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application such as removal of needs, fines, imprisonment, or disqualification from receiving future assistance payments. Each applicant/recipient household member will cooperate in any subsequent review or certification of program eligibility. Each applicant/recipient will cooperate with the Department in determining and recertifying eligibility and benefits and will cooperate with Department and federal staff conducting quality control reviews or audits of IMA programs. Each applicant/recipient will not alter, sell, trade, or transfer any IMA benefits or privileges, including EBT cards, MA identification cards, or other documents or cards which remain the property of the Department. Individuals will immediately surrender any cards or documentation remaining the property of the Department following written notice by the Department. Each applicant/recipient must provide financial and non-financial information, and report circumstance changes in a timely manner as required by the relevant program.

SPECIFIC PROGRAM RESPONSIBILITIES OF APPLICANTS AND RECIPIENTS 2.4

In addition to the above general responsibilities, applicants/recipients also have the following program- specific responsibilities:

MA • Each applicant/recipient will report changes in financial and non-financial eligibility information within 10 days of the change. • Each applicant/recipient, before using MA benefits, will use all other available medical insurance, including other medical insurance coverage, veterans' benefits, and veterans' facilities. • Each applicant/recipient will agree to assign to the Department and DOH the right to third- party payment (such as other health insurance that will cover the cost of services received) for care, treatment, and services provided under the MA program. • Each applicant/recipient, unless exempt, will be required to enroll with one of the managed care organizations that the District has contracted with to provide care to Medicaid recipients. People exempt from this requirement include the elderly, people with disabilities (SR), and people living with HIV. • Each applicant/recipient receiving MA coverage or benefits who institutes a legal proceeding against or enters into settlement negotiations with a third party regarding medical claims must provide written notice of the action to the Medical Assistance Administration (MAA) within 20 calendar days. • Parents and caretakers with children receiving MA will cooperate with the Child Support Enforcement Division (CSED) of the Office of Corporation Counsel in the determination of a child's biological and/or legal parent and in the establishment of a medical support order. However, applicants completing the DC Healthy Families Application may request quick referral for CSED services. The adult applicant/recipient's cooperation is a condition for receipt of MA benefits by the adult, unless the applicant/recipient has good cause for failing to cooperate (see Section 2.6: Good Cause for Non-Cooperation in Part V). An applicant/recipient's cooperation may include: o naming the absent parent of any child applying for or receiving MA; o providing information to assist the Department in locating the absent parent; o assisting in the establishment of legal paternity or parental status; o agreeing to submit to blood tests, if needed to identify a beneficiary child's biological parents; and