12.14 Family Relocates | CWS
Georgia Division of Family and Children Services |
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Chapter: |
(12) Adoption Assistance |
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Policy Title: |
Family Relocates |
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Policy Number: |
12.14 |
Previous Policy Number(s): |
109.23 |
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Effective Date: |
September 2015 |
Manual Transmittal: |
2015-08 |
Requirements
The Division of Family and Children Services (DFCS) will:
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Continue adoption assistance payments for a family that relocates:
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Within the state of Georgia; and
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Out of the state of Georgia.
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Arrange for continued medical coverage when a family receiving adoption assistance payments and Medicaid in Georgia moves to another state, dependent upon:
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The child being Title IV-E eligible;
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The new state offering reciprocity as it relates to continuation of health coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA); or
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The child qualifying for medical coverage (Medicaid) in the new state based on the child’s needs meeting the new state’s eligibility criteria for coverage.
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Procedures
The Family Moves to another County within Georgia
Sending County
The Social Services Case Manager (SSCM) in the sending county will coordinate the transfer of the adoption assistance case with the receiving county and will:
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Send email notice to the receiving county of residence at least 30 days prior to transfer of the Georgia SHINES adoption assistance case. Copy the Social Services Administration Unit (SSAU) Program Consultant on the email notification.
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Upload any outstanding documents into Georgia SHINES External Documentation.
If a physical adoption assistance record still exists, it will be uploaded to Georgia SHINES External Documentation prior to the transfer of the adoption assistance case. Once uploaded, it is not necessary to transfer the physical record to the receiving county. -
After the 30-day notification period, assign the receiving SSCM to the case in Georgia SHINES.
The SSCM in the receiving county should be assigned as the primary worker in the PAD stage in Georgia SHINES. If the case is still in the ADO stage, the receiving SSCM will be assigned as a secondary assignment. -
Complete the Adoption Assistance Memorandum in Georgia SHINES indicating the:
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Family has/will move to another county (specify receiving county);
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Transfer of the adoption assistance case; and
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Effective date.
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Complete the Notification of Change (NOC) in Georgia SHINES to have the Medicaid case record updated.
Currently, the NOC is only available in the Foster Care Child (FCC) stage. -
Send a copy of the Adoption Assistance Memorandum to the following departments in the sending county:
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Regional Accounting Office; and
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Revenue Maximization Unit (Rev Max).
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Upload the Adoption Assistance Memorandum to Georgia SHINES External Documentation.
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Update the child’s ADO/PAD and FAD stage in Georgia SHINES.
The Regional Accounting Office in the sending county will:
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Process the transfer; and
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Notify the receiving Regional Accounting Office of the transfer via the Adoption Assistance Memorandum.
The Revenue Maximization Unit Medicaid Eligibility Specialist (RMS) in the sending county will within 10 business days:
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Review the Adoption Assistance Memorandum;
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Forward the Adoption Assistance Memorandum to the receiving RMS.
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Transfer the case in SUCCESS to the receiving RMS.
Receiving County
The SSCM in the receiving county will:
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Review the Georgia SHINES adoption assistance case record for accuracy and completeness.
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If the required adoption assistance case record contents are not provided:
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Document in Georgia SHINES receipt of the record;
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Document in Georgia SHINES the missing documents;
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Make efforts to secure the missing documents by contacting the sending county;
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Document such efforts in Georgia SHINES; and
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Accept the transferred file so that benefits can be managed and paid in the county of the child’s residence.
The receiving county cannot refuse to accept the case being transferred after the sending county has made an effort to locate and upload the missing contents, even if such contents are not located.
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Provide the pre-adoptive or adoptive family with information regarding whom they may contact if they have problems or questions regarding adoption assistance.
The Regional Accounting Office in the receiving county will:
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Process the transfer; and
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Initiate adoption assistance payments in the receiving county.
The RMS in the receiving county will:
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Review the Adoption Assistance Memorandum; and
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Ensure ongoing work is performed appropriately.
The Family Moves to Another State
The SSCM will follow the procedures for the Interstate Compact on Adoption and Medical Assistance (ICAMA) as outlined:
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Complete the Adoption Assistance Memorandum indicating the:
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Parents’ names,
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Child’s name,
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Child’s date of birth,
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Child’s social security number,
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New address, and
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Date of move.
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Submit the Adoption Assistance Memorandum to the Social Services Supervisor for approval.
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Forward the approved Adoption Assistance Memorandum within in five business days of receiving notification of the family’s new address to:
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SSAU;
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Rev Max; and
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Regional Accounting Office.
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Discuss with the family the implications the move could have on the child’s medical coverage based on if the child is Title IV-E or state-funded adoption assistance eligible (see policy 12.12 Adoption Assistance: Adoption Assistance Medicaid).
The SSAU (ICAMA Coordinator) will:
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Review the Adoption Assistance Memorandum submitted by the county DFCS.
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Prepare the additional documentation needed to complete the ICAMA packet.
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Submit the ICAMA packet to the ICAMA Coordinator in the adoptive family’s new state of residence.
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Confirm the child is receiving adoption assistance and ensure Georgia SHINES is updated to reflect the current information regarding the child.
Where the term Social Services Case Manager is used in this section, the term Regional Post Adoption (PAD) Manager may also be appropriate, as both manage adoption assistance cases at different periods; however, the Regional PAD Manager does not require supervisor approval. |
Practice Guidance
The state to which the child is moving should enroll the child in Medicaid. All Title IV-E eligible adoption assistance recipients are eligible for medical coverage (Title XIX) in their new state of residence. The Interstate Compact on Adoption and Medical Assistance (ICAMA) will provide for Medicaid in the new state of residence for a child who is Title IV-E eligible. The state of Georgia is not responsible for providing medical coverage for children who are placed in or who moved to another state with the adoptive family when the child is state-funded adoption assistance eligible. However, if the new state of residence is a state that provides “COBRA Reciprocity,” the new state will provide medical coverage even if the child is state-funded adoption assistance eligible. The SSAU will inquire as to eligibility when making the interstate referral.
Georgia will continue to be responsible for providing the adoption assistance payments to the adoptive family of the child in the new state of residence if the child remains eligible to receive adoption assistance.
Interstate Compact on Adoption and Medical Assistance (ICAMA)
The Interstate Compact on Adoption and Medical Assistance (ICAMA) was established in 1986 to safeguard and protect the interstate interests of children covered by an adoption assistance agreement when they move or are adopted across state lines. ICAMA is an agreement between and among its member states that enables them to coordinate the provision of medical benefits and services to children receiving adoption assistance in interstate cases.
Georgia Families 360˚
On March 03, 2014, DFCS transitioned from a standard fee-for-service Medicaid program to a statewide Medicaid Care Management Organization (CMO) through Amerigroup Georgia Managed Care Company. The transition impacted children in DFCS custody and children receiving AA as they became members of a new program called Georgia Families 360˚ which is separate from Georgia Families, the general Medicaid program administered by the Georgia Department of Community Health (DCH). Georgia Families 360˚ is designed to provide coordinated care across multiple services and focus on the physical, dental, and behavioral needs of member children. The program is designed to ensure each member has a medical and dental home, access to preventive care screenings and timely assessments. It also seeks to ensure medical providers adhere to clinical practice guidelines and evidence-based medicine.
Families receiving adoption assistance have the option of enrolling in Georgia Families 360˚or choosing fee-for-service Medicaid.
Amerigroup Care Coordination Teams (CCT) and Care Managers
Each Georgia Families 360˚ member is assigned to a regional Care Coordination Team with a specified Care Manager. The CCT members are Masters level staff, the majority of whom hold a professional license to practice in their respective field. The CCT completes a Health Risk Screening (HRS) on youth in care to identify medical and/or behavioral needs. They ensure each child is assigned to a Primary Care Physician (PCP) and Primary Care Dentist so every child has a medical and dental home. The CCT is responsible for coordinating the health components of the Comprehensive Child and Family Assessment (CCFA), including the initial physical assessment, dental screening and trauma assessment. Care Managers are the primary partner of the SSCM for identifying and making referrals for needed services. Care Managers ensure each youth has an individualized care plan that addresses both physical and behavioral health needs. They work with community agencies to ensure appropriate services are provided.
Any services not authorized by the CCT will not be paid for out of Medicaid. Therefore, it is imperative that all medical/dental, behavioral health and developmental care be coordinated with the CCT to avoid any uncovered expenses.