What is the Interstate Compact on Adoption and Medical Assistance?

The Interstate Compact on Adoption and Medical Assistance (ICAMA) is an agreement between all 50 states in the U.S. and the District of Columbia that regulates the interstate movement of children who are placed in adoptive homes. The agreement was created to ensure that adoptions are done in a safe and legal way and that any medical assistance needed after the adoption is available. The agreement covers the main elements of an adoption, including who is eligible for adoption, the requirements for the adoption process, and the necessary steps for an out-of-state adoption. It also states that any medical assistance needed for the adopted child must be provided by the state where the child is placed. The agreement is administered by the Children’s Bureau, which is a division of the U.S. Department of Health and Human Services. This federal agency works with the states to promote the safe, legal placement of children in permanent, loving homes. In Washington, the Department of Social and Health Services is responsible for carrying out the provisions of the ICAMA agreement. It is the department’s job to ensure that the requirements of the agreement are met and that the adopted child receives any medical assistance they may need. The ICAMA agreement is an important part of the adoption process and is essential in making sure that adopted children are taken care of and safe.

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