Adoption Assistance supports permanency for special needs children in foster care by providing the families
who adopt these children with the resources they need to care for these children. Public county Children and
Youth agencies (CYA) are the only agencies that can determine whether a child is eligible for Adoption Assistance.
Families who adopt children determined eligible for Adoption Assistance can receive all, or some, of the following
- Reimbursement for non-recurring adoption expenses
Families may be reimbursed for actual, reasonable,
necessary, one-time expenses directly related to the legal adoption of the child. Examples of non-recurring expenses
include adoption fees, court costs, attorney fees, and other expense directly related to the adoption, such as health
and psychological examinations, consultations with medical providers, transportation, lodging, or food. The maximum
amount a family may be reimbursed is $2000 per adoption episode. The child must first be eligible for non-recurring
expenses to receive an eligibility determination for a federal or state adoption monthly subsidy and medical coverage.
- Monthly Adoption Subsidy
The monthly adoption subsidy is a negotiated amount agreed upon by the CYA and the
adoptive family. The adoption subsidy, in combination with the adoptive parents' resources, is designed to cover the
costs of meeting the ordinary and special needs of the child. The negotiated monthly subsidy cannot exceed the foster
care maintenance amount the child would receive in foster care.
- Medicaid (federal medical coverage)
If a child is determined eligible for a Title IV-E adoption monthly subsidy,
the child will receive federal medical coverage until the age 18. Children who are the subject of a Title IV-E adoption
assistance agreement executed when the child is 16 or older will also qualify to receive federal medical coverage between
the ages of 18-21 during those periods of time when the agency has documentation that the child is actively meeting the
definition of child (see Question #2 for additional information).
- Medical Assistance (Pennsylvania's medical assistance)
If a child is determined eligible for state adoption monthly
subsidy, the child will receive state medical assistance until the age of 18. Children who are the subject of either a State
or Title IV-E adoption assistance agreement that was executed when the child is/was 13-15 will also qualify to receive state
medical assistance between the ages of 18-21 during those periods of time when the agency has documentation that the child
is actively meeting the definition of child (see Question #2 for additional information).