The following agreement has been entered into by and between: State Agency/Other Relevant AgenciesAdoption Assistance Agreement • April 20th, 2022
Contract Type FiledApril 20th, 2022and have signed this document prior to finalization of the adoption for the purpose of receiving adoption assistanc payments and/or services for the child under (Title IV-E) or (State Adoption Assistance), (Non-recurring adoption expenses), (Medicaid).