Then you wait again until the child is cleared to travel. Some countries require that the family travel to that country for the adoption. A post-placement study is done according to the requirements of your state. After the adoption is finalized your child may become an American citizen. It depends on the agency and the country.
Costs can vary greatly, again depending on the circumstances.
There are some programs that may help facilitate special needs adoption, but one would have to ask the agency about those programs. Intercountry adoption is an exciting adventure that clearly gives as much to the adopting family as it does to the child. It is a beautiful way to make a family. Many thousands of happy families would agree. Wide Smiles depends on donations to continue to provide this resource for you.