An adoption assistance eligibility specialist has the following ongoing responsibilities related to Permanency Care Assistance:

• Maintaining information in IMPACT when there is a change in the family’s circumstances, as described in 1612 Eligibility Requirements for PCA.
• Processing the reimbursement of qualified nonrecurring expenses related to obtaining permanent managing conservatorship, as described in 1616.4 Reimbursing Nonrecurring Expenses Covered by PCA.
• Obtaining certification of continued eligibility, as follows:
  • Children under 18 – Every five years (or more often, as needed).
  • Young adults 18 and older – Annually.
  • See 1621.1 Recertification of Eligibility for PCA.
• Notifying and requesting that other states or U.S. territories provide Medicaid coverage to Texas recipients of PCA who live out of state.
• Authorizing Medicaid coverage for children from other states who live in Texas but receive PCA paid for with Title IV-E funding from another state’s public child welfare agency.
• Initiating reimbursement when assistance has been overpaid.
• Authorizing supplemental payments when assistance has been underpaid.
• Maintaining the case in the appropriate eligibility unit, as described in 1616.5 Determining Which Region Maintains a Case Involving PCA.
• Activating benefits in accordance with any orders issued after a fair hearing.