Title 5. Children — Subtitle 4A. Interstate Compact on Adoption and Medical Assistance
Statutes in effect as of October 1, 2026.
Md. Code Ann., Fam. Law § 5-4A-01 (2026)
Title 5. Children
Subtitle 4A. Interstate Compact on Adoption and Medical Assistance
§ 5–4A-01LinkCopy Citation
(a)
In this subtitle the following words have the meanings indicated.
(b)
“Administration” means the Social Services Administration of the Department.
(c)
“Adoption assistance state” means the state that is signatory to an adoption assistance agreement in a particular case.
(d)
“Residence state” means the state where the child lives.
Md. Code Ann., Fam. Law § 5-4A-02 (2026)
Title 5. Children
Subtitle 4A. Interstate Compact on Adoption and Medical Assistance
§ 5–4A-02LinkCopy Citation
(a)
The General Assembly finds that:
(1)
locating adoptive families for children who are eligible to receive State assistance and assuring the protection of the interests of the children affected during the entire assistance period requires special measures when the adoptive parents move to other states or are residents of another state; and
(2)
providing medical and other necessary services for children, with State assistance, is more difficult when the services are provided in other states.
(b)
The purposes of this subtitle are to:
(1)
authorize the Administration to enter into interstate agreements with agencies of other states for the protection of children on whose behalf adoption assistance is being provided; and
(2)
provide procedures for interstate adoption assistance payments, including medical payments.
Md. Code Ann., Fam. Law § 5-4A-03 (2026)
Title 5. Children
Subtitle 4A. Interstate Compact on Adoption and Medical Assistance
§ 5–4A-03LinkCopy Citation
(a)
The Administration may develop, participate in the development of, negotiate, and enter into one or more interstate compacts on behalf of this State with other states to implement one or more of the purposes of this subtitle.
(b)
When entered into, and for so long as it shall remain in force, the compact shall have the force and effect of law.
Md. Code Ann., Fam. Law § 5-4A-04 (2026)
Title 5. Children
Subtitle 4A. Interstate Compact on Adoption and Medical Assistance
§ 5–4A-04LinkCopy Citation
(a)
A compact entered into pursuant to § 5-4A-03 of this subtitle shall include:
(1)
a provision making the compact available for joinder by all states;
(2)
a provision for withdrawal from the compact upon written notice to the parties, but with a period of 1 year between the date of the notice and the effective date of the withdrawal;
(3)
a requirement that the protection afforded by or pursuant to the compact continue in force for the duration of the adoption assistance and be applicable to all children and their adoptive parents who on the effective date of the withdrawal are receiving adoption assistance from a party state other than the one in which they are residents and have their principal place of abode; and
(4)
a requirement that each instance of adoption assistance to which the compact applies be covered by an adoption assistance agreement in writing between the adoptive parents and the state child welfare agency of the state which undertakes to provide the adoption assistance and that the adoption assistance agreement be expressly for the benefit of the adopted child and enforceable by both the adoptive parents and the state agency providing the adoption assistance.
(b)
A compact entered into pursuant to § 5-4A-03 of this subtitle may include a provision establishing procedures and entitlements to medical or other necessary social services for the child in accordance with applicable laws even though the child and the adoptive parents are in a state other than the state responsible for providing the services or the funds to defray part or all of the costs.
Md. Code Ann., Fam. Law § 5-4A-05 (2026)
Title 5. Children
Subtitle 4A. Interstate Compact on Adoption and Medical Assistance
§ 5–4A-05LinkCopy Citation
(a)
(1)
A child with special needs who resides in this State and who is the subject of an adoption assistance agreement with another state shall be entitled to receive a medical assistance identification from this State upon filing with the Administration a certified copy of the adoption assistance agreement obtained from the adoption assistance state which certifies to the eligibility of the child for medical assistance.
(2)
The adoptive parents shall be required at least annually to show that the adoption assistance agreement is still in force or has been renewed.
(b)
The Administration shall consider the holder of a medical assistance identification pursuant to this section the same as any other holder of a medical assistance identification under the laws of this State and shall process and make payment on claims on account of the holder in the same manner and pursuant to the same conditions and procedures as for other recipients of medical assistance.
(c)
(1)
This section shall apply only to medical assistance for children under adoption assistance agreements from states that provide medical assistance to children with special needs under adoption assistance agreements made by this State.
(2)
All other children entitled to medical assistance pursuant to adoption assistance agreements entered into by this State shall be eligible to receive it in accordance with the applicable laws and procedures.
Md. Code Ann., Fam. Law § 5-4A-06 (2026)
Title 5. Children
Subtitle 4A. Interstate Compact on Adoption and Medical Assistance
§ 5–4A-06LinkCopy Citation
A person who submits a claim for payment or for reimbursement for services or benefits or makes a statement in connection with a claim for payment or reimbursement for services or benefits pursuant to § 5-4A-05 of this subtitle which the person knows or should know is false, misleading, or fraudulent is guilty of perjury and on conviction is subject to a fine not exceeding $10,000 or imprisonment not exceeding 2 years or both.
Md. Code Ann., Fam. Law § 5-4A-07 (2026)
Title 5. Children
Subtitle 4A. Interstate Compact on Adoption and Medical Assistance
§ 5–4A-07LinkCopy Citation
The Administration may adopt regulations necessary to carry out this subtitle.
Md. Code Ann., Fam. Law § 5-4A-08 (2026)
Title 5. Children
Subtitle 4A. Interstate Compact on Adoption and Medical Assistance
§ 5–4A-08LinkCopy Citation
(a)
Consistent with federal law, the Maryland Department of Health and the Department of Human Services, in connection with the implementation and execution of this subtitle and any compact entered into pursuant to this subtitle shall include in any State plan made pursuant to the Adoption Assistance and Child Welfare Act of 1980 (P.L. 96–272), Titles IV–(e) and XIX of the Social Security Act, and any other applicable federal laws, the provision of adoption assistance and medical assistance for which the federal government pays some or all of the cost.
(b)
The Departments shall apply for and administer all relevant federal aid in accordance with law.