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The purpose of this Informational Letter (INF) is to provide guidance to social services districts and voluntary authorized agencies securing Medicaid for children with special needs who are receiving Title IV-E eligible Adoption Assistance or non-Title IV-E eligible State Adoption Subsidy and who are moving across state lines. This includes all Title IV-E eligible children and non-Title IV-E eligible children moving into and out of NYS.
In December 2006, New York State (NYS) became an associate member of the Interstate Compact on Adoption and Medical Assistance (ICAMA). The Office of Children and Family Services (OCFS) and the Department of Health DOH) have jointly agreed to facilitate the provisions of ICAMA. ICAMA provides specific guidelines to states when arranging benefits and services for both Title IV-E eligible and non-Title IV-E eligible children who are receiving federal adoption assistance or State Adoption Subsidy and moving into or out of NYS.
As a result of our membership in ICAMA, NYS children who are receiving state-funded (non-Title IV-E) Adoption Subsidy, while residing in another state, will be eligible to receive Title XIX Medicaid in those ICAMA member states that have agreed to provide reciprocity. Currently there are 51 member states, of which 42 provide reciprocity. (See attached chart.)
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