What is the Interstate Compact on Adoption and Medical Assistance?

The Interstate Compact on Adoption and Medical Assistance (ICAMA) is a legally binding agreement between all 50 US states, the District of Columbia, and the US Virgin Islands that governs interstate adoption and medical assistance. The purpose of ICAMA is to ensure that qualifying children who are moving from one state to another in order to be adopted, can receive the necessary medical assistance in the same manner as children who are adopted in their home state. For example, ICAMA requires that the adoptive parents from the receiving state apply for medical assistance for the adopted child in the same manner as they would for any other child placed for adoption in their state. The sending state is then responsible for providing any financial support or assistance that the adoptive parents may be eligible for. Additionally, if a child is moved out of state for adoption, the sending state must provide health care and any other necessary services that the adopted child needs in order to be successful in their new environment. ICAMA also provides processes for the sending and receiving states to review and approve adoptions that are both within and across state lines. This ensures that all involved parties agree to the terms of the adoption and that the child’s best interests are taken into consideration. Overall, ICAMA is an important agreement to ensure that adopted children and their adoptive families receive the appropriate medical and financial assistance that is necessary for a successful adoption.

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What is the Interstate Compact on Adoption and Medical Assistance?

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