just answered my own question (I think)
Many of the children available for adoption through the North Carolina child welfare system are eligible for monthly payments, medical benefits and other services. The monthly adoption assistance payment in North Carolina is based on the age of the child and the child's specific special needs.
Age Rate
0-5 $702
6-12 $742
13+ $810
Special provisions can be made for
HIV children, including:
$800 (indeterminate HIV status)
$1,000 (confirmed HIV-infected, asymptomatic)
$1,200 (confirmed HIV-infected, symptomatic)
$1,600 (terminally ill with complex care needs); and
If the placing county participates in the Special Children Adoption Incentive Fund and the state budget has funds to add new children, Children with Therapeutic Needs may be able to negotiate a rate up to the foster care rate the child has been receiving. This rate is only possible when negotiating the rate for the initial agreement.
North Carolina State Adoption Assistance Program - Families Rising