Compact on Adoption and Medical Assistance

The Interstate Compact on Adoption and Medical Assistance (ICAMA) assures the continued provision of all of the benefits of an adoption subsidy agreement, regardless of the state of residence of the child. ICAMA is designed to prevent and overcome artificial barriers that may prevent adoptive families from receiving medical assistance mandated by adoption agreements. ICAMA provides that the state where the adoptive family resides will furnish Medicaid program services to the special needs child, if the child came from a compact member state. Forty eight states and the District of Columbia, including Missouri, are ICAMA members.