2016 National Meeting


AAICAMA's National Meeting was held March 21-24, 2016, in Oakland, California.

Monday Sessions:

Training :: ICAMA 700 Form and Database
States reviewed recently developed updates to AAICAMA’s worksite/database. Training will focus on increasing state capacity to fully use all the options now available to enhance state administration of the ICAMA. Participants will also discuss how to most effectively work with different types of state administrative architectures and how to continue to administer cases that were initiated before the launch of the ICAMA 700 Form.
Click here to download the materials.

Training :: Surprising Data— States Connecting Families to Services
The AAICAMA database has been producing data on the interstate movement of children receiving title IV-E and state-funded Adoption Assistance for almost a year. Participants were introduced to the data available on their individual states as well as nationwide data. States discussed how to use this data to identify issues that delay to receipt of services and to effectively plan for workload and staff.
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Supporting Prospective and Current Adoptive Families
The National Resource Center for Diligent Recruitment shared research results on effective support services for adoptive families. Many organizations across the country are providing comprehensive support services—including case management, evidence-based/informed therapeutic interventions, peer support, training, and respite—that help families meet their children’s needs. Speaker explored strategies, themes and commonalities of effective programs and discussed the use of data, public/private partnerships, and customer service approaches.
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Tuesday Sessions:

EPSDT 101: Understanding EPSDT and its Role in Securing Services for Youth Under 21
A broad overview on the mandatory, Medicaid service of EPSDT (Early and Periodic Screening, Diagnostic and Treatment)was provided and included an overview of Medicaid State Plans, optional/ mandatory services, and a basic understanding of EPSDT and its role in Medicaid. The general implementation for any “medically necessary service” for Medicaid eligible youth under age 21 was detailed.
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Medicaid Eligibility for Individuals with Title IV-E Eligibility and Non-IV-E Eligibility
Centers for Medicare and Medicaid Services (CMS) discussed Medicaid eligibility for children and youth in foster care and adoption, kinship and guardianship assistance. Included were IV-E and non IV-E eligible individuals as well as coverage of youth formerly in foster care.
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Training—EPSDT and Inpatient Psychiatric Care: What Every ICAMA Professional Should Know
Participants learned the role Early and Periodic Screening, Diagnostic and Training (EPSDT) plays in securing inpatient, psychiatric care for youth under age 21 and developed an understanding of the process of securing these services in state and across state lines. Covered were the differences in the Medicaid obligations of states for the title IV-E and non-IV-E adoption assistance populations in interstate, inpatient psychiatric care facilities and how to secure services not included in the Medicaid State Plan of the resident state. Children’s rights and state obligations under the law were outlined.
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Improving ICAMA Administration: State Practices in Accessing Inpatient Psychiatric Services Interstate
State policies and practices for placing adoption assistance recipients in out-of-state Residential Treatment facilities vary across states. Jeri Boyle (UT) presented information on Utah's policies and practices regarding inpatient psychiatric service provision for out-of-state children.
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Wednesday Sessions:

Title IV-E Adoption and Guardianship Assistance Programs: Addressing Interstate Challenges
Participants received a comprehensive update of federal law as it affects ICAMA administration and state child welfare practice. Speaker will address critical issues related to title IV-E adoption and guardianship assistance and associated Medicaid receipt. Included were Medicaid continuation interstate for title IV-E recipients past age 18, termination of title IV-E adoption and guardianship assistance, and annual title IV-E eligibility redeterminations.
AAICAMA does not have a copy of the marterials used in this presentation.
We have asked Ms. Palmer to present this materila again in a webinar, AAICAMA will advise you of the schedule.

Instituting & Implementing State Adoption Competency Policies—Focus on California
Adoption brings with it unique clinical issues, which if not addressed by mental health professionals with specialized training in adoption clinical issues, can destabilize the adoption and increase the risk of disruption. The challenges of finding adoption-competent mental health providers for these families is well-known. California tackled this problem head-on. The California Department of Social Services convened a year-long stakeholders group that identified barriers to accessing mental health professionals with the needed expertise and is disseminating recommendations for voluntary actions that can be taken by state/ local agencies, mental health providers, and training institutions to remove those barriers. Representatives from both the child welfare and mental health fields reviewed the recommendations made, and offered strategies for promoting such policies in other states.

Supreme Court Ruling Obergefell v. Hodges :: Implications for Adoption Assistance Practice
A legal overview of the United States Supreme Court case, Obergefell v. Hodges was provided. The ruling’s implications for new and existing adoption assistance agreements (AAA) for both title IV-E and non title IV-E recipients were discussed. Legal staff explained state responsibility for understanding and ensuring the constitutional rights of same-sex couples when amending existing agreements and drafting new agreements. Adrian Owens, presented a case specific, state example of the impact of the case on adoption assistance practice and Georgia’s policy response to the ruling.
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Improving ICAMA Administration—Accessing Post Adoption Services in Interstate Cases
Given the traumatic life experiences that most children adopted from foster care have faced, a significant number of them will continue to have ongoing adjustment issues. A continuum of adoption support and preservation services are needed to address the multiple needs of these children and their families. Research shows that receipt of post-adoption services is associated with more positive outcomes while unmet service needs are linked with poorer outcomes. State staff discussed the range and type of post-adoption services offered by their states with a focus on the processes by which services can be obtained by children from other states.
Click here to download the materials.

Medicaid Session:

Medicaid Training :: Securing Medicaid for Title IV-E and non-IV-E Recipients
Training included an overview of the federal Medicaid (title XIX) program, its laws, and the practical application of these laws to title IV-E and non title IV-E adoption assistance recipients in in-state and interstate cases.
Click here to download the materials.




Updated April 14, 2016