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Title 8: Medicaid Page 31 Iowa Department of Health and Human Services Employees’ Manual Chapter B: Application Processing Referrals to CSS Revised October 17, 2025

 The applicant requests CSS services;  The applicant or member receives cash medical support;  The application is for a child in foster care; or  The applicant is also applying for FIP. Do not make a referral to CSS:  When the applicant does not want CSS services and CSS does not have an active case on the absent parent.  When both parents are in the home, even when paternity has not been established.  If the applicant or member has proven that good cause exists.  On a parent whose parental rights have been terminated by the court.  On the parents of an underage parent who is a payee.  When a child in subsidized adoption is placed in foster care and no child support order currently exists.  When a parent’s absence is solely because of the performance of active duty in the uniformed services of the United States. “Uniformed service” means the United States Army, Navy, Air Force, Marine Corps, Coast Guard, National Oceanographic and Atmospheric Administration, or Public Health Service. NOTE: A parent whose absence is solely because of the performance of active duty in the uniformed services of the United States is considered to be absent for purposes of determining Medicaid eligibility. (See 8-C, Absence.) However, a parent who is absent for this reason is not referred to CSS. See 8-C, Cooperation with Child Support Services.

1. Ms. D applies only for Medicaid for herself and her daughter, Lisa. Lisa’s father is not in the home. Ms. D says on the application that:  She does not want a referral to CSS, and  There is no court order for cash medical support. The IM worker checks ICAR and finds there is not an active child support case in the ICAR system. The IM worker processes the application and does not complete a referral to CSS.