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Frequently Asked Questions (FAQs)

FAQs on title XIX Medicaid and title IV-E adoption assistance

1. Is it mandatory for a child to receive Medicaid if the child is eligible for title IV-E adoption assistance? (Is the same true for a child eligible for state-funded adoption assistance?
2. Are title IV-E recipients eligible for Medicaid in all states?
3. Can a State require a title IV-E eligible child to complete a Medicaid application before providing Medicaid services/issuing a Medicaid card?
4. Can an adoption assistance eligible child maintain more than one Medicaid card?
5. Is it necessary for an adoption assistance maintenance payment to be made on behalf of a title IV-E adoption assistance eligible child in order for the child to receive Medicaid?
6. Which state is responsible for providing Medicaid when a title IV-E adoption assistance eligible child is placed in a Residential Treatment Facility (RTF) outside the state in which they usually reside? (Does the same answer apply for a child eligible for state-funded adoption assistance?)
7. Is a new state of residence required to provide a particular Medicaid service to a child eligible for title IV-E adoption assistance because the child received the service under the Medicaid program in a previous state of residence?
8. What is EPSDT?
9. If a child is Medicaid eligible in one state and moves to another state in which they are Medicaid ineligible, can the child receive a Medicaid service in the new state if the service is deemed medically necessary under EPSDT?
10. Can Medicaid be terminated for a title IV-E adoption assistance eligible child if a family does not complete a redetermination of adoption assistance eligibility?
11. Can Medicaid be terminated or suspended if a state attempts to withhold title IV-E adoption assistance payments while a child is in a Residential Treatment?
12. Is it possible for a title IV-E adoption assistance eligible child to receive Medicaid past the age of eighteen?
13. Does Medicaid eligibility end if a title IV-E adoption assistance eligible child’s adoptive parent(s) dies, or the adoption dissolves?
14. Does a child’s Medicaid eligibility continue if a child whose adoptive parent(s) die (or the adoption dissolves) is placed with an aunt and uncle who were made legal guardians under the deceased parent’s will?
15. Which state is responsible for providing Medicaid to a title IV-E eligible child if the child’s adoption dissolves while s/he is living outside the adoption assistance state— the adoption assistance state or the state in which the child currently lives?
16. Can an Interstate Compact on Adoption and Medical Assistance (ICAMA) member state require documentation of the title IV-E eligibility determination made by the adoption assistance state in addition to the ICAMA 6.01 form before providing Medicaid in an interstate case?
17. Which state is responsible for the provision of Medicaid while a title IV-E adoption assistance eligible child is visiting relatives out-of-state?


Complete Medicaid and title IV-E adoption assistance—FAQs.

FAQs on title XIX Medicaid and state-funded adoption assistance

1. Is Medicaid an automatic benefit of state-funded adoption assistance?
2. Why isn’t Medicaid guaranteed for state-funded adoption assistance eligible children in an interstate situation?
3. What is meant by the term ‘COBRA’ or ‘COBRA option’ in reference to state-funded adoption assistance and Medicaid receipt?
4. What is meant by the term ‘COBRA-reciprocity’ in reference to state-funded adoption assistance and Medicaid receipt?
5. Can an adoption assistance eligible child maintain more than one Medicaid card?
6. If a state-funded adoption assistance recipient is Medicaid eligible in a state, are the Medicaid services available to them the same as those available to a title IV-E adoption recipient?
7. If a child with state-funded adoption assistance agreement is eligible for Medicaid in a new state, can that state require an application for Medicaid be completed?
8. Does ICAMA membership mean that a state offers COBRA-reciprocity?


Complete Medicaid and state-funded adoption assistance—FAQs.

FAQs on General Medicaid Information

1. What is Medicaid?
2. Where can I get information on the Medicaid program?
3. Are all types of medical services available under Medicaid?
4. What is a Medicaid State Plan?
5. What is a Medicaid eligibility group?
6. Can Medicaid be received outside the United States?


Complete Medicaid General Information—FAQs.

FAQs on Adoption Assistance - Basic

1. What is adoption assistance?
2. Do all states offer adoption assistance?
3. What does Title IV-E Adoption Assistance provide?
4. What are the eligibility criteria for title IV-E Adoption Assistance?
5. What is State Adoption Assistance?
6. What does State Adoption Assistance provide?
7. What are the eligibility criteria for State Adoption Assistance?
8. How does adoption assistance work?


Complete Adoption Assistance Basic Information—FAQs.

Updated April 2011