Get Icama 603 Form

The Icama 603 Form is essential for reporting changes in a child's or family's status related to adoption and Medicaid. This guide provides clear, step-by-step instructions to assist you in completing the form online, ensuring that your submissions are accurate and compliant.

Follow the steps to successfully fill out the Icama 603 Form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by filling out the 'Sending Information' section. Enter today's date, your name, address, county, city, state, zip code, and telephone number.
3. Next, provide the information for the recipient in the 'To' section. This includes the name, address, county, city, state, zip code, and telephone number of the Compact Administrator.
4. Select the appropriate reason for reporting changes by checking one of the boxes: address change, adoption status change, update on Medicaid status, or change in case status.
5. Move to the 'Child Identifying Information' section. Provide the names, birthdates, and social security numbers for Child A, Child B, and Child C.
6. In the 'Adoptive Parents' section, enter the names of Parent 1 and Parent 2.
7. Proceed to 'Change in Medicaid Status.' Indicate whether a Medicaid case has been opened for each child and provide the effective date and Medicaid ID number as required.
8. Next, fill out the 'Change in Case Status.' For each child, specify the effective date of change, whether the case is active or closed, and provide the effective date of closing and reason for closing if applicable.
9. Complete the 'Change in Address' section. Enter the effective date of the change, the current family address, and the new family address with all required details.
10. For 'Change in Adoption Status,' provide the effective date, details of the adoption assistance agreement for each child, and indicate the status of the final adoption decree.
11. Lastly, ensure to address the distribution instructions. Prepare the original and two copies of the completed form, with the reporting state retaining the original, the recipient state retaining one copy, and the adoptive parents receiving another.

Ensure you have all necessary information and start filling out the Icama 603 Form online today!