From the Missouri Adoption Services Page:

A range of services is offered for children and parents involved in the adoption process. These include the evaluation of the child's needs prior to placement, and arrangements for care of the child prior to the child's adoptive placement and to the approval of the adoptive family. Also, special activities are provided to help adoptive parents and children adjust to the new family situation. Payment is provided for legal services associated with the freeing of a child for adoption. For special needs children, costs are underwritten by the state through the Missouri adoption subsidy program (MASP), for legal, medical, dental, psychiatric, psychological, and/or integrative serves for the child both before and following adoption. For an adoptive family to receive an adoption subsidy, an agreement must be negotiated between that family and CD.