The Interstate Compact on Adoption and Medical Assistance (ICAMA) was established to strengthen protections for and provide assurances and procedures to promote the delivery of medical and other services when a child receiving adoption assistance moves to another state other than the one committed to make adoption assistance payments.  Sections 7510-3.1 - 7510-3.3 of Title 10 of the Oklahoma Statutes provide that the Department of Human Services shall administer the Compact on Adoption and Medical Assistance.  An adoptive family receiving adoption assistance that moves to another state continues to receive the assistance.  If the move is between states who are members of the ICAMA, assistance is provided in locating medical or educational resources as needed.

• (1) Services.  The maintenance payments are made by the State which approved the adoption assistance.  Medical payments provided through Medicaid may be paid by the approving state or residence state, depending on the Medicaid program in the residence state.  Children who receive Title IV-E Adoption assistance are eligible for Medicaid in their state of residence if that state has a Medicaid program.  When an adoptive family receiving adoption assistance moves to Oklahoma they are referred to the Medical Services eligibility worker in the county where they reside.
• (2) Procedures.  All ICAMA cases are processed by the Deputy Compact Administrator, State Office Adoption Section.  Referrals are made to the county adoption specialists for assistance in locating community resources and to Medical Services for Medicaid eligibility determinations.