Providing Medicaid to Youth Formerly in Foster Care under the Chafee Option. Providing Medicaid to Youth Formerly in Foster Care under the Chafee Option : Table 8


: Table 8

StateMaximum AgeaBrief Description b
Nevada21Youth are not officially in foster care past 18 but may sign a voluntary agreement and then continue receiving the same care and opportunities as though they were in foster care. They must be enrolled in an authorized school or education program (for secondary or equivalent training) or be completing a high school diploma or GED and making satisfactory progress. They may not run away.
New Jersey21Youth may remain in care if they have not graduated from high school or if they need special treatment that cannot be provided otherwise.
New Mexico18Beyond 18, youth can continue to receive services but are not in foster care. The court can maintain jurisdiction to monitor their progress to age 19; however, this is voluntary on the youth’s part.
North Carolina18Youth may sign a voluntary contractual agreement for residential services upon their 18th birthday. The extended care does not involve the court. The youth must be continuing education (high school or post-secondary) or be engaged in a vocational training program. This service is available for youth that had been in legal custody for some time prior to, but not necessarily on, their 18th birthday.
Ohio18Youth may stay in care until age 19 to finish high school or for certain medical reasons.
Oklahoma21Youth are allowed to remain in placement and receive voluntary services after age 18 if they have not completed high school or a GED. Also youth must have been in an out-of-home placement on their 18th birthday to qualify for Medicaid under the Chafee Option.
Oregon21Youth may remain in care if they are completing high school or a GED, or have an individualized education plan. Exceptions are also available if reviewed and approved by the branch manager.
Rhode Island18All youth in the care and custody of the Department for reasons other than juvenile delinquency are terminated by the Family Court upon reaching the age of 18. The Department will keep open and continue to provide services, up to age 21, to youth identified as seriously emotionally disturbed or have a functional developmental disability, and not yet eligible for the adult system of care. Other former foster care youth who leave the Department on or after their 18th birthday are closed by the Department but may be eligible for Aftercare Support Services provided through private agencies. They must apply for such services. These services provide limited management supports, the establishment of budget/living expenses and some assistance with such expenses, and the establishment of a self-sufficiency plan.
South Carolina21In keeping with Fostering Connections, youth may stay in care if they are employed or pursuing their education (secondary or postsecondary), are in vocational training, or are in an activity that could lead to employment (e.g., volunteer work).
South Dakota21Youth may stay in care until age 21 if they have not completed high school.
Texas22Youth may stay in foster care by signing a voluntary extended foster care agreement. Remaining in foster care allows the youth to  • finish high school (up to the month of their 22nd birthday) or a GED program;  • attend college or other postsecondary educational or vocational activities;  • obtain employment or enhance work-related skills and knowledge through employment readiness activities; and  • if applicable, eligibility may be established for youth incapable of performing the activities described above due to a documented medical condition. Under the Return to Care program, implemented in September 2007, certain eligible youth who aged out of care can return to care until age 21 to attend a vocational or technical program or take a short break from college or a vocational or technical program for at least one month but no more than four months or until age 22 to attend high school or a GED program. With the passage of state legislation, beginning September 28, 2011, youth may return from a trial independence period to start or resume extended foster care.
Utah21Youth may remain in jurisdiction until age 21 if they are completing high school and have plans to live in the community. The court decides who may remain in jurisdiction.