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Title 8: Medicaid Page 17 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Cooperation in Obtaining Medical Resources Revised October 10, 2025 Cooperation with the Third Party Liability Unit Cooperation in Obtaining Medical Resources Legal reference: 42 CFR 433.146-148 and 435.610; 441 IAC 75 (Rules in Process) and 75.14, 75.21(249A) All applicants and members are required to cooperate with certain processes related to obtaining medical resources as a condition of eligibility for Medicaid, unless good cause exists for failure to cooperate. This includes pregnant minors living independently. The applicant’s signature on the application form shall constitute agreement to the assignment. Deny Medicaid benefits to an applicant who fails to cooperate in determining the availability of medical resources. However, do not deny Medicaid benefits of a child due to the failure of the child’s parent or specified relative to cooperate. This section covers procedures for:  Cooperation with the Third-Party Liability Unit  Good cause for failure to cooperate Cooperation with the Third-Party Liability Unit Legal reference: 42 CFR 433.138, 433.145-148, and 435.610(a); 441 IAC 75 (Rules in Process) and 80.3(2) A Third-Party Liability Unit is part of the Iowa Medicaid Enterprise Revenue Collection Unit and the managed care contractors. The primary purpose of the Third-Party Liability Units is to identify and collect monies from any available medical resource that can pay all or part of a member’s medical expense. A member or a person acting on the member’s behalf must cooperate with Third- Party Liability by providing information and verification about any medical or third- party resources by completing form 470-2826, Insurance Questionnaire. Third-party resources include:  Medicare  Insurance policies • Private health insurance • Group health insurance • Liability insurance • Automobile medical insurance • Family health insurance carried by an absent parent