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(7) a nonmonetary state adoption deferred subsidy without Medicaid coverage. (d) The department will not approve an agreement under this chapter for Title IV-E monetary assistance unless, in addition to the applicable requirements of this chapter, the applicable requirements of Title IV-E, adopted by reference in 7 AAC 53.299, are met. (Eff. 7/1/90, Register 114; am 11/16/94, Register 132; am 5/4/97, Register 142; am 3/31/2005, Register 173; am 4/13/2011, Register 198; am 7/1/2022, Register 242) Statutory Authority: Authority: AS 13.26.153 AS 25.23.210 AS 47.14.100

AS 25.23.190 AS 25.23.230 7 AAC 53.205. Determination that a child is a hard-to-place child with special needs. (a) For purposes of determining eligibility under 7 AAC 53.222 or 7 AAC 53.223, the department will determine that a child is a hard-to-place child with special needs if

(1) the child cannot or should not be returned to the parental home because

(A) parental rights have been terminated; or

(B) a determination has been made by a state court, or by a tribal court with jurisdiction of the child, that the child cannot or should not return to that home;

(2) a specific factor or condition makes the child a hard-to-place child within the meaning of AS 25.23.240; for purposes of this paragraph, a specific factor or condition includes any of the following, if it supports a reasonable conclusion that the child cannot be placed without a subsidy:

(A) older age or membership in a sibling group;

(B) a physical or mental disability, or an emotional disturbance;

(C) a recognized high risk of physical or mental disease because of