Ohio Admin. Code 5101:2-44-05.2 - 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
Ohio department of children and
youth
(ODJFS)
(DCY) 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
is to:
(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,
the child's name, the name(s) of the adoptive
parent(s), the new address and a copy of the current signed and dated JFS
01615 to the ODJFS
DCY interstate compact on adoption and medical assistance
( ICAMA) state administrator.
(2) Upon notification of an additional change
in the child's or family's status, the PCSA shall,
is to forward the
updated information
within seven business
days, complete and forward the ICAMA form 7.5 " Information Exchange," appendix
B to this rule, to the ODJFS
DCY 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)
Ohio comprehensive
child welfare information system (CCWIS).
(5) Notify the county department of job and
family services (CDJFS) that the Ohio medicaid case shall
is to be closed,
if applicable.
(D) If an
adoptive child moves from Ohio to another state, the adoptive
parent
parent(s)
shall
are to 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
DCY 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
is to:
(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
Ohio CCWIS the Ohio medicaid effective date and an
"active" status on the ICAMA record.
(G) Copies of all ICAMA forms and
correspondence shall
are to be maintained in the child's state adoption
subsidy case record.
(H) The
adoptive parents, whether moving from or to Ohio, shall
are to provide
the residence state with any information regarding medical assistance or
insurance available to the child.
Notes
Promulgated Under: 119.03
Statutory Authority: 5153.163
Rule Amplifies: 5153.163, 5153.16
Prior Effective Dates: 01/01/1992 (Emer.), 03/20/1992, 05/01/2003, 07/01/2004, 05/01/2009, 06/12/2014, 08/01/2018, 08/01/2019, 04/01/2022
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