expense in the budget? For example, exercise and earn a voucher to redeem for a healthy meal. This may be an allowable cost if specifically approved as part of an approved project plan and budget.

Final decisions on allowability would need to occur following the submission of a complete project plan and budget and following approval from CMS. For the purposes of submitting applications and budgets, applicants may add these costs into project plans and budgets with details and justification. The Agency does not have enough information at this time to make a final determination regarding allowability of these costs.

Aug 10, 2026 12:09 PM If one of the three designated Service Delivery Entities provides services through a mobile delivery model, is there a minimum or expected frequency for providing services at the Co-Location Site? For example, may a mobile provider deliver services on scheduled days while referrals, scheduling, and care coordination remain available through the Co-Location Site throughout the week?

It is the expectation that the three Service Delivery Entities will operate at a single rural Co-Location Site. Mobile providers and mobile clinics do not contribute toward the required number of co-located Service Delivery Entities.

While the RFP does not preclude a Service Delivery Entity from providing services at an additional location or through a mobile service model using alternative funding streams, such approaches must supplement�not replace�the delivery of services required at the Co-Location Site.

Aug 10, 2026 12:10 PM Does the Agency expect all personnel included in the project budget to be physically located at the Co-Location Site full-time, or may staff divide their time between the Co-Location Site and other service locations when supporting referrals, care coordination, patient navigation, and implementation of the approved Scope of Work?

"The Agency does not require all personnel included in the project budget to be physically present at the Co-Location Site on a full-time basis, but the Agency will only pay for staff time through this project for services provided physically at the co-location site or as telehealth encounters for patients originating at the co-location site.

Staff may divide their time between the Co Location Site and other authorized service locations if their time at other locations is paid through other sources of funds. However, any allocation of staff across multiple locations must ensure that workflow processes and service delivery at the Co-Location Site remain fully supported and are not impeded in any manner.

Furthermore, the Agency expects clients to receive care at a single, centralized Co Location Site, and requires consistent levels of staffing to be maintained at the Co-Location Site to ensure effective and uninterrupted service delivery. The Agency will not reimburse through this contract for direct patient care provided physically at a site other than the co-location site.

The Agency reserves the right to require changes to project plans and budgets prior to approval and all activities and uses of funds are subject to both Iowa HHS and CMS approval. Exception for Scheduling Personnel: The Agency recognizes that certain administrative functions, such as centralized scheduling, may occur outside the physical Co‑Location Site when doing so improves coordination across service delivery entities.

For example, a Co‑Location Site Lead may manage scheduling through a master centralized system housed within a larger clinic that supports appointment coordination for all three service delivery entities in an integrated electronic workflow.

In such cases, staff responsible for scheduling may perform their duties offsite provided they can document and track their time specifically attributed to supporting scheduling functions for the Co‑Location Site, and such documentation is maintained in accordance with all program and federal grant requirements.

Only the portion of their time directly tied to the Co‑Location Site�s scheduling operations will be eligible for reimbursement" Aug 10, 2026 12:10 PM The RFP requires at least two (2) Community Health Workers. May the required CHW FTEs be fulfilled through multiple employees whose combined effort equals the required staffing level, or does the Agency expect two individually dedicated CHW positions?

The CHW positions may be fulfilled through multiple employees whose combined workforce efforts equate to the required staffing of 2. 0 FTEs. Aug 10, 2026 12:10 PM May licensed clinical staff (e.g., registered nurses) who are trained as Community Health Workers fulfill Community Health Worker responsibilities under this project, provided they meet applicable CHW training requirements and perform the required CHW functions?

"If a registered nurse or other clinical staff member is serving in that capacity within this project, they may not also serve as the required community health worker to meet that requirement. Assigning clinical staff members to CHW duties may not represent the most effective use of their licensure, skills, or expertise.

The CHW role is designed as a distinct tier of practice focused on outreach, engagement, and navigation, which differs from the clinical functions performed by licensed personnel.

While upskilling non‑clinical staff to serve as CHWs is appropriate when all CHW training and competency requirements are met, staff performing multiple job functions must have their time and associated costs clearly delineated to ensure proper role clarity and compliance. The CHW positions may be fulfilled through multiple employees whose combined workforce efforts equate to the required staffing of 2. 0 FTEs."

Aug 10, 2026 12:10 PM Section 2. 03. B (Scope of Work) includes allowable staffing approaches such as cross-training existing employees into new roles (including Community Health Workers) and implementing shared staffing approaches across sites.

However, Section 2. 04. B (Cost Restrictions) states