Department for Community Based Services

Standards of Practice Online Manual

13.46 Continuation of Adoption Assistance After Age 18

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter 13-Adoption Services
13.46 Continuation of Adoption Assistance After Age 18

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Legal Authority/Introduction


Adoptive parents may be eligible for adoption assistance for special needs children after their eighteenth (18th) birthday in the form of monthly subsidy, extraordinary medical expenses and the medical card.  Adoption assistance may continue until high school graduation or the child’s nineteenth (19th) birthday, whichever comes first.


The R&C worker: 

  1. Ensures that the adoptive family provides verifcation of the child's continued enrollment in high school after the child's eighteenth (18th) birthday;
  2. Verifies the child was placed for adoption by the Cabinet and the family had received adoption assistance after the finalization of the adoption;
  3. Contacts the child’s children’s benefits worker (CBW) to ensure continuation of the medical card if the state funded subsidy is continued beyond age eighteen (18); 1
  4. Contacts the billing specialist to ensure the:
    1. Continuation of adoption assistance for state funded children;
    2. Child is placed on state funded subsidy, for IV-E funded children; and
  5. Completes a new Adoption Assistance Agreement indicating the change from IV-E funding to state funding, by checking the appropriate box on the top, right portion of the agreement.





  1. Medical coverage is extended until high school graduation only if the child is enrolled full-time and is expected to complete their secondary schooling or equivalent before reaching age nineteen (19). 



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