Problematic Sexualized Behavior Psychiatric Medical Institution for Children (PSB-PMIC)
| Location: | Iowa |
|---|---|
| Posted: | Jun 4, 2025 |
| Due: | Dec 31, 2025 |
| Agency: | State Government of Iowa |
| Type of Government: | State & Local |
| Category: |
|
| Solicitation No: | MEDIOMC26011 |
| Publication URL: | To access bid details, please log in. |
Bid Information
Bid Number
MEDIOMC26011
Solicitation
Problematic Sexualized Behavior Psychiatric Medical Institution for Children (PSB-PMIC)
Solicitation Type
Request for Proposals
County
Polk
Description
Description
The Iowa Department of Health and Human Services (Agency) seeks proposals from qualified Psychiatric Medical Institutions for Children (PMICs) in Iowa to provide trauma-informed, evidence-based care for Medicaid-eligible Youth with complex behavioral health needs, specifically those with Problematic Sexualized Behavior (PSB). Many youths with PSB have experienced significant trauma, abuse, or neglect and may have intellectual or developmental disabilities contributing to maladaptive behaviors. Due to current system limitations, families often resort to seeking CINA (Child in Need of Assistance) adjudication to access residential treatment. This program aims to address that gap by providing access to care without requiring custody relinquishment.
The enhanced PMIC program will offer:
• A highly structured, therapeutic environment tailored to Youth with complex presentations.
• In-state treatment that supports families’ involvement and maintains continuity of care.
• Multidisciplinary, trauma-informed interventions that foster long-term stability and community reintegration.
The Issuing Officer is the sole point of contact regarding the RFP from the date of issuance until selection of the successful Bidder(s). The Issuing Officer for this RFP is:
Jennifer Zepeda
Lucas State Office Building
321 E 12th Street
Des Moines, IA 50319
Phone: 515-829-5667
rfpmediomc26011@hhs.iowa.gov
Agency Information
Number
401
Name
Department of Health and Human Services
Address 1
1305 E Walnut ST
Address 2
City/State/Zip
Des Moines, IA 50319
Contact Information
Contact Name
Jennifer Zepeda
Contact Title
Contract Manager
Contact Email
Contact Phone Number
(515) 829-5667
Contact Phone Extension
Contact Other Number
Contact Fax Number
Valid Dates
From
6/4/2025 10:21:00 AM
Until
12/31/2025 10:21:00 AM
Documents/Attachments
Attachment Preview
MED-25-015
PSB-PMIC
REQUEST FOR PROPOSAL (RFP)
Problematic Sexualized Behavior
Psychiatric Medical Institution for Children
(PSB-PMIC)
RFP# MEDIOMC26011
Page 1 of 45
Jennifer Zepeda
Lucas State Office Building
321 E 12th Street
Des Moines, IA 50319
Phone: 515-829-5667
rfpmediomc26011@hhs.iowa.gov
MED-25-015
PSB-PMIC
RFP Purpose.
The Iowa Department of Health and Human Services (Agency) seeks proposals from qualified
Psychiatric Medical Institutions for Children (PMICs) in Iowa to provide trauma-informed,
evidence-based care for Medicaid-eligible Youth with complex behavioral health needs,
specifically those with Problematic Sexualized Behavior (PSB).
Target Youth will typically range from 12 to 16 years of age at admission with high-acuity
behavioral health conditions and/or co-occurring diagnoses. The Agency reserves the right to
modify age and gender parameters based on emerging needs, contingent upon licensing and
legal requirements.
Selected PMICs will support the following State goals:
Prioritize short-term, family-focused treatment.
Expand access for Youth, regardless of system involvement.
Reduce emergency department and psychiatric hospital utilization.
Deliver trauma-informed, evidence-based, individualized care.
Support treatment across a continuum of services.
Coordinate with families, schools, and case managers.
Build strong community support networks.
This RFP outlines mandatory provider qualifications but permits the Agency discretion in
determining the number of selected panel providers and enhanced funding beds, based on
budget availability under enhanced and general Medicaid allocations. Enhanced beds must
supplement, not replace, existing PMIC capacity in Iowa.
The Agency will select qualified providers for a closed panel of PMICs specializing in the
treatment of Youth with PSB. Panel membership authorizes enrolled Medicaid Managed Care
Organizations (MCOs) to contract with selected providers at an enhanced fee schedule to serve
Iowa HHS approved youth. Inclusion on the panel does not guarantee referrals, funding, or
service volume.
Regulatory Compliance.
Contractors must adhere to federal and state laws and regulations, including, but not limited to:
Iowa Code Ch. 135H (Licensure and Regulation of PMIC Facilities)
42 C.F.R. §441.151–156 (Medicaid Reimbursement for Psychiatric Residential
Treatment Facilities)
HIPAA (45 C.F.R. § 164) (Confidentiality and Data Security)
CMS Guidance on Psychiatric Residential Treatment Facilities 42 CFR 441.151 to 42
CFR 441.182, and 42 CFR 483.350 to 42 CFR 483.376
SAMHSA’s Trauma-Informed Care Framework https://www.samhsa.gov/mental-
health/trauma-violence/trauma-informed-approaches-programs
Duration of Panel Appointment.
Page 2 of 45
MED-25-015
PSB-PMIC
Providers selected through this RFP will be awarded a contract with HHS for the appointment to
a closed panel for a six-year term, unless removed pursuant to the terms of the panel agreement.
Panel members do not constitute a direct service contract with the Agency, but authorizes MCOs
to contract with panel providers for enhanced services under the States’ Medicaid program.
Procurement Timetable
There are no exceptions to any deadlines for the Bidder; however, the Agency reserves the right
to change the dates. Times provided are in Central Time.
Event
Date
Agency Issues RFP Notice to Targeted Small Business Website June 2, 2025
(48 hours):
Agency Issues RFP to Bid Opportunities Website
June 4, 2025
Bidder Letter of Intent to Bid Due By
June 12, 2025, 3:00 p.m.
Bidder Written Questions Due By
Date and Time for
Questions: June 12, 2025,
3:00 p.m.
Agency Responses to Questions Issued By
Date for Responses:
June 20, 2025
Bidder Proposals and any Amendments to Proposals Due By July 14, 2025, 3:00 p.m.
Agency Issues Notice of Intent to Award
August 15, 2025
Contract Negotiations and Execution of the Contract Completed September 1, 2025
Anticipated Start Date for the Provision of Services
October 1, 2025
Page 3 of 45
MED-25-015
PSB-PMIC
Section 1 Background
1.1 Background.
The State of Iowa is dedicated to ensuring Youth with complex and challenging behavioral health
needs, particularly those exhibiting Problematic Sexualized Behavior (PSB), can access
appropriate, evidence-based residential treatment without requiring child welfare or juvenile
justice involvement.
Residential treatment must not serve as a long-term placement solution but rather provide short-
term, intensive support aimed at clinical stabilization and family reunification. Integrated
treatment planning should guide all clinical interventions.
Many Youth with PSB have experienced significant trauma, abuse, or neglect and may have
intellectual or developmental disabilities contributing to maladaptive behaviors. Due to current
system limitations, families often resort to seeking CINA (Child in Need of Assistance)
adjudication to access residential treatment. This program aims to address that gap by providing
access to care without requiring custody relinquishment.
The enhanced PMIC program will offer:
A highly structured, therapeutic environment tailored to Youth with complex
presentations.
In-state treatment that supports families’ involvement and maintains continuity of care.
Multidisciplinary, trauma-informed interventions that foster long-term stability and
community reintegration.
Selected providers must accept referrals statewide, offering services regardless of a Youth’s
county or system involvement. Iowa HHS will retain authority over Youth placement approvals,
treatment oversight, and funding determinations in collaboration with Iowa Medicaid Managed
Care Organizations (MCOs).
1.1.1 Target Population
Youth ages 12 to 16 at admission (age parameters may be adjusted).
Diagnosed with PSB and possible co-occurring behavioral health, trauma-related, or
developmental conditions requiring intensive out-of-home treatment.
May exhibit behaviors related to trauma exposure (e.g., abuse, neglect, domestic
violence, exploitation).
Services should allow families to remain intact whenever safely possible.
1.2 RFP General Definitions
When appearing as capitalized terms in this RFP, including attachments, the following quoted
terms (and the plural thereof, when appropriate) have the meanings set forth in this section.
Page 4 of 45
MED-25-015
PSB-PMIC
“Agency” means the Iowa Department of Health and Human Services.
“Bid Proposal” or “Proposal” means the Bidder’s proposal submitted in response to the RFP.
“Bidder” means an entity that submits a Bid Proposal in response to this RFP.
“Contractor” means a Bidder who enters into a Contract as a result of this Solicitation.
“Deliverables” means all of the services, goods, products, work, work product, data (including
data collected on behalf of the Agency), items, materials and property to be created, developed,
produced, delivered, performed, or provided by or on behalf of, or made available through, the
Contractor (or any agent, contractor or subcontractor of the Contractor) in connection with any
contract resulting from this RFP.
“Invoice” means a Contractor’s claim for payment. At the Agency’s discretion, claims may be
submitted on an original invoice from the Contractor or may be submitted on a claim form
accepted by the Agency, such as a General Accounting Expenditure (GAX) form.
"State” means the State of Iowa.
1.2.1 Definitions Specific to this RFP.
When appearing as capitalized terms in this RFP, including attachments, the following quoted
terms (and the plural thereof, when appropriate) have the meanings set forth in this section.
“Bidder Qualification Attestation Packet” means the required set of forms, attached as
Attachment I, in which the Bidder certifies compliance with specific qualification criteria outlined
in the RFP, including staffing requirements, evidence-based service delivery, treatment
protocols, training, and supervision standards. The completed, signed packet must be submitted
with the Technical Proposal.
“Problematic Sexualized Behavior” or “PSB” means behavior displayed by Youth that
involves sexual body parts or acts, is outside their expected developmental stage, and causes
harm to self or others. These behaviors tend to be minimally responsive to adult redirection;
involve negative emotionality like feelings of fear, shame, or anger; occur between Youth of
disparate ages, sizes, or abilities; and may include force or coercion to involve other children in
the behavior.
“Psychiatric Medical Institution for Children” or “PMIC” means a facility licensed in
accordance with the requirements set forth in Chapter 134H of the 2024 Iowa Acts.
“Youth” means any person under the age of 18 years old.
1.3 Scope of Work
1.3.1 Deliverables.
The Contractor shall provide services which include, but may not be limited to, the following:
1.3.1.0. Medicaid Enrolled Provider and Contractor Certifications
Page 5 of 45
This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.
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