Section 435.145 - Children with adoption assistance, foster care, or guardianship care under title IV-E(a)Basis. This section implements sections 1902(a)(10)(A)(i)(I) and 473(b)(3) of the Act.(b)Eligibility. The agency must provide Medicaid to individuals for whom- (1) An adoption assistance agreement is in effect with a State or Tribe under title IV-E of the Act, regardless of whether adoption assistance is being provided or an interlocutory or other judicial decree of adoption has been issued; or(2) Foster care or kinship guardianship assistance maintenance payments are being made by a State or Tribe under title IV-E of the Act. 81 FR 86451 , Nov. 30, 2016