Form Ad 4320l - Adoption Assistance Program (Aap) Agreement Page 3
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9STATE OF CALIFORNIA – HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
5. The AAP benefit may not exceed the age-related, state-approved foster family home
care rate, and any applicable state-approved Specialized Care Increment (SCI), or, if
my child is temporarily placed outside the home, the state approved facility rate which
would have been paid if the child had not been placed for adoption.
6. Due to a change in my child’s special needs and/or placement which may cause the
AAP benefit amount to exceed the foster care payment amount he or she would have
received had he or she remained in foster care, the AAP benefit may be reduced.
7. If the child is under the age of three and receiving services under the California Early
Intervention Services Act, but not yet determined by the California Regional Center (CRC)
to have a developmental disability as defined by the Lanterman Act, the maximum AAP
benefit will either be the current fiscal year (July 1st through June 30th) dual agency rate
for a child three years and younger or the foster family home rate and applicable SCI
rate, whichever is greater. After the adoption finalization, it is my/our responsibility to re
quest the CRC to evaluate the child’s eligibility for CRC services. If the child is eligible
to receive CRC services beyond the age of three, it is my/our responsibility to request
the dual agency rate from the responsible public agency.
I/We agree, prior to the month following the child’s third birthday, if the child is no longer
eligible for CRC services, the AAP benefit will need to be renegotiated based on the
foster family home rate and any applicable SCI rate.
AD 4320L (1/17)
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