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Title 8: Medicaid Table of Contents Chapter C: Nonfinancial Eligibility Revised October 10, 2025 Page 1 Page Iowa Department of Health and Human Services Employees’ Manual Overview .................................................................................................................................... 1 Assignment of Medical Support .............................................................................................. 1 Medical Benefits from Other Sources ..................................................................................... 1 Citizenship ................................................................................................................................ 3 Declaring Citizenship or Alien Status .................................................................................. 4 Persons Exempt from Verification ...................................................................................... 4 Verifying Citizenship and Identity ....................................................................................... 6 Reasonable Opportunity Period (ROP) ...................................................................... 7 Loss of Exemption ...................................................................................................... 9 Retroactive Eligibility ................................................................................................ 10 Documentation Process ................................................................................................... 11 Consistent Match (Verified) ...................................................................................... 12 Inconsistent Match (Not Verified) .............................................................................. 12 No Match (Not Verified) ............................................................................................ 13 Acceptable Documentation ............................................................................................... 14 Health Insurance Premium Payment (HIPP) Program ......................................................... 15 Referral to the HIPP Program Not Needed ....................................................................... 16 Cooperation in Obtaining Medical Resources ..................................................................... 17 Cooperation with the Third-Party Liability Unit .................................................................. 17 Failure to Cooperate With Third-Party Liability Unit .................................................. 18 Good Cause for Failure to Cooperate ............................................................................... 19 Cooperation with Investigations and Quality Control ......................................................... 19 Cooperation with Child Support Services ............................................................................ 20 What the Client Must Do to Cooperate ............................................................................. 21 Minors Living Independently of Parents .................................................................... 22 Pregnant Women Who Are Exempt from Cooperation ............................................. 23 Good Cause for Refusal to Cooperate ............................................................................. 24 Determining if Good Cause Exists ............................................................................ 25 Client Responsibilities When Filing a Good Cause Claim ........................................ 26 Worker Responsibilities When a Good Cause Claim Is Filed ................................... 27 Making the Decision About Good Cause .................................................................. 28 Failure to Cooperate in Obtaining Support ....................................................................... 29 If the Sanctioned Parent or Other Caretaker Decides to Cooperate ................................. 30 Sanctions and Appeals .......................................................................................................... 32