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8. ICAMA: The Interstate Compact on Adoption and Medical Assistance. 9. Medical Assistance Identification: Medicaid Card. 10. Prior Approval: Required authorization for payment of Supplemental Benefits funds for costs associated with the known conditions stated in the Adoption Subsidy Agreement that are not covered after Medicaid, private insurance, educational, and other funding sources have been explored and ruled out. B. Eligibility Requirements for Supplemental Benefits. 1. The child has been placed for adoption by the Department. 2. The child must be legally free for adoption and one of the following provisions apply: (a) is a special needs child pursuant to Section 63–9–30; (b) is at high risk of developing a physical, mental, or emotional disability; (c) is one for whom other factors, as determined by the department, interfere with the child’s ability to be placed for adoption; (d) has established significant emotional ties with prospective adoptive parents while in their care as a foster child, and it is considered by the agency to be in the best interest of the child to be adopted by the foster parents. C. Eligibility Requirements for Medicaid Coverage. 1. The initial adoption assistance agreement for state or federal public funds must have been signed by the family and the authorized agency representative prior to adoption finalization. 2. The family must have a current adoption assistance agreement for federally funded adoption assistance or for state funded adoption assistance based on the child’s medical or rehabilitative needs. D. Family Responsibilities. 1. The family shall notify the Department within ten working days of changes in the child’s condition or the family’s circumstances that may affect the adoption assistance agreement in any way. 2. The family shall use all other available resources, including Medicaid, before using Supple- mental Benefits payments for medical, rehabilitative or other treatment services. 3. The family shall cooperate with the Department by signing and returning the adoption assistance agreement promptly. 4. The family shall notify the Department within ten working days if they are no longer legally responsible for supporting the child or if they are no longer financially supporting the child. 5. The family must obtain prior approval to receive Supplemental Benefits for Medical Assistance costs associated with known conditions stated in the Adoption Subsidy Agreement that are not covered by Medicaid, private insurance, educational, or other funding sources that have been explored and ruled out. Experimental services, services that are not approved by governmental agencies or national professional associations concerned with such services, and services that are not associated with diagnoses or conditions stated in the Adoption Subsidy Agreement are not reimburs- able under this program. 6. A family that has an agreement with another state may be asked to provide proof that the agreement is still in force to receive Medicaid or other services in South Carolina through ICAMA. E. Supplemental Benefits Payments. 1. Payments may begin as soon as the child has been placed adoptively and agreements have been executed. 2. Payments may be delayed until the child’s needs increase and the family can no longer meet those needs from their own resources. 3. Payments terminate at age 21 if the Department determines the child has a mental or physical disability which warrants the continuation of Supplemental Benefits, at age 18 or age 19, 20, or 21, as applicable, if the child meets requirements of the extended foster care program as set forth in Title 63, Chapter 7, Article 8. The Department requires annual proof that a child aged 18–21 meets requirements for the continuation of Supplemental Benefits by the last day of the child’s birth month.