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Medical coverage is typically addressed in the subsidy agreement. You may have to fight for it, your caseworker may have to fight for it. With the current budget cuts, subsidies of any kind are harder to get, and when someone gets one it may be smaller than that same child may have qualified for a couple years ago.
Lots of things can be addressed in the subsidy agreement - medical coverage, monthly stipend, residential treatment, college costs, whether or not any of those things can be adjusted in the future if the child's needs change, and so on.
Being able to prove your child meets your state's definition of "special needs" is the first hurdle. Then making your case for how much assistance the child will need - above and beyond what a non-special needs child would require.
In some states/counties/agencies you get a good subsidy package almost automatically. In others, you have to make a case for it and a committee/person decides if you qualify and for how much of what you asked for. And in others, it's harder than that because they're being really stingy with subsidy agreements.
Hope that helps!
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