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Title 8: Medicaid Page 24 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Cooperation with Child Support Services Revised October 10, 2025 Good Cause for Refusal to Cooperate Good Cause for Refusal to Cooperate Legal reference: 441 IAC 75.14(3) and (9) Policy: Each applicant and member has the opportunity to claim good cause for refusing to cooperate with the CSS in establishing liability or securing medical support payments. Procedure: Give applicants and members form 470-0169, Requirements of Support Enforcement. This form explains the right to claim good cause as an exception to the cooperation requirement, and how to file a claim. Document in the case record that the form was provided. Issue form 470-0170, Requirements of Claiming Good Cause whenever the member:  Asks for a copy, or  Wants to make a claim of good cause, or.  Indicates on the application that the member does not want to cooperate with CSS The member has the burden of proof that good cause circumstances exist. To meet this requirement, the member must:  Specify the circumstances claimed as good cause for not cooperating.  Corroborate the good cause circumstances.  Provide enough information to permit an investigation, when requested. If an applicant claims good cause, do not act on the application until the time frame for providing the evidence has lapsed or until the applicant provides the evidence, whichever is sooner. You have good cause to delay the eligibility determination if the time frame for providing the evidence exceeds the time frame for processing applications. If the applicant is making efforts but is unable to provide the evidence within the required time frame, continue pending the application until all members are eligible. Or, at the applicant’s request, determine eligibility for the immediately eligible members. In the latter case, the date the ineligible person provides the required evidence is the date of application to add that person.