Ohio Administrative Code|Rule 5101:2-44-05.2 | Covered families and children (CFC) medicaid eligibility for state adoption subsidy recipient moving from or to Ohio.

                                                
(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 "
		  (rev. 4/2019) 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 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 telephone number 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 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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Last updated December 14, 2021 at 10:21 AM