Children in adoptive placements may or may not qualify for adoption assistance, which includes Medicaid.

For children in adoptive placements and in the managing conservatorship of DFPS who do not qualify for adoption assistance, DFPS must continue to provide Medical Assistance Only (MAO) coverage until the child qualifies for adoption assistance or until DFPS legal responsibility for the child ends.

Transferring Foster Care to Adoption MAO Coverage

On the effective date of the adoptive placement, the following actions occur:

• The foster care eligibility specialist end-dates the child’s foster care eligibility.
• The adoption assistance eligibility specialist opens the child’s Medical Assistance Only (MAO) eligibility in the child’s adoption stage effective the first day of the month following the adoptive placement.