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Policy
Manual
ADOPTIONS
Subsidized Adoptions
48-18-6
Processing Subsidized Adoptions
| Introduction |
This topic covers
•the forms that are required to finalize a subsidized adoption, and
•how the forms must be processed.
These forms, called "subsidy forms," are in addition to those required for
completing a Department adoption.
Cross-reference: For Department procedures, refer to policy 48-19-1 - 48-19-7 of this chapter. |
| Subsidy Forms |
The table below lists the subsidy forms
the Social Worker must complete for a subsidized adoption.
| Form |
Form Name |
Social Worker
Responsibility |
| DCF-416 |
Certification of Special Needs Status (one in child's birth
name and one in child's adoptive name) |
To complete and sign the form, and give it to the Social
Work Supervisor who will submit it to the Program Supervisor for approval. |
| DCF-418-I (Initial form) |
Adoption Subsidy Agreement, Initial Agreement
(use child's adoptive name) |
To complete the form in duplicate, and • sign the
form as the Department representative, and
• obtain the signature(s) of the adoptive parent(s), and
• return one copy to adoptive parents |
| DCF-419 |
Commissioner's Statement of Support (one in child's birth
name and one in child's adoptive name) |
To complete the form in duplicate for the Commissioner's
signature. |
| DCF-739 |
Application For Reimbursement For Non-Recurring Adoption
Expenses (use child's adoptive name) |
Notify adopting parents they may apply; complete Section I,
II, and III; and forward to adopting parents for completion and signature. |
| DCF-738 |
Agreement For Reimbursement Of Non-Recurring Adoption
Expenses (use child's adoptive name) |
To complete, sign and forward to adopting parents for
signature. Then forward to Program Supervisor for approval and signature. |
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Note: The entire packet is prepared by the Social Worker for the
Social Work Supervisor's and Program Supervisor's approval.
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| Procedure: Pre-Court |
The table below lists the steps the Social Worker
must complete to submit a subsidized adoption to the Probate Court.
| Step |
Action |
| 1 |
Complete and process the Probate Court forms, the
Department subsidy forms listed in the previous table, and the Probate Court Study for the
child being adopted. Cross-reference: See policy 48-19-1 to 48-19-7 of
this chapter.
Note: Include the words "Subsidized Adoption" at the top of the
Probate Court Study. This information is important, because a subsidized adoption incurs
no court fees, per CONN. GEN. STAT. §45a-111(b). |
| 2 |
Forward the Probate Court Study and the forms indicated in
Step 1 to the Adoption Resource Exchange. Note: The Adoption Resource
Exchange returns the Probate Court Study and the forms to the regional office, when they
have been signed by the Commissioner. |
| 3 |
Prepare a cover letter for the Probate Court that indicates
the proposed adoption is subsidized, with the words "Subsidized Adoption" in the
heading "RE:" at the top of the cover letter. |
| 4 |
Submit the cover letter, the Probate Court Study, and the
adoption forms to the Probate Court. |
| 5 |
Submit Title IV-E Adoption Subsidy Application form
(DCF-552) to the eligibility specialist for completion and determination when the adoption
packet is sent to the Probate Court.1 |
|
| Procedure: Post-Court |
The table below lists the steps the Social
Worker must complete after the adoption has been finalized by the court.
| Step |
Action |
| 1 |
On the date of the adoption finalization, close the child's
record by completing the necessary CMS forms. |
| 2 |
Complete Adoption Report (DCF-420). |
| 3 |
Initiate procedures to request that the case information be
expunged from CMS. |
| 4 |
Open a new subsidized adoption case on the CMS system, when
the adoption has been legally finalized. Note: Use the child's new name
and new CMS number. |
| 5 |
Do the foster/adoptive parents already have an active payee
number in the CMS system?
• If yes, use their existing payee number.
• If no, apply for a new payee number for them.
|
| 6 |
Collect all completed forms needed for the subsidized
adoption record. (See "Subsidized Adoption Record" on the following page.) |
| 7 |
The regional office transfers the subsidy case record to
the Adoption Resource Exchange, where the record will be reviewed. If it is determined the
case is appropriate for transfer, Worker Change/Assignment Form (DCF-382) will be
completed by ARE. |
| 8 |
The subsidized adoption record should be sent to the
Adoption Resource Exchange within forty-five (45) days of finalization. Note:
The Adoption Resource Exchange requires these papers because it is responsible for
completing the annual redetermination of all adoption subsidy cases.
The closed adoption record must accompany the subsidized adoption case record. The
Adoption Resource Exchange office will forward the closed record to the Processing
Technician for recording and storage.
Copies of court studies, dictation, etc. should NOT be a part of the subsidy
record. See Subsidized Adoption Face Sheet (DCF-2051) for required forms.
Note: Only the child's new adoptive name should be used on all forms
in the subsidy record. |
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| Subsidized Adoption Record |
The Social Worker must make sure that each
subsidized adoption record contains completed copies of the following forms:
•Certificate of Special Needs Status (DCF-416)
•Adoption Subsidy Agreement Initial Agreement (DCF-418-I)
•Commissioner's Statement of Support (DCF-419)
•Subsidized Adoption Face Sheet (DCF-2051)
•Title IV-E/Title XIX Application (DCF-550)
•Title IV-E Adoption Subsidy Application (DCF-552).
Note: In completing the form DCF-416, the sections "previous
attempt to find other resources" or "has established significant emotional ties
with foster parents" must be checked if the child is eligible for Title IV-E. Also,
form DCF-550 should be the initial form completed when the child was most recently placed
in foster care. |
| Forms for a New Subsidy Case |
The Social Worker must complete the following
forms to open a new subsidy case:
- Demographic Form (DCF-375)
Case Member Form (DCF-378)
Case Establishment - Referral (DCF-379)
Placement and Reimbursement/Payment Form (DCF-383)
- Case Treatment Plan Control Form (DCF-386)
Note: Eligibility Form (DCF-374) is submitted by the Eligibility
Specialist. |
| Connecticut Child Placing
Agency May Request Subsidy |
A Connecticut licensed child placing agency may
request an adoption subsidy for a child for whom they are statutory parent. The licensed
agency shall apply to the Department regional office which covers the town where the
adoptive parent reside. The licensed private agency must complete, in duplicate,
DCF-416, DCF-418-I, DCF-419, DCF-738, DCF-739 as well as a copy of the Order of
Termination of Parental Rights and a copy of the Probate Court study and submit to the
Program Supervisor who has responsibility for Permanency Planning or Adoption Units.
The Program Supervisor will sign DCF-416 and determine the financial subsidy rate and
sign DCF-418-I. This request will be submitted for the Commissioner's approval and
signature through the Adoption Resource Exchange. The Program Supervisor will return one
copy of the forms to the private agency. It is the responsibility of the Connecticut
private aency to notify the Department by submitting an Adoption Decree, so a subsidized
adoption case may be opened effective the date of finalization. |
Connecticut Department of Children and Families Issued: March 1, 1994
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