(A)The public children services agency (PCSA) shallis to enter into a JFS 01453 "Title IV-E Adoption Assistance Agreement" (rev. 7/2019) without an AA payment if any of the following apply:

(1)The adoptive parent(s) and the PCSA, after considering the needs of the child and the circumstances of the adoptive family, agree that the adoptive family does not currently requireneed an AA payment to incorporate the child into household.

(2)The child or the child's biological family has a social or medical history that establishes a substantial risk of acquiring conditions, as identified in rule 5101:2-49-03 of the Administrative Code.

(B)An AA agreement with no payment shallis to include the following provisions:

(1)The child is eligible for AA, but there is no monthly payment in effect because of the determination set forth in paragraph (A) of this rule.

(2)The adoptive parent(s) may request amendment of the AA agreement to include AA payments if the child develops a condition, and the condition is diagnosed by a qualified professional, as identified in rule 5101:2-49-03 of the Administrative Code.

(3)Title XX (social services block grant) and post adoption services shallare to be provided or secured in addition to Title XIX (medicaid) coverage for a child that has an AA agreement with no payment.

(4)All of the remaining conditions of the JFS 01453 as set forth in rule 5101:2-49-10 of the Administrative Code apply including reimbursement of nonrecurring adoption expenses, categorical eligibility for Title XIX medical assistance and Title XX social services and the right of appeal through a state hearing.

Effective: 7/1/2024

Five Year Review (FYR) Dates: 2/6/2024 and 07/01/2029

Certification: CERTIFIED ELECTRONICALLY

Date: 04/19/2024

Promulgated Under: 119.03

Statutory Authority: 5101.141

Rule Amplifies: 5101.11

Prior Effective Dates: 09/01/1992, 05/01/1998, 01/01/2007, 04/01/2010, 12/15/2011, 07/01/2014, 07/01/2019