Individual Placed Out-of-State

An individual placed by a state agency in an out-of-state institution or licensed foster care facility is considered a legal resident of the state making the placement.

The state of origin is responsible for the medical expenses of the child.

If the individual is a IV-E eligible child and IV-E payments are made, the child can be approved for Medicaid in the state where the child is placed. Refer to Chapter 2800 for IV-E Foster Care/Adoption Assistance policy.

The placement facility may locate a local doctor, dentist or other medical provider who will enroll as a Medicaid provider in the state of origin.

If no providers are willing to enroll for the other state’s Medicaid, notify the state office Medicaid Policy Unit.