The Interstate Compact on the Placement of Children (ICPC) is an agreement between all 50 states, the District of Columbia, and the Virgin Islands. The Compact ensures potential placements are safe and suitable before approval, and it ensures that the individual or entity placing the child remains legally and financially responsible for the child following placement. 

State agencies and courts must comply with Compact law when placing children in treatment facilities, in foster homes, or with the child's relatives (including birth parents) who live in another state. The ICPC also applies when private adoptions occur across state lines. It also applies to private parent placements of children in residential treatment facilities, group homes, and other licensed facilities.

Information about ICPC offices in all states can be accessed at icpc.aphsa.org

The Interstate Compact on Adoption and Medical Assistance (ICAMA) provides a formal process to ensure that Title IV-E children continue to receive medical benefits and other services on an interstate basis.

ICAMA is designed to prevent and overcome barriers that may prevent adoptive families from receiving medical assistance mandated by adoption agreements. ICAMA provides that the state where the adoptive family resides will furnish Medicaid program services to all children adopted with Title IV-E adoption assistance agreements no matter which state the family has the adoption assistance agreement with. States also have the option of extending Medicaid coverage to children adopted with state-funded (non Title IV-E) adoption assistance agreements. Forty eight states and the District of Columbia are ICAMA members.

Information about ICAMA offices in all states can be accessed at aaicama.org