Documentation Requirements for Payment in AAP Eligibility Case File

EAS 35341

The eligibility case file must contain the following completed documents in order to make an AAP payment. These forms are a separate requirement from that of the Adoption SW Service Case File. All forms must have the version and must be signed and dated by either the FC EW or the adoption SW or both:

Payment Instruction Adoption Assistance Program (AAP 2)
Eligibility Certification Adoption Assistance Program (AAP 4)
Income and Property Checklist For Federal Eligibility Determination-Adoption Assistance Program (FC 10) is not necessary, but can be used for non-federally eligible AAP cases.
Adoption Assistance Agreement (AD 4320) for outgoing ICAMA cases only. Refer to Interstate Compact on Adoption and Medical Assistance (ICAMA).
Adoption Assistance Program Case Information Sheet (SCZ 33A). It is no longer necessary to remove the bottom of this document, which indicates “Intake Worker Detach This Part From the Case Information Sheet,” since all AAP records are confidential, and it may be necessary to find the birth record to obtain a copy of the FC 8.
An approval NA 791. All copies of the NA 791 must be sent to the post-adoption unit or the RDSS office.
A printed Medi-Cal Eligibility Data System (MEDS) screen showing a pseudo number (if applicable).
Designation of Named Payee of AAP Benefits (SCD 2422) if applicable.

Reminder: Detailed eligibility documentation is required in a CalSAWS Journal.

Documentation Requirements for Payment in AAP Eligibility Case File

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