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Can an adoption assistance eligible child maintain a Medicaid card from more than one state?

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Can an adoption assistance eligible child maintain a Medicaid card from more than one state?

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Medicaid is generally received through an individual’s state of residence. Residence for Title IV-E adoption assistance eligible children is defined as where they live- in general, where they are physically located. A child can only be physically present in one state at a time. Since a child is only in one place at one time and a child is eligible for Medicaid in only one state at any one time, only one Medicaid card would be in effect at a time. Even if a child physically had more than one Medicaid card, only one of the cards would be in effect at a time and the corresponding state would be the state able to claim Federal Financial Participation (FFP), financial reimbursement, at that time. Note: It is not required for a state to issue a Medicaid card to confirm an individual’s Medicaid enrollment. States can create a Medicaid case number that families can use to receive services prior to the production of a Medicaid card. Additionally, a state may issue more than one card, such as an

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