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State Funded Adoption Assistance

Children eligible for state-funded adoption assistance are not guaranteed Medicaid eligibility if they are placed outside of or move from the state that has signed their adoption assistance agreement.

The COBRA-reciprocity chart provides state-by-state information on:

  • Which states have adopted the COBRA option*
  • How these states extend this benefit to children who become residents of their states who have state-funded adoption assistance agreements with another state

*The COBRA option allows the states who elect it to provide Medicaid to children who reside in-state and have state-funded adoption assistance agreements with their state.