6100 The Interstate Compact on (ICPC)
6200 The Interstate Compact on Adoption and Medical Assistance (ICAMA)
6210 Children Eligible for ICAMA
6310 Transferring Benefits for Eligible Children Who Are Leaving Kansas
6311 Adoption Subsidy Payments
6400 CW/CBS Provider Responsibilities
6500 Requirements of Resource Parents
6510 Notify Local Worker in Sending State
6511 Contact Appropriate Staff in Receiving State
6600 Purchase Limitations and Guidelines
6610 Eligibility for Medicaid Services Through ICAMA
6611 Adoption Subsidy Services Not Covered by Medicaid
6700 Payment Procedures for Services Not Covered
6710 Required Forms and Documentation
6800 Procedures for Out-of-state Children to Be Placed in Kansas
6900 Closing an Interstate Compact Case
Resource parents are not required to live in
the state through which their foster or adopted child came to live with them.
Foster and adopted children from
6100 The Interstate Compact on the Placement of Children (ICPC)
The ICPC is a contractual agreement among
all 50 states, the
ICPC applies to any child being referred out-of-state under court jurisdiction. These placements must receive prior approval of the receiving state. Social work details regarding ICPC are contained in section 9000 of the CFS Policy and Procedure manual.
Practice Note: The Interstate Compact does not
apply when a child is visiting in another state.
If an ICPC request has been initiated on that resource
, then overnight visits may not occur. A visit has a beginning date and an ending
date. The child knows where he or she is returning to upon completion of the
visit. A visit is intended to be for no longer than thirty days. A longer stay
may be considered if it begins within the period of a child’s vacation from
school.
6200 The Interstate Compact on Adoption and Medical Assistance (ICAMA)
ICAMA is an agreement between specific states that allows for the transfer of Medicaid coverage for Title IV-E eligible children receiving foster care or adoption subsidy, if they move to a state included in this agreement. The roster of states included in the Compact will vary from time to time. It is important to contact the ICAMA administrator in CFS central office to ascertain which states are currently members of the compact.
6210 Children Eligible for ICAMA
In order to be eligible for Medicaid through ICAMA, a child must meet the following criteria:
1. Have a Foster or Adoption Subsidy Agreement through a state participating in ICAMA.
2. Be currently living in or intending to move to a state participating in ICAMA.
Upon notification that a
6310
Transferring Benefits for Eligible Children Who Are Leaving
SRS maintains a policy of retaining benefits received on behalf of foster children to recover the SRS foster care expenditures. Children who are placed out-of-state with a relative, the relative is encouraged to become the payee for the child’s benefits.
A. SSI and SSA are interstate programs transferrable from one state to another. SSI and SSA recipients who move with either their foster or adoptive parent to another state, continue to be eligible for these benefits. CFS staff shall notify the local Social Security office of the planned move. The family needs to contact the Social Security office in their new location to become the payee.
B. Veterans, Railroad or other benefits received on behalf of the child are also transferrable to the out of state placements with a relative.
6311 Adoption Subsidy Payments
6400 CW/CBS Provider Responsibilities
Children placed out of state by SRS and a CFS CW/CBS Provider are still the CW/CBS Provider’s responsibility. Foster care maintenance payments shall be directed by the CW/CBS Provider to the Foster Parent’s home, Group Home, or other residential provider in the receiving state.
For children placed with a relative out-of-state, the CFS CW/CBS Provider shall ensure that maintenance is provided for the child through CW/CBS Provider payments, social security benefits, TAF from the receiving state, or an appropriate support option.
6500 Requirements of Foster or Adoptive Parents
In order for the ICAMA process to work smoothly, the parents should take an active role making sure that the appropriate parties in the sending and receiving state are aware of their plans.
6510 Notify Local Worker in Sending State
The parents must, as soon as they are able, notify the local worker in the sending state of their new address and departure date from the sending state.
6511 Contact Appropriate
Staff in
The parents should contact the Social Service office in the new state in order to assure the state is aware of their need for a medical card.
The parents may not use the old Medical card after issuance of a new card by the receiving state. The old card should be surrendered to the receiving state at the time the new card is issued and forwarded to the Medicaid office in that state for cancellation.
6600 Purchase Limitations and Guidelines
6610 Eligibility for Medicaid Services Through ICAMA
Medicaid Services delivered by providers in the receiving state through ICAMA, are dictated by the prevailing Medicaid regulations in that state, with one important exception discussed in section 6611 directly below.
If a child has a valid adoption subsidy agreement in the sending state specifying services not covered under Medicaid in the receiving state, the sending state remains responsible for payment of these services.
6700
Payment Procedures for Services Not Covered by Medicaid in the
When a bill is received for services not covered by the receiving state’s Medicaid program and these services are indicated on the adoption subsidy agreement, CFS staff shall pay the bill.
6710 Required Forms and Documentation
A GS 3465 shall be completed with a copy of the adoption subsidy agreement and the bill attached. Use the applicable adoption subsidy PCA codes.
6800
Procedures for Out-of-state Children to Be Placed in
Upon receiving an ICAMA referral from
another state indicating that a child is moving to
Upon receipt of the ICAMA referral in the SRS office, the CFS worker will facilitate the issuance of a medical card based on the documentation provided. Notification of the effective date of Kansas Medicaid will be sent to the ICAMA administrator to be forwarded to the sending state.
Practice Note: Close coordination should be made
between the two different states to ensure continued Medicaid coverage.
The Kansas ICAMA administrator can assist in identifying which office will
process Medicaid in the new state. This varies from state to state.
6900 Closing an Interstate Compact Case
SRS maintains custody of the child until both states agree to close the case because permanency has been established or the child ages out of the foster care system. When placement is with a relative, SRS must maintain jurisdiction for a minimum of six (6) months. Closure is usually recommended by the state where the child is residing. Both states must concur. SRS should not ask for release of custody without approval from the other state.
Post-placement supervision, by an appropriate agency or person in the receiving state, is provided until both states agree to close the case.
CFS eligibility staff shall wait for the SRS social worker to provide documentation authorizing closure of an interstate case.