SECTION 8 FOSTER CARE AND ADOPTION CASES
03.01.700. SPECIFIC CHILDREN AND MEDICAID
03.01.701. ADOLESCENT RESIDENT OF IDAHO STATE HOSPITAL SOUTH
03.01.702. TITLE IV-E FOSTER CARE CHILD
03.01.703. TITLE XIX FOSTER CHILD
03.01.704. STATE SUBSIDIZED ADOPTION ASSISTANCE CHILD
03.01.705. FEDERALLY SUBSIDIZED ADOPTION ASSISTANCE CHILD
03.01.706. THE ADOPTIONS AND SAFE FAMILIES ACT
03.01.707. – 03.01.748. (RESERVED
03.01.700. SPECIFIC CHILDREN AND MEDICAID.
Specific children are eligible for Medicaid. The specific children receive foster care or are in adoptive placements with special circumstances. The children must meet non-financial criteria and must meet the financial requirements described for the coverage group. (7-1-97)
03.01.701. ADOLESCENT RESIDENT OF IDAHO STATE HOSPITAL SOUTH.
A child residing in Idaho State Hospital South may be Medicaid eligible if the conditions in Subsections 701.01 through 701.03 are met. (7-1-97)
01. Under Age Twenty-One (21). The child is under age twenty-one (21). (7-1-97)
02. Resources. The one thousand dollar ($1,000) resource limit must be met. An additional resource exclusion of five thousand dollars ($5,000) is allowed if money is held in trust for the child. (7-1-97)
03. Income. The child's income is less than two hundred and thirteen dollars ($213) per month. Income exclusions and disregards apply to the child's income and an additional seventy dollars ($70) is deducted. (7-1-97)
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PROCEDURES FOR ADMISSION OF PERSONS UNDER AGE 21 TO STATE HOSPITAL SOUTH |
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SHS Notifies Blackfoot |
State Hospital South (SHS) notifies the Blackfoot Office of all admissions to the adolescent unit. |
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Blackfoot Office Checks EPICS |
The Blackfoot Office checks EPICS to see if the child gets Medicaid. |
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Blackfoot Office Tells Field Office |
If the child gets Medicaid, the Blackfoot Office will tell the child's Field Office of the admission to SHS. |
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Not Getting Medicaid On Admission |
If the child doesn't get Medicaid, SHS will submit an application for Medicaid to the Blackfoot Office. The Blackfoot Office will process the Medicaid application. |
Handbook Table Procedures for Admition of Persons Under Age 21 to State Hospital South. (7-1-04)
03.01.702. TITLE IV-E FOSTER CARE CHILD.
A child may be Medicaid eligible as a IV-E foster child if conditions of Subsections 702.01 through 702.04 are met. (7-1-97)
01. Financial. A child meets the financial condition of Low Income Families with Children, or would have received Medicaid in the coverage group if someone had applied. The financial condition must be met in the month a court action was initiated to remove the child from his home or the month a voluntary placement agreement is signed. (7-1-97)
02. Court Order/Voluntary. The child must have been living in a parent's or relative's home during the month a court order removes the child or during the month a parent or relative voluntarily signs a written agreement with the Department for foster care. (7-1-97)
03. Custody and Placement. The child's placement and care are the Department's responsibility and the child is living in a licensed foster home, licensed institution, licensed group home, detention center, or in a relative's home approved for the child by the Department. (7-1-97)
04. IV-E Foster Care and SSI Eligibility. When a child is eligible for both IV-E Foster Care and SSI, the caretaker relative or social worker must choose the Medicaid coverage group for the child. (7-1-97)
IV-E Foster Children must meet Medicaid non-financial criteria of citizenship, residency, SSN, and medical support assignment. (7-1-04)
03.01.703. TITLE XIX FOSTER CHILD.
A child living in a foster home, children's agency or children's institution who does not meet the conditions of Title IV-E Foster Care may be Medicaid eligible if the conditions listed in Subsections 703.01. through 703.04 are met. (7-1-97)
01. Age. The foster child is under age twenty-one (21). (7-1-97)
02. Department Responsibility. The Division of Family and Children's Services assumes full or partial financial responsibility for the child. (7-1-97)
03. Resources. The one thousand dollar ($1,000) resource limit must be met. An additional resource exclusion of five thousand dollars ($5,000) is allowed if money is held in trust for the child. (7-1-97)
04. Income. The child's income cannot exceed two hundred and thirteen dollars ($213) per month. After all applicable income exclusions and disregards have been subtracted from income, an additional seventy dollar ($70) amount is subtracted. (7-1-97)
Title XIX Foster Children must meet Medicaid non-financial criteria of citizenship, residency, SSN, and medical support assignment. (7-1-04)
03.01.704. STATE SUBSIDIZED ADOPTION ASSISTANCE CHILD.
A child in a state subsidized adoptive placement may be Medicaid eligible if the conditions listed in Subsections 704.01 through 704.04 are met. (7-1-97)
01. Age. The child is under age twenty-one (21). (7-1-97)
02. Adoption Assistance. An adoption assistance agreement, other than under Title IV-E, between the state and the adoptive parent(s) is in effect. (7-1-97)
03. Special Needs. The child has special needs for medical or rehabilitative care that prevent adoptive placement without Medicaid. (7-1-97)
04. Medicaid. The child received Medicaid in Idaho prior to the adoption agreement. (7-1-97)
03.01.705. FEDERALLY SUBSIDIZED ADOPTION ASSISTANCE CHILD.
A child in a federally subsidized adoptive placement under Title IV-E is eligible for Medicaid. No additional conditions must be met. (7-1-97)
03.01.706. THE ADOPTIONS AND SAFE FAMILIES ACT.
The Adoptions and Safe Families Act of 1997 provides health insurance coverage for any child with special needs if they meet the conditions in Subsections 706.01 and 706.02. (11-01-97)
01. Adoption Assistance Agreement. The child has an adoption assistance agreement and; (11-01-97)
02. Special Needs. The State has determined that due to the child's special needs for medical, mental health or rehabilitative care the child cannot be placed with adoptive parents without medical assistance. (11-01-97)