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  Funding Opportunity Details
 -298781-FY20 1st Five HMDI Implementation RFA
  Family Health
  Application Deadline: 04/16/2019 4:00 PM
Award Amount Range: Not Applicable
Project Start Date: 07/01/2019
Project End Date: 09/30/2020
Award Announcement Date: 05/15/2019
Eligible Applicant: Refer to RFA
Program Officer: Jenny Deeds
Phone: 515-725-7919 x
Categorical Area: Child Health

It is the responsibility of the Applicant to review all attachments listed in the section below, including the Request for Application (RFA).

The issuance of the RFA in no way constitutes a committment by IDPH to award a contract. 

Excerpts from the RFA:

1.01 Purpose

The purpose of this RFA is to provide guidance for current contractors to submit continuation applications to the Iowa Department of Public Health (referred to as Department) to renew service provisions as described by and within the project period established by the RFP #58817001 or #58817008. Services covered by this application include providing development of effective strategies and relationships with primary care providers to increase utilization rates of developmental surveillance and screening tools for children ages birth to 5 years.

1.02 Project and Contract Period

FY20 is the fourth year of a four year project period. The Department expects the contract period to be a 15-month term from July 1, 2019 to September 30, 2020. Continued funding during the defined project period is dependent on approval of the continuation application, contractor performance and compliance with general and special conditions of the contract, availability of project funds, program modifications, or any other grounds determined by the Department to be in the Department’s best interest.

The issuance of this RFA in no way constitutes a commitment by Department to award a contract.

1.03 Eligible Applicants

Applicants must meet each of the following eligibility requirements for consideration. 

Eligible Applicants

Only current contractors are eligible to submit a continuation application under this RFA. Current contractors are listed in RFA.

Electronic Communication Requirements: Applicant is required to maintain and provide to the Department, upon application, a current and valid email account for electronic communications with the Department.

Official email communication from the Department regarding this application will be issued from Applicants are required to assure these communications are received and responded to accordingly.

1.04 Service Delivery Area

Refer to RFP #58817001 or #58817008, for service delivery area parameters. Any changes in the current service delivery area must adhere to these instructions. Any service delivery area changes for this RFA must be agreed to by existing contractors and applicable boards of health, and approved by the Department. Submit requests to Melana Hammond at Written approval must be obtained prior to submitting a continuation application.

1.05 Funding

The source of funding is State funds as appropriated by the Iowa Legislature and Federal Medicaid Reimbursement.

Applicants may apply for up to the amounts per Agency as listed in the Projected Funding Allocation Table in the RFA.

1.06 Schedule of Important Dates (All times and dates listed are local Iowa time.)

The table below lists critical dates in the application and contract award process. Contractors are encouraged to review the entire RFA for detailed information about events, dates, times and sites.



 RFA Issued


March 11, 2019


 Written Questions and Responses


Round 1 Questions Due

Interim Responses Posted by


March 15, 2019

March 26, 2019


Final Questions Due

Final Cumulative Responses Posted by


April 1, 2019

April 8, 2019


 Applications Due

April 16, 2019 by 4:00 pm

 Post Notice of Intent to Award

May 15, 2019


 Click on the File Name to open attachment
Description File Name File Size
A 1st Five Implementation RFA 2020 A 1st Five Implementation RFA 2020.pdf 283 KB
B IowaGrants Registration Instructions B IowaGrants Registration Instructions Updated 2016.pdf 874 KB
C IDPH Application Instruction Guidance C IDPH Application Instruction Guidance 2016.pdf 1.9 MB
D Draft FY20 1st Five Implementation Contract Template D Draft FY20 1st Five Implementation Contract Template.pdf 212 KB
E Draft FY20 1st Five Implementation Review Tool E Draft FY20 1st Five Implementation Review Tool.pdf 153 KB
 Website Links
 Click on the URL to go to website
URL Description 1st Five Developmental Support Handbook IDPH General Conditions
Submitted Date Question Answer
03/12/2019 Do you have a suggestion or reference for FTE or hours it takes to process one referral? Applicants should use their historical data such as referral numbers, time taken to address a referral, or other information available as deemed appropriate and justified in accordance with the RFA. The applicant is responsible to justify the proposed staffing. Refer to Section 2 Staffing or Personnel Requirements, Developmental Support Specialist(s): items #3, and #4: -When the number of referrals per year justifies staffing beyond 1.0 FTE for a Site Coordinator/Developmental Support Specialist, one or more individuals beyond the Site Coordinator, may serve as Developmental Support Specialists (DSS). Staffing must be sufficient to successfully implement the project within the entire service delivery area. This may include subcontracted Developmental Support Specialists. -Justification for the amount of FTE(s) assigned to DSS staffing must be based on an anticipated number of referrals per year per FTE. The anticipated number of annual referrals per FTE must be shown in the budget justification.
03/15/2019 Section 2 Staffing or Personnel Requirements: Please provide clarification regarding "Successful applicants serving small to medium-sized Service Delivery Areas will combine the duties of the Site Coordinator and Developmental Support Specialist so that one individual completes the duties of both roles". How does this impact small to medium sites that currently have a full time Site Coordinator and DSS staff, are those DSS staff to still remain part of the 1st Five budget and team? Per outcomes and evidence of the ABCD II project it was found that successful sites needed to have a dedicated full time 1st Five Site Coordinator. Section 2 impacts sites by allowing and requiring applicants to determine and submit justification for proposed staffing necessary to fulfill project requirements within specified limits as stated in the RFA. If the site’s current staffing plan of 1.0 FTE Site Coordinator is sufficient and justified, no changes to the staffing plan are necessary. For sites that have indicated that a full 1.0 FTE is not necessary to perform the requirements of the Site Coordinator in Section 2, the remaining FTE above the Site Coordinator duties shall be used for DSS before hiring additional DSS staff.
03/15/2019 Section 2 The Developmental Support Specialist: Please provide guidance on how to calculate for #4 "the anticipated number of annual referrals per FTE must be shown in the budget justification". It is the applicant’s responsibility to anticipate the number of annual referrals and the budget needed to address those referrals. Sites may consider historical referral numbers and staffing to successfully support those referrals. Proposed activities in the provider relationships form and work plan annual goals and objectives must align with referral projections and staffing justification.
03/15/2019 Section 2.01 Scope and Description of Services: Please clarify "If children or families need more intensive case management, they should be referred to another agency or program (such as Child Health Specialty Clinics) for those services." If 1st Five has tried to refer those higher risk/need children on to programs such as CHSC, PIHH, MCO Case Managers, and they are not eligible due to reasons like: too high risk/complexity, not Medicaid eligible, no diagnosis or not SED, or unavailability of MCO Case Managers; how should this be documented or what standardized statewide 1st Five program operational protocol is available? 1st Five is designed to serve children with less intense needs, for example, those who may only need preventive care and those who are identified as at-risk or in need of “low-level” interventions. The cases described in this question should be addressed on a case-by-case basis and documented appropriately as outlined in the TAV protocol per the 1st Five TAV Operations Manual.
03/15/2019 Section 2.01 The Site Coordinator: Please provide further specific guidance regarding the Site Coordinator role #6 on eligible Medicaid Match infrastructure activities "Is budgeted at and spends a minimum of 0.40 FTE on infrastructure duties and increased portions of FTE for infrastructure duties as needed to complete these required activities throughout the service delivery area up to a full 1.0 FTE". The minimum requirement for the 1st Five Site Coordinator is to spend at least 0.4 FTE on infrastructure building activities. Based on experience and historical data, the 1st Five Site Coordinator may be between 0.4 FTE and 1.0 FTE. The amount of FTE allocated to infrastructure building activities should align with the submitted work plan and provider relationships forms. Please refer to section 2.01 Requirements for the 1st Five Initiative, second paragraph items 1 - 3 for a full description of infrastructure building services.
03/19/2019 The listing of possible funding for 070120 - 093020 is causing confusion for workplans and budgets. Please clarify- for this application that is due April 16, 2019, we are submitting budgets and workplans for 070119 - 063020; yes or no. Applicant’s shall complete the budget for the period from July 1, 2019 through June 30, 2020. Additional funds may be provided for the July 1, 2020- September, 30, 2020 period through an amendment next year. Applicant’s shall complete the Provider Relationship Form and Work Plan Forms for the entire contract period from July 1, 2019 through September 30, 2020. Provide timelines as appropriate for listed activities.
03/28/2019 In the Contract, Article XI - Additional Conditions, Number 4, "Expected use of the pre-packaged 1st Five Outreach Tool Kits for provider engagement": What is the pre-packaged 1st Five Outreach Tool Kit? And where can it be found? The pre-packaged toolkit is a possibility for the contract period, so it is mentioned in the Draft Contract, but it is not available yet. The Draft Contract Template included is for reference only and is subject to change at the sole discretion of the Department.
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