The amount of an adoption subsidy can be re-negotiated at any time ... especially if an added service is recommended by a professional. The red tape can be a pain but worth it if you get it. Most states also are required ... especially if the child is Title IV eligible to renew your agreement and thus the amount yearly.
I can already read your mind ... how do you know you are Title IV eligible - this is determined at the removal/placement of the child(ren) into foster care and/or at tpr and your next questions ... how do you know what your child is eligible for ... that is when you write a letter requesting consideration for eligibility for any service recommended - if his/her counselor recommends you see them 3x a week vs. 1 you put that in writing to the caseworker (with a copy to supervisor always) and that when the limited number of visits are used you will need financial assistance to continue such care ... and your requested change for re-negotiation of the subsidy amount to cover such services.
All Title IV eligible individuals receive Medicaid automatically ... a worker may indicate you can waive same if you have private coverage but don't - Medicaid in many states picks up unexpected costs (i.e. long term residential care) that your insurance will not. If the child is not Title IV ask for the Medicaid coverage ... it is always secondary vs. primary so it never hurts having it. The only inconvenience is using a medicaid doctor if yours is not but again - the money that would be paid out to non-medicaid doctor can be utilized elsewhere in your budget if you use the medicaid one.
Hope this isn't too confusing. With our first placement we took the minimum ... dh didn't want to accept "charity" ... but quickly learned it is not charity and fills the form out to every expected cent we may need for our children each and every year!
Fire questions back on what I wrote if you wish and I will try and clarify.
