There really is no difference in how private agency and public agency kids are treated. The state ends up providing the same services. Transferring custody is just an extra, needed step to receive state adoption assistance services, which are not radically different from IV-E services. Subsidies for these handicapped children over 19 are limited to extraordinary medical expense payments. A child's adoption assistance agreement may be periodically reviewed by the state.
Yearly contact is required with a biennial renewal process.
Subsidy agreements may be renegotiated, at the family's request, whenever the child's needs or the family's circumstances change, either before or after the adoption has been finalized. The Department for Community Based Services provides adoptive parents the opportunity for a fair hearing on the decision to deny or reduce adoption assistance for a special needs child. A request for hearing shall be made by an adoptive parent within 30 days of notice of action. All requests must be in writing. Quality Assurance Branch Cabinet for Families and Children 275 East Main, 1E Frankfort, KY 40621 23.