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4. In no case may Supplemental Benefits continue beyond a child’s 21st birthday. 5. All Supplemental Benefits terminate at the death of the child or at the death or disability of the adoptive parents, unless the disability results in placement of the child with a caregiver. 6. Supplemental Benefits may be paid to a caregiver with the approval of the Department. 7. Supplemental Benefits may not exceed that which is reasonable for treatment services or allowable for a child under foster family care. 8. Supplemental Benefits may be reduced, terminated or left the same, if the family begins receiving other cash benefits on behalf of the child, i.e., Social Security benefits. Any reduction or termination will be negotiated with the family, but the final determination will be made by the Department. 9. With prior approval, the family may be reimbursed for the child’s medical expenses for conditions covered in the adoption assistance agreement and that are not paid by private insurance, Medicaid or other resources. F. Overpayments. 1. The family who has received an overpayment shall be required to reimburse the Department. 2. The Department reserves the right to recoup overpayments from future payments. G. Supplemental Benefits Appeals. 1. The family has the right to appeal any decision made by the Department on Supplemental Benefits both before and after finalization of the adoption, according to the Department’s approved fair hearing appeal process. 2. The family will be informed of its right to a judicial review in accordance with the Administra- tive Procedures Act. H. ICAMA Appeals. The family has the right to appeal decisions made about adoption assistance and/or services as specified in the adoption assistance agreement according to the policies and procedures in the state which entered into the agreement or the state in which the child lives, if appropriate. HISTORY: Added by State Register Volume 16, Issue No. 4, eff April 24, 1992. Amended by SCSR 49–5 Doc. No. 5315, eff May 23, 2025. ARTICLE 45 CHILD PROTECTIVE SERVICES INVOLVING INSTITUTIONS GENERALLY (Statutory Authority: 1976 Code §§ 20-7-670, 43-1-80, as amended) 114–4510. Purposes. A. The Department of Social Services (DSS) shall receive, investigate, and act on reports of suspected abuse or neglect of children residing in an institution, and where the person or persons alleged to be responsible are employees of that institution or are persons affiliated with that child caring institution. B. For the purposes of this article, the following definitions shall apply: (1) Abuse and Neglect—All as defined in § 20-7-490, Code of Laws of S.C., 1982 amended. (2) Institution—any public or private residential facility and its affiliated group or foster homes which provides care or supervision to children under the age of eighteen. (3) Indicated report—a report shall be deemed indicated when the facts available to DSS indicates that abuse or neglect, as defined in S.C. Code 1976, § 20-7-490 et seq., is more likely than not to have occurred. (4) Unfounded report—whenever the facts available to DSS do not indicate a finding in accor- dance with item (2) above, the referral shall be deemed unfounded.