When a recipient of Texas Title IV-E adoption assistance is placed in or moves to another state, the adoption assistance eligibility specialist does the following:

• Informs the child’s family that Texas will end any active Medicaid coverage so that the other state can begin coverage, and that it is the family’s responsibility to keep both Texas and the other state informed of their current residence address.
• Closes out the child’s Texas Medicaid coverage, if any, and enters Title IV-E Financial Assistance Only in IMPACT or, if the child does not receive a monthly adoption assistance payment, closes out the Title IV-E adoption assistance. However, if reimbursement of nonrecurring adoption expenses has been agreed on but not yet paid, that assistance is kept open in IMPACT until paid.
• Requests ICAMA and Medicaid services by completing and signing ICAMA Form 7.1 Notice of Medicaid Eligibility/Case Activation in the Blue Iron system, and attaching a copy of the current adoption assistance agreement. The Blue Iron system then sends the form and attachment to the child’s new state of residence, in care of the designated state agency contact person. The Texas eligibility specialist sends a copy of the form to the adoptive parents and files a copy in the case record.
• Completes ICAMA Form 7.5 Notice of Action, emails or mails the original to the adoptive family, and files a copy in the case record.
• Immediately reports any changes in the child’s eligibility status, family status, placement, or residence to the resident state by submitting ICAMA Form 7.5 Report of Change in Child/Family Status in the Blue Iron system. The Texas eligibility specialist sends a copy to the adoptive parents and files a copy in the case record.
• If the child later moves to another state, immediately reports the move to the previous resident state and then completes a new Form 7.1 Notice of Medicaid Eligibility/Case Activation in the Blue Iron system. The specialist again attaches a copy of the adoption assistance agreement to the form and sends it to the state agency contact person in the new state of residence in the Blue Iron system.

To get access to the Blue Iron system, the regional adoption assistance eligibility specialist emails the adoption assistance program specialist in the DFPS Federal and State Support Unit.