Current through all regulations passed and filed through September 16, 2024
(A) Residence in Ohio is a requirement for
medicaid as outlined in rule
5160:1-4-06 of the
Administrative Code. An adoptive child with special needs who is in receipt of
an Ohio-executed state adoption subsidy and who does not live in Ohio is not
eligible for Ohio medicaid even if the subsidy payment continues.
(B) An adoptive child described in paragraph
(A) of this rule may be eligible for medicaid in the new residence state if one
of the following applies:
(1) The new
residence state has elected, in its state medicaid plan, the state option for
its state adoption subsidy children.
(2) The new residence state and the Ohio
department of job and family services (ODJFS) are parties to an interstate
agreement for reciprocal medicaid coverage of state adoption subsidy
children.
(3) The new residence
state elects in its state medicaid plan to reciprocate with all states for
medicaid coverage of state adoption subsidy children, whether or not the states
are parties to an interstate agreement.
(C) If a child moves from Ohio into a new
residence state, the Ohio public children services agency (PCSA) which entered
into the JFS 01615 "Approval for State Adoption Maintenance Subsidy "
shall:
(1) Within seven business days after
notification of the child's relocation or intent to relocate to another state,
complete and forward the original interstate compact on adoption and medical
assistance (ICAMA) form
7.01"Notice of Medicaid
Eligibility/Case Activation," appendix A to this rule, and a copy of the
current signed and dated JFS 01615 to the ODJFS ICAMA state
administrator.
(2) Upon
notification of an additional change in the child's or family's status, the
PCSA shall, within seven business days, complete and forward the ICAMA form 7.5
" Information Exchange," appendix B to this rule, to the ODJFS ICAMA state
administrator.
(3) Notify the
adoptive parent that Ohio medicaid coverage will be terminated.
(4) Terminate Ohio medicaid coverage in the
Ohio statewide automated child welfare
information system (SACWIS).
(5)
Notify the county department of job and family services (CDJFS) that the Ohio
medicaid case shall be closed, if applicable.
(D) If an adoptive child moves from Ohio to
another state, the adoptive parent shall inform the PCSA of the family's
address and
contact information within ten days of
relocation.
(E) An adoptive child
with special needs who is a resident of Ohio and in receipt of a state adoption
subsidy agreement from another state is eligible to receive Ohio medicaid, as
outlined in rule
5160:1-4-06 of the
Administrative Code, if:
(1) The state which
entered into the state adoption subsidy agreement has been identified as a
member of ICAMA.
(2) The state
which entered into the state adoption subsidy agreement is not identified as a
member of ICAMA but has elected in its state medicaid plan to provide medicaid
coverage for its own state adoption subsidy children.
(3) The state which entered into the state
adoption subsidy agreement and ODJFS are parties to an interstate agreement for
reciprocal medicaid coverage of state adoption subsidy children.
(F) If an adoptive child moves
from another state to Ohio and has a state adoption subsidy agreement in effect
with another state, the PCSA shall:
(1) Upon
receipt of the ICAMA form 700 from the national ICAMA database and the state
adoption subsidy agreement determine the child's eligibility for medicaid as
outlined in paragraph (E) of this rule.
(2) After determination of medicaid
eligibility, enter into Ohio SACWIS the Ohio
medicaid effective date and an "active" status on the ICAMA record.
(G) Copies of all ICAMA forms and
correspondence shall be maintained in the child's state adoption subsidy case
record.
(H) The adoptive parents,
whether moving from or to Ohio, shall provide the residence state with any
information regarding medical assistance or insurance available to the child.
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