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Title 8: Medicaid Page 22 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  Establishing the liability of the absent parent of a child for whom Medicaid is requested.  Obtaining any court-ordered medical support payments for the client and for a child for whom Medicaid is requested.  Supplying enough information about the absent parent, the receipt of court- ordered medical support, and the establishment of liability (when needed) to establish Medicaid eligibility and permit an appropriate referral to the CSS.  Appearing at the CSS local office to provide verbal or written information to establish liability when needed and secure medical support for the children in the eligible group. This includes information or documentary evidence that the client knows about, possesses, or could reasonably obtain.  Appearing as a witness at judicial or other hearings or proceedings.  Providing information, or attesting to the lack of information, under penalty of perjury.  Paying to the Department any medical support payments that the client receives after the date of decision.  Completing and signing documents needed by the state’s attorney for any relevant judicial or administrative purpose. Child Support Services shall make the determination of whether or not the adult member has cooperated. Special previsions apply to:  Minors living independently of their parents.  Pregnant women under the MAC coverage group. Minors Living Independently of Parents Legal reference: 441 IAC 75.14(249A) When a minor and the minor’s child are living independently of the minor’s parents, the minor must cooperate with Child Support Services (CSS) only on the absent parent of the minor’s child. Do not require the minor to cooperate in establishing liability or obtaining medical support from the minor’s parents. However, if the minor is living with an adult who is acting in a parental capacity, request the parent or other caretaker to cooperate with CSS.