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ICPC/ICAMA

Attachments

  • Adding a Service Review and Service Participation Status.pdf
  • index.html

Private ICPC Adoption Requests

Details
Written by: Administrator
Category: ICPC/ICAMA
Published: 03 September 2025
Hits: 579

Regulation 12 of the Interstate Compact on the Placement of Children (ICPC) details what should be done when placing a child in another state for a private or independent adoption.
You can read the full ICPC regulations here: ICPC Regulations.

Attached above:

  • A checklist of packet contents be included for an outgoing request.

  • Copies of the DCY forms referenced in the checklist.

After placement:

  • Submit a 100B form to notify our office of the date the child entered the receiving state.

  • Submit another 100B form at the time of adoption, including a copy of the final decree of adoption.

 Depending on the receiving state's requirements, additional documentation may be needed.  

For questions or to submit a placement packet, please contact the Ohio ICPC office at:  This email address is being protected from spambots. You need JavaScript enabled to view it.

Attachments

  • DCY-01616 Social Medical History.docx
  • DCY-01661 100A Placement Request.docx
  • DCY-01662 100B.docx
  • DCY-01666 Permanent Surrender of Child.PDF
  • DCY-01674 Statement of Assurance.PDF
  • DCY-01693 Ohio Law and Adoption Materials.docx
  • DCY-01695 Putative Father Registry.docx
  • ICPC Adopt-sending checklist updated.docx
  • index.html

Private Interstate Residential Treatment Requests

Details
Written by: Administrator
Category: ICPC/ICAMA
Published: 31 July 2025
Hits: 1072

Placing an Ohio Youth in Out-of-State Residential Treatment

The Interstate Compact on the Placement of Children (ICPC) governs how children and youth move across state lines for foster care, adoption, and residential treatment.

If an Ohio youth—whether in the custody of a Children’s Services agency or their parent/guardian—is being placed in a treatment facility in another state, approval must be requested from the receiving state before placement.

For youth in the custody of a parent or guardian, ICPC requests should be sent to:
This email address is being protected from spambots. You need JavaScript enabled to view it..

 

Required Documents for the Receiving State:

When submitting a request, include the following:

  1. Form 100A – ICPC Placement Request (DCY1661) - signed by the parent/guardian

  2. Acceptance Letter from the out-of-state facility

  3. Signed statement from the parent/guardian confirming:

    • They are responsible for any costs not covered by insurance or Medicaid

    • They agree to return the youth to Ohio after treatment ends or if the placement is disrupted

 

Additional Requirements and Processing Time

Some receiving states may ask for extra documents, such as a birth certificate or a social services summary. Once your request is submitted, processing times can vary, so it’s important to plan ahead and allow enough time for the paperwork to be reviewed and approved.  The completed request should ideally be submitted 7-14 days prior to the anticipated placement date.

 

 

After Placement:

Once the youth is placed, and again at discharge, submit:

  • Form 100B – ICPC Report on Child’s Placement Status

Forms and instructions for completing the 100A and 100B for private residential treatment placements are attached to this article, along with a sample of the responsibility document.

If you have any questions, feel free to reach out to the Ohio ICPC Office at the email above.

Attachments

  • 100A Guidance.pdf
  • 100B Data Example.pdf
  • DCY-01661.docx
  • DCY-01662 100B.docx
  • Financial Medical Disruption Agreement.docx
  • index.html

NEICE-ICPC-ICAMA Webinar

Details
Written by: Administrator
Category: ICPC/ICAMA
Published: 08 November 2023
Hits: 2280

The webinar titled "NEICE (National Electronic Interstate Compact Enterprise) Initiative Overview" was held on May 30, 2018.  The webinar discussed changes to  the Ohio SACWIS ICPC and ICAMA functionality that are being made as a part of the NEICE initiative.  The webinar was presented by ODJFS staff.

To view this webinar, click here https://youtu.be/vfDe-e5b7b0

The Q & A document from this webinar is attached to this article. 

 

 

 

 

Attachments

  • index.html
  • NEICE ICPC ICAMA Webinar QA.docx

ICPC Requirements Checklists

Details
Written by: Administrator
Category: ICPC/ICAMA
Published: 08 November 2023
Hits: 6092

The ICPC Requirements Checklists attached to this article should assist agencies in gathering and sending all the necessary paperwork to request an out-of-state placement for a youth in custody.

 

  

 

Attachments

  • Adoption Checklist 2025.pdf
  • Foster-Relative-Parent Checklist 2025.pdf
  • index.html
  • Residential Checklist 2025.pdf

Creating an ICAMA Record

Details
Written by: Administrator
Category: ICPC/ICAMA
Published: 08 November 2023
Hits: 2285

This article provides step-by-step instruction for creating an ICAMA (Interstate Compact on Adoption and Medical Assistance) record to establish Ohio Medicaid.

 

 

To view a 2018 webinar when this functionality was updated, click here https://youtu.be/vfDe-e5b7b0  

Attachments

  • Creating an ICAMA Record 2025.pdf
  • index.html
  1. Completing an Incoming ICPC Request from NEICE
  2. Completing an Outgoing ICPC Request via NEICE

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