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Title 8: Medicaid Page 18 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 Railroad Retirement benefits Worker’s compensation Veterans Affairs benefits TRICARE (military health insurance) Liability lawsuits (tort action) Orders for restitution as a result of a criminal conviction Send the completed Insurance Questionnaire to the IME Third-Party Liability Unit: By interoffice mail to RevCol/IME By fax to 515-725-1352 By E-mail to revcol@hhs.iowa.gov Collect and report all necessary information about an accident, including: The name of the insurance company. The policy number or claim number. The type of accident (motor vehicle, slip and fall, worker’s compensation). The name and address of any attorney or insurance adjuster involved in the case. NOTE: Refer to NJA0093, Cooperation for the process of a Third Party Liability noncompliance in ELIAS and/or the process when Medicaid has been requested and a noncompliance still exists. Failure to Cooperate With Third-Party Liability Unit Legal reference: 441 IAC 75 (Rules in Process) When a person fails to cooperate with Third-Party Liability, a sanction must be applied to Medicaid eligibility. EXCEPTION: See Good Cause for Failure to Cooperate. Apply a sanction to a minor parent who does not cooperate. NOTE: Do not apply a sanction to a child when a parent or specified relative fails to cooperate. A person under sanction counts in the household size.