*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***

Chapter 03 - Eligibility Groups and Bases of Eligibility

Effective:  October 1, 2009

03.25.25.05 - Interstate Compact on Adoption and Medical Assistance (ICAMA)

Archived:  June 1, 2016

Interstate Compact on Adoption and Medical Assistance (ICAMA)

Overview

Under the Interstate Compact on Adoption and Medical Assistance (ICAMA), children who receive Title IV-E or state-funded adoption assistance through an agreement that includes health care coverage, are automatically eligible for Medical Assistance (MA) when they move to Minnesota.

ICAMA is a federal contract between Minnesota and other states designed to prevent and overcome barriers to interstate adoptions and to coordinate services to adopted children with special needs. Under ICAMA, adopted children who receive adoption assistance subsidies and health care under an agreement administered by the state of adoption, are automatically eligible for MA in Minnesota.

ICAMA Process

When a child who receives Adoption Assistance (IV-E or state-funded) moves to Minnesota, the state that administers the child’s Adoption Assistance requests MA in Minnesota by sending DHS Adoption Assistance a Notice of Medicaid Eligibility/Case Activation (ICAMA Form 6.01) and a copy of the child’s Adoption Assistance Agreement. The ICAMA Form 6.01 and Adoption Assistance Agreement serve as an application for MA for the child. A separate health care application and eligibility determination is not required.

DHS Adoption Assistance forwards the ICAMA Form 6.01 and Adoption Assistance Agreement to the county liaison in the child’s county of residence for MA approval. A pre-populated Report of Change in Child/Family Status (ICAMA 6.03 Form) will also be attached.

Note:  The ICAMA 6.03 Form is used to notify DHS, the county, and the state that administers the child’s Adoption Assistance of changes in the child’s MA case status, identifying information, address, or adoptive status.

l  Approve MA for the child following the instructions in TE02.05.28, Adoption Assistance Cases.

l  Complete the ICAMA Form 6.03, boxes B and C and return the form to DHS Adoption Assistance. DHS Adoption Assistance will forward the completed ICAMA Form 6.03 to the state that administers the child’s Adoption Assistance as notification that MA has been approved for the child.

When the child turns 18, automatic eligibility under the Adoption Assistance basis ends unless the state that administers the child’s Adoption Assistance Agreement grants an extension.

For more information, refer to Medical Assistance (MA) for Children Receiving Adoption Assistance.

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