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.