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Title 8: Medicaid Page 20 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Cooperation in Obtaining Medical Resources Revised October 10, 2025 Good Cause for Failure to Cooperate EXCEPTIONS:  Do not apply a sanction when the eligibility requirements under investigation or review would not result in the person being ineligible. (For example, do not apply a sanction to children on the case when the investigation involves resources, since resources are not considered when determining eligibility for children.)  Do not apply a sanction if the DIAL investigation involves only the circumstances of someone whose income and resources do not affect Medicaid eligibility.  If the report from DIAL involves an SSI recipient, do not apply a sanction unless the report is that the client moved out of state. Inform the Social Security Administration’s district office of any reported findings that may affect SSI eligibility using form 470-0641, Report of Change in Circumstances--SSI-Related Programs. If you have sanctioned a case for failure to cooperate, do not re-establish eligibility until you are notified that the client is cooperating or that the client no longer needs to cooperate. When a person under an existing DIAL sanction applies for Medicaid, do not determine eligibility until DIAL sends notification that the person has cooperated. Eligibility may then be determined beginning on the date of the application. NOTE: Remove the noncompliance in ELIAS. NOTE: Refer to NJA0093, Cooperation for the process when Medicaid has been requested and a noncompliance still exists. Cooperation with Child Support Services Legal reference: 42 CFR 433.146-148 and 435.610, 441 IAC 75.14(249A) Policy: Applicants and members in households with children must agree to cooperate in obtaining court-ordered medical support when there is an absent parent. The only exceptions are when good cause for refusal to cooperate exists. (See Good Cause for Refusal to Cooperate.) Applicants demonstrate their willingness by signing the application. Applicants and members must cooperate in obtaining support for themselves and for any other person in the household when:  Medicaid is requested for that person, and  The applicant or member can legally assign rights to court-ordered medical support for that person.