In a closed adoption, where the mother has medicaid, how do the PAPs know?

Question

If PAPs agree to pay medical expences, but it's a closed adoption, therefore the agency tell them what to pay, then how would they know if there was ANY expences at all. What if the mother was on Medicain? Couldn't an agency make up any number they wanted and call in medial expences?

I'm not saying this happens, but could it? It would be SOOOO easy.

ALSO, I was told by a SW friend that ALL children placed outside of their natural home, automaticly qualify for medicaid, so after care isn't an isure either.

Any thoughts on this?

Answer 1

There isn't any way to know for sure. You have to use an agency that you trust and that you know someone has used and had a good experience with. An unethnical agency could lie and you'd have no way of ever knowing the truth.

It's not true that all children placed outside of their biological parents' home are automatically qualified for medicaid. We adopted and while our birthmom was on medicaid, our son was not once we took placement of him. He then went onto our insurance and, if we didn't have insurance, we would have been responsible for any costs from his medical care. (but our agency required that we showed proof of insurance for him after placement.)

Answer 2

This DOES happen.  I've heard of agencies making sure they get expectant mothers on medicaid if they aren't on it, then having the pap's pay the medical expenses, which of course is paid for by medicaid so the money goes to the agency.  I don't know how common it is, but it definitely happens.  I just recently read about it on an adoption agency rating site.