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New Jersey Department of Children and Families Policy Manual

 

Manual:

CP&P

Child Protection and Permanency

Effective Date:

Volume:

V

Health Services

Chapter:

A

Health Services

12-3-2007

Subchapter:

2

Medicaid

Issuance:

600

Medicaid Coverage for IV-E Children Moving Out of or Into New Jersey

 

 

POLICY         2-14-2005

 

Home state must provide Medicaid -- a child who is certified as eligible for Title IV-E maintenance payments must receive Medicaid from the state in which he resides, pursuant to Federal Law P.L. 99-272.  This applies to IV-E eligible children placed in licensed resource family homes, residential facilities, or in pre-adoption and finalized adoption homes receiving subsidy payments.

 

Note: Only Medicaid coverage is affected by this policy; all New Jersey IV-E cases which have moved out-of-state continue to remain open on the system as a case, and continue to receive board payments from New Jersey.

 

See CP&P-V-A-2-700 for out-of-state Medicaid policy and procedures for children who are not IV-E eligible.

 

IV-E CHILDREN MOVING OUT OF NEW JERSEY INTO A LICENSED RESOURCE FAMILY HOME, RESIDENTIAL FACILITY OR PRE-ADOPTION PLACEMENT                                          2-14-2005

 

Responsibility

Action Required

LO Worker/LO Resource Family Support Worker or Adoption Worker

 

1.    IV-E Eligibility Certification -- Identify whether the child moving out of New Jersey is certified as IV-E eligible.

 

Interstate Services Unit

 

2.    If the child is IV-E eligible -- facilitate the child's receipt of Medicaid in the new state by coordinating with the equivalent unit in the receiving state to ensure the child receives Medicaid there

 

Note: Children who are IV-E eligible and move out of state while living with a non-licensed (usually a friend or relative) caregiver will not be assisted by the CP&P Interstate Services Unit regarding their receipt of Medicaid in the new state.  The Local Office is responsible for indicating the medical and financial plans at the time of their request to the Interstate Services Unit.

 

Medicaid Coverage for IV-E Adoption with Subsidy Children Moving Out of or into New Jersey            12-3-2007

 

Purpose and Authority     12-3-2007

 

This policy explains how the Department of Children and Families (DCF) complies with the mandates set forth by the Interstate Compact on Adoption and Medical Assistance (ICAMA), of which New Jersey is a member.  The purpose of ICAMA is to ensure continued medical coverage and other support services for children who are adopted or pre-adoptive and move across state lines with their families.

 

A child certified as eligible for Title IV-E maintenance payments receives Medicaid from the state in which he or she resides, pursuant to Federal Law P.L. 99-272.  This applies to Title IV-E eligible children placed in pre-adoption and finalized subsidy adoption homes, where a subsidy agreement is in place.

 

Only Medicaid coverage is affected by this policy.  All New Jersey Title IV-E eligible children who move out of state continue to receive board payments from New Jersey.

 

Click here to view a list of member states as of March 2014.

 

Relevant websites:

 

              http://icpc.aphsa.org/.

 

              https://www.childwelfare.gov/topics/adoption

 

Definitions    12-3-2007

 

The following definitions are taken from ICAMA:

 

"Adoption Assistance" is financial assistance provided to adoptive parents to assist in meeting the child's special needs.

 

"Adoption Assistance Agreement" is an agreement between the adoptive parents and a state, agency, or subdivision thereof, in accordance with which the adoptive parents are to receive financial assistance and services on behalf of a child with special needs.

 

"Adoption Assistance State" is the state that is the signatory to an Adoption Assistance Agreement on behalf of a particular child.

 

"Compact Administrator" is the person in the state who has responsibility for the administration of ICAMA.

 

"Resident State" is the state in which the child lives.

 

Forms            12-3-2007

 

·         Click here to view the ICAMA Form 6.01, Notice of Medicaid Eligibility/Case Activation.

 

·         Click here to view the ICAMA Form 6.02, Notice of Action.

 

·         Click here to view the ICAMA Form 6.03, Report of Change in Child/Family Status.

 

·         The CP&P Form 14-184, Initial Agreement Between the New Jersey Division of Child Protection and Permanency and Adoption Parents Regarding Subsidy Payments (Adoption Assistance Agreement), is now available on-line as well.

 

Finalized Adoption Subsidy        12-3-2007

 

The following procedures apply when a finalized adoption subsidy child moves into or out of New Jersey:

 

·         CP&P Title IV-E Eligibility and Determination Unit:

-       Provides documentation to the Local Office that the child is Title IV-E Eligible.

-       Notifies Interstate Services that the child moved to another state.  Completes ICAMA forms.

 

·         Compact Administrator (when a child from New Jersey is placed out of state):

-     Notifies the new state of residence of the child's eligibility for Medicaid.

-       Sends a completed ICAMA Form 6.01 to the new state of residence along with a copy of the CP&P Form 14-184, showing that the child is eligible for Medicaid.  (See "Note" below.)

-       Informs the adoptive family that the new resident state has been notified.  Sends the family a copy of the ICAMA Forms 6.01 and 6.02.

-       Note: New Jersey's Compact Administrator sends the ICAMA forms to the Adoption Subsidy Unit for completion.  The Adoption Subsidy Unit completes and returns the forms to the Compact Administrator, along with the subsidy agreement.  The Compact Administrator signs the forms and sends them to the receiving state.

·         Compact Administrator (when a child from another state is placed in New Jersey):

      1.  Documents the child's Medicaid eligibility by ensuring that:

a.    ICAMA Form 6.01 is signed and dated.

b.    ICAMA Form 6.01 and CP&P Form 14-184 clearly states that the adopted child is Title IV-E eligible or that eligibility is based on state option (state-funded subsidy programs).

c.    The name and the address of the adoptive parents are provided.

d.    The most current CP&P Form 14-184 is attached.

e.    The child is coming from a Compact Member State.

f.     Demographic information on the child is listed (name, date of birth, and Social Security number).

      2.  Opens a case in each adopted child's name.

 

      3.  Facilitates the issuance of a Medicaid card for the child.  

 

4.  Notifies the Adoption Assistance/Sending State of the child's Medicaid status by sending a copy of the ICAMA Form 6.03.  (Receipt of this form lets the sending state know that medical assistance was provided to the child in the receiving state.)

 

·         New Jersey LO Subsidy Liaison/LO Adoption Worker terminates NJ Medicaid upon confirmation of medical coverage by the other state.

 

Pre-Finalized Adoption Cases    12-3-2007

 

Most states will provide Medicaid to a child in a pre-finalized adoption home when there is:

 

·         An approved adoption home study; and

 

·         A signed subsidy agreement.

 

Note: Medicaid coverage will only begin when the subsidy agreement is signed, effective the date of signature.

 

Some states will only honor finalized adoptions.  The Worker explores this limitation well in advance of the child's move.

 

Finalized Adoption Subsidy Children Moving to Non-ICAMA Party State                      12-3-2007

 

Adoption Assistance Sending State - Compact Administrator:

 

·         Sends a completed ICAMA Form 6.01 to the new state of residence along with a copy of the CP&P Form 14-184, to show that the child is eligible for Medicaid based on Title IV-E eligibility or state option (state-funded subsidy programs).

 

·         Sends the adoptive family a copy of the ICAMA Form 6.01, the original ICAMA Form 6.02, and a copy of the current CP&P Form 14-184 to inform them that the new resident state has been notified that the child should be eligible to receive Medicaid benefits there.

 

·         Makes a follow-up telephone call, once the paperwork is submitted, to ensure the documentation was received and a Medicaid case is being opened.

 

LO Subsidy Liaison/LO Adoption Worker terminates NJ Medicaid upon confirmation of medical coverage by the other state.

 

IV-E CHILDREN MOVING INTO A NJ LICENSED RESOURCE FAMILY HOME, RESIDENTIAL FACILITY OR PRE-ADOPTIVE HOME  2-14-2005

 

Responsibility

Action Required

Interstate Services Unit

 

1.    IV-E eligibility determination -- When children from other states move into New Jersey in a licensed resource family home, residential placement or a pre-adoptive home, the CP&P Interstate Services Unit works with the equivalent unit in the sending state to determine the IV-E eligibility status of the children at the time the case becomes known.

 

LO Worker/LO

Resource Family Support Worker or Adoption Worker

 

2.    If the case comes directly to the Local Office -- the Worker contacts the Interstate Services Unit to refer the case for determination of the child's IV-E status.  Once the child is determined to be IV-E eligible, the Interstate Services Unit coordinates with IT to enroll the child in New Jersey Medicaid.