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Title 8: Medicaid Page 21 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Cooperation with Child Support Services Revised October 10, 2025 What the Client Must Do to Cooperate A referral to CSS will be made only as listed in 8-B, Referrals to CSS.

Mrs. J, age 40, is an SSI recipient. Her two children, ages 10 and 12, receive Medicaid coverage. Mr. J, the father of the children, is absent from the home. The children have court-ordered medical support from their absent father. Mrs. J is required to cooperate in obtaining support as a condition of her Medicaid eligibility. Cooperation with Child Support Services (CSS) is not required when:  The referred person is no longer considered a child by the program.  A pregnant woman is eligible for Medicaid under the Mother and Children (MAC) coverage group. See Pregnant Women Who Are Exempt from Cooperation for more information. Referrals are not required when:  There is good cause for not cooperating. See Good Cause for Refusal to Cooperate for an explanation of client responsibilities, good cause, and what you need to do when a client claims good cause.  The children in the household are not applying for or receiving Medicaid.

Mrs. L is an SSI recipient. Her two children, ages 6 and 7, do not receive Medicaid. Mrs. L is not required to cooperate in obtaining support as a condition of her Medicaid eligibility.  Children are living on their own and no parent or other caretaker is acting in a parental capacity over them. The following sections contain more information on:  What the client must do to cooperate  Good cause for failure to cooperate  Failure to cooperate  If sanctioned parent decides to cooperate What the Client Must Do to Cooperate Legal reference: 441 IAC 75.14(1)“a”, “b”, “c”, and “d” Unless good cause exists, clients must cooperate in the following areas:  Identifying and locating the absent parent of a child for whom Medicaid is requested.