Adoption Assistance Agreement - Minnesota Department Of Human Services Page 3
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8Adoption Assistance Program will notify the Medicaid office in the state of residence and that
state will contact the adoptive parent(s) with information about the Medicaid program in
that state.
3.
If a child moves to another state after the Adoption Assistance Agreement is in effect, the
adoptive parent(s) agrees to contact the Adoption Assistance Program to receive information
about the child’s eligibility for Medicaid in their new state of residence, and assistance with
enrolling the child, if eligible. Children with Title IV-E Adoption Assistance Agreements will be
provided Medicaid through their state of residence. Children with state-funded Adoption
Assistance Agreements who move outside of Minnesota will be provided Medicaid through their
state of residence, if that state has reciprocity with Minnesota and the child meets the Medicaid
eligibility requirements in their state of residence. If there is not reciprocity or the child does not
meet Medicaid eligibility requirements, Medical Assistance will be provided through Minnesota.
Coverage is limited to providers authorized by Minnesota’s Medical Assistance program and
according to program rules in Minnesota.
4.
The adoptive parent(s) agree to cooperate with and abide by the Medicaid program rules and
procedures of the state which provides Medicaid. Some states may require primary coverage of
the child by a family health insurance plan, if available. Medicaid requires prior authorization for
certain medical services. Coverage of medical services will be limited to items provided for by
Medicaid program rules in the state providing coverage. Items covered by Medicaid vary from
state to state.
5.
Reimbursement from the Adoption Assistance Program is not available for any service or item
covered under Medicaid or for any service or item that Medicaid has determined is not
medically necessary.
C.
Non-medical Needs
1.
Reimbursement is available for certain non-medical services and special costs required to meet a
child’s special needs as documented in their Adoption Assistance Certification and corresponding
supporting documentation. Reimbursement for non-medical services or special costs is not
available for a child whose eligibility for Adoption Assistance is based solely on being at
high risk of developing physical, mental, emotional, or behavioral disabilities, unless and
until the potential disability manifests itself as documented by an appropriate professional,
and the commissioner authorizes reimbursement for non-medical services or special costs
by modifying this agreement accordingly.
Minnesota Rules, part 9560.0083, subpart 7, limits reimbursement to the following non-medical
services and special costs:
a. Services prescribed by a physician, psychologist, or developmental specialist for children
under age 3 who are developmentally delayed, and services are not available through the
public school system
b. Child care during the hours of employment, training or education of the adoptive parent(s)
(maximum reimbursement rate is limited to the amount the county social service agency
would pay for a trained caregiver in the home or in a licensed daycare facility, or the amount
the adoptive parent(s) would pay under the child care sliding fee program)
c. Family counseling required to meet a child’s needs (reimbursement limited to amount
insurance will not cover to include the family in counseling)
d. Post adoption counseling to promote a child’s integration into the adoptive family
(reimbursement limited to 12 sessions provided in the year following the issuance of the
adoption decree)
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