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After adoption is finalized, there are no more county workers or agency workers coming once a month. If you have therapy and other counseling that would continue until a therapist, DR, you, etc determines it unnecessary. You will have to NEGOTIATE your adoption stipend either on a daily or monthly rate. Assuming that a sibling group is part of the special needs definition for your state, and/or your children have special needs, you will qualify for a stipend, but just how much is the question. It will most likely NOT be as much as your foster care rate, unless you have some serious special needs. As for medical card, again you can request that as part of the adoption agreement (and is normally granted). I also suggest you put the children on your insurance. Usually that will make your private insurance primary and medicaid secondary. We normally get DRs or appts bounced by the primary and medicaid will pick up the full tab (if we go to a medicaid DR). As for college, that is definitely dependent upon your state. In PA, they do not cover college if a foster child has been adopted, no matter at what age. Also, if TPR occurred INVOLUNTARILY, then normally all ties to bios are stopped. In PA, all foster care adoptions are considered "closed" once TPR'd, unless you do a formal agreement documenting you will continue with contact (and what that contact would be). In our case, since my DS was older, he has a bond with his first mom and we do allow him to send letters/cards and for her to do the same. We've set up an informal process of going through his county worker. But we are under no obligation to continue this. I know with his sisters that were adopted, the family has determined not to do what we are doing (not a right/wrong, just what they determined was best for their family).
After finalization, you can hire "regular" babysitters. They don't have to have clearances and your kids can attend sleepovers, etc. You can go out of state/country and not have to get permission or notify the county.
Also, keep in mind, after finalization, if your workers help you with transportation to therapy, etc and/or provide help in finding services (in home, etc), that will not be there for you. They also don't usually offer respite assistance, as the kids are now legally your responsbility, not that of children and youth.
Good luck!
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