Is there a relationship between Title IV-E and Medicaid covered rehabilitative services?
For many states, Title IV-E and Medicaid are each significant federal funding sources for the care and treatment of children in the state’s custody. By law, Title IV-E Foster Care and Adoption Assistance is available for the care and support of eligible children. This ‘care and support’ includes room, board, school supplies, supervision, and transportation. It does not include treatment of a child’s medical condition or the provision of social services. Medicaid covered services are those that treat a recipient’s medical condition, with ‘medical’ encompassing both physical and mental health conditions. It does not include meeting the child’s physical needs. Simply put, Title IV-E may pay for food, clothing, and shelter, but not treatment; Medicaid may pay for treatment, but not food, clothing, and shelter. (Nursing facilities and accredited psychiatric residential treatment facilities being the exception.) Children who are victims of physical and/or sexual abuse and neglect are likely
