DCF: 47-3-6

Policy Manual
INTERSTATE COMPACTS
Interstate Compact on the Placement of Children (ICPC)

47-3-6
Medical Assistance for Children Through ICPC

Legislative Background Information

Public Law 99-272, The Consolidated Omnibus Budget Reconciliation Act of 1986 - COBRA, contains the federal requirements and procedures to provide access and availability of medical care for Title IV-E eligible children placed across state lines. 

Under the Federal requirements, the determination and redetermination of eligibility for the Title IV-E program is the responsibility of the state establishing initial eligibility. 

However, the authorizing of medical eligibility and the providing of medical services is the responsibility of the state in which the child and foster or adoptive parents are residing.  Thus, the child will be included in the medical program and receive the medical services provided by the new state of residence

Policy

The Department shall comply with Federal requirements and coordinate its activities with other states to ensure appropriate medical care and services for Title IV-E eligible children through the COBRA IV-E Medicaid program. 

For children that are not Title IV-E eligible, the regional office Health Advocate shall follow-up with the out-of-state caretaker and the child’s regional office Social Worker to ensure that appropriate medical coverage is in place. 

The regional office Revenue Enhancement Unit is responsible for determining a child’s Title IV-E eligibility. 

 The Interstate Compacts Office shall

  • be the clearinghouse for the COBRA IV-E Medicaid program in Connecticut
  • maintain a copy of the child’s Title IV-E materials in the Interstate Compacts record.
Determination of Title IV-E Eligibility

The child’s Social Worker shall obtain certification of a child’s Title IV-E eligibility status as specified in the table below. 

This certification status must be obtained prior to submitting a request to the Compacts Office for evaluation of a proposed out-of-state placement.

 
Person Action
Child's Social Worker

·    Complete Section I of DCF-2223, “Certification of  Title IV-E Status”.     

·    Deliver the DCF-2223 to the regional Revenue Enhancement Unit.

Revenue Enhancement Unit Worker

·    Review the child’s case information and determine the child’s Title IV-E eligibility status. 

·    Document such determination on Section II of the DCF-2223. 

·    Return the DCF-2223 to the Social Worker.

Child's Social Worker

·     Submit the DCF-2223, with Sections I and II completed, to the DCF Compacts Office as part of the Interstate Placement Packet (See Policy 47-3-3 for referral and placement procedures). 

·    When the approved placement is made in the receiving state, notify the Compacts Office via the ICPC-100B.

 
If Eligible for Title IV-E When a Connecticut child is Title IV-E eligible, utilize the following procedures to ensure medical coverage in the receiving state.
 
Person Action if Title IV-E Eligible
DCF Interstate Compacts Office Worker

Upon receipt of an ICPC-100B from the child’s Social Worker providing notice of the child’s placement: 

·    Complete Section III of the DCF-2223, “Certification of Title IV-E Status”,  previously submitted by the Social Worker in the Placement Packet (see  above) 

·    As required by the receiving state to initiate Medicaid coverage, send a copy of the completed DCF-2223 

-   to the Medicaid agency in the receiving state, with notice that discontinuance for the Connecticut Medicaid program will occur

or

-   to the caretaker who will process the application for Medicaid in the receiving state. 

Note:  If sending to the caretaker, include a cover letter explaining

-   the need to apply for Title XIX Medicaid in the new state of residence

-   the need to apply for a Social Security number for the child, if not done previously. 

·    Send a copy of the DCF-2223 to the DCF regional office Health Advocate for appropriate follow-up in the receiving state.

DCF Regional Health Advocate

Upon receipt of the completed DCF-2223 from the Interstate Compacts Office:  

·    Follow-up with the child’s out-of-state caretaker to ensure that appropriate Medicaid coverage is in place. 

·    Upon verification that the child is in receipt of Medicaid in the receiving state, notify Revenue Enhancement to close Connecticut Medicaid.

Revenue Enhancement Worker

·    Upon notification from the regional Health Advocate, close Connecticut Medicaid.

 
If Not Eligible for Title IV-E

When a Connecticut child is not Title IV-E eligible, utilize the following procedures to ensure medical coverage in the receiving state. 

Eligibility for medical coverage for non-IV-E eligible children varies from state to state.

 
Person Action if Not IV-E Eligible
DCF Interstate Compacts Office Worker

Upon receipt of an ICPC-100B from the child’s Social Worker providing notice of the child’s placement (see above): 

·    Complete Section III of the DCF-2223, with the date of placement.  

·    Forward a copy of the DCF-2223 to the DCF regional office Health Advocate.

DCF Regional Health Advocate

Upon receipt of the completed DCF-2223 from the Interstate Compacts Office:  

·    Follow-up with the child’s out-of-state caretaker and medical providers to ensure that appropriate medical coverage is in place.  This may require DCF to pay for services, or for out-of-state providers to enroll in Connecticut Medicaid. 

·    If the child’s caretaker is able to obtain medical coverage in the receiving state, notify Revenue Enhancement to close Connecticut Medicaid.

Revenue Enhancement Worker

 ·   Upon notification from the regional Health Advocate, close Connecticut Medicaid.

 
Annual Review of IV-E Eligibility

The DCF Revenue Enhancement Unit (REU) is responsible for 

·    conducting an annual redetermination of the child’s Title IV-E eligibility

·    maintaining Title IV-E documentation in the REU file and LINK system

·    notifying the DCF Compacts Office of

-    the redetermination decision

-    changes which might affect the child’s Title IV-E eligibility.  

If requested by the receiving state, the DCF Compacts Office will forward the  redetermination of Title IV-E eligibility and/or changes in the child’s status to the receiving state.

Connecticut Department of Children and Families             

Effective Date:   March 1, 2002 (Revised)





Content Last Modified on 11/1/2007 9:25:26 AM