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Association of Administrators of the Interstate Compact on Adoption and Me dical Assistance 1 Interstate Compact on Adoption and Medical Assistance Administering the ICAMA Section 1 Section 1 Introduction to Administration Introduction to Administration of the Compact of the Compact

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Association of Administrators of the Interstate Compact on Adoption and Medical Assistance 1

Interstate Compact on Adoption and Medical Assistance

Administering the ICAMA

Section 1Section 1Introduction to Administration Introduction to Administration

of the Compactof the Compact

2Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

Administering the ICAMA is important

Children with special needs who receive adoption assistance

rely on yourely on you to ensure that they receive medical assistance and

other support services in interstate situations.

3Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

Of course, even 1 child is important, but how many children are affected by the

ICAMA?

Between 1997 and 2002, the number of children covered by adoption assistance agreements and residing outside the adoption assistance state increased by 70%.

What this means is that at least 26,24226,242* * children were residing in states other than the adoption assistance state. *(as reported by 39 states)

What this also means is that Compact administration staff around the country worked on behalf of these 26,24226,242 children

to ensure that they received medical assistance

and support services .

4Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

This 70% increase in the number of children living outside their adoption assistance

states is only the beginning…

Internet technology is helping to create a national adoption community

The AdoptUsKids website & state adoption exchanges are making it easier for states to locate resource families… because they’re looking in all the states, not just their own.

and…and…

5Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

The AdoptUsKids website & state adoption exchanges are making it easier for prospective adoptive parents to find children … because they’re looking in all the states, not just their own.

and…

6Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

Adoption exchanges report that 63%63% of prospective families who respond to child specific adoption recruitment

DO NOTDO NOT reside in the state where the child lives.

In fact…

The Internet is helping to make the ICAMA an

increasingly important resource for the adoption community.

7Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

In addition, families are moving more freely between states than ever before

When the growing mobility of American families is combined with the increased awareness of the need for

adoptive families for thousands of children in care, it is clear that …

ICAMA administration staffICAMA administration staffcan expect the number of interstate cases can expect the number of interstate cases

to grow more quickly than ever before to grow more quickly than ever before

8Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

Basically, your goal is to work with in-state and out-of-state staff to be suresure that medical benefits and other services are seamlessly provided for children in interstate situations who are receiving adoption assistance….

All this movement brings the Compact (the ICAMA) into effect…..

WhenWhen children are placed for adoption with families in another state

or

WhenWhen they move to a new state with their adoptive families.

So what do you actually do?

9Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

First: the Adoption Assistance payment

When a child with an adoption assistance agreement moves or is placed across state lines, continuing the adoption assistance (AA) payment is easy.

Adoption Assistance checks can easily be mailed Adoption Assistance checks can easily be mailed to the family to the family anywhereanywhere!!

10Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

Ensuring the provision of Medicaid is not as simple as mailing a check…. Because Medicaid is provided

by the state where the child lives

This is where the ICAMA does its workThis is where the ICAMA does its work..

Then: Medical Assistance

Standard processes and forms* were developed to streamline the interstate provision of Medicaid.

Consistent and accurate use of these forms and procedures enable a child to be placed in or a family to move to any state with little or no break in services.* How to use the forms and what the processes are will be explained later in the training.

11Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

Which states use these forms and procedures?

48 states and the District of Columbia* have enacted the Interstate Compact on Adoption and Medical Assistance

(ICAMA)!

This means that ICAMA is law in all but two states.

* as of January 2007 - See the list provided with this training for states who have enacted the ICAMA

12Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

ICAMA is the only way established by the states to protect the interests of children with special needs

when they are placed ormove across state lines with their adoptive family.

When ICAMA was passed, states also established an association, AAICAMA*.

This association is the network of people throughout the US who administer the Compact.

**

AAICAMA is also the group that designed the forms, established the processes and provided this training.

In fact,

13Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

What does the association (AAICAMA **) do for you?

AAICAMA provides training, research AAICAMA provides technical assistance AAICAMA convenes the annual meeting.AAICAMA holds a grant from the Children’s Bureau to provide specific

services to AAICAMA writes, edits and publishes the newsletter, Bridges.AAICAMA collects data to enhance interstate practiceAAICAMA monitors and distributes information on Federal legislation

that affects Compact administrationAAICAMA maintains and distributes the COBRA/Reciprocity chartAAICAMA maintains and distributes the list of primary ICAMA contacts

in the states.

**

14Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

How can you contact the Association office?

Currently the Association has three people on staff:Ursula Gilmore ([email protected])

Sharon McCartney ([email protected])

Robyn Bockweg ([email protected])

The mailing address is:AAICAMA810 First Street, NEWashington, DC 20002

The phone number is:202.682.0100The fax number is:202.289.6555

15Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

What is the correct pronunciation of ICAMA and AAICAMA

according to the acronym-speak dictionary ?

Unfortunately, they are both pronounced the same way:

**

ĭcămă

So remember when you hear someone say ‘ĭcămă’ they may mean the Compact (ICAMA)

or they may mean the people like you (AAICAMA)who make the Compact work for the children

16Association of Administrators of the Interstate Compact on Adoption and Medical Assistance

So, to summarize what you do and why it’s important……