Get Icama Form 602

Filling out the Icama Form 602 is a crucial step in ensuring that adoptive families can smoothly transition their children’s medical coverage when relocating. This guide provides clear, step-by-step instructions to assist you in completing the form online.

Follow the steps to successfully complete the Icama Form 602 online.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. In the notification section, fill in the adoptive parents' information, including their current family address — number, street, city, state, zip code, county, and telephone number.
3. Provide the details of the new family address where the child(ren) will be living. Include the number, street, city, state, zip code, county, and telephone number.
4. List the names of the children involved, indicating their eligibility for Title IV-E/SSI or Title IV-E/AFDC, as applicable for each child.
5. Complete the information about the Compact Administrator, including their name, agency or department, address, city, state, and telephone number.
6. Confirm the status of the new residence state by indicating if it is a member of The Interstate Compact on Adoption and Medical Assistance (ICAMA).
7. Ensure that you have filled in any required details related to the children receiving IV-E adoption assistance and follow the additional instructions provided for Medicaid identification.
8. If applicable, refer to the requirements for children receiving state-funded adoption assistance and complete any additional steps by contacting the appropriate Compact Administrator.
9. Review all entered information for accuracy before finalizing the form.
10. Once completed, save the changes, download, print, or share the form as needed.

Complete your documents online today to ensure a smooth transition for your family.