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Title 8: Medicaid Page 27 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  Court documents or other records that indicate that legal proceedings for adoption are pending before a court of competent jurisdiction.  Court, medical, criminal, child protective services, social services, psychological, or law enforcement records that indicate that the putative father or absent parent might inflict physical or emotional harm on the child, parent, or other caretaker.  Medical records that indicate emotional health history and present emotional health status of the parent or other caretaker or the child for whom support would be sought.  Written statements from a mental health professional indicating a diagnosis or prognosis concerning the emotional health of the parent or other caretaker of the child for whom support would be sought.  Written statements from a public or licensed private social agency that the member is being assisted by the agency to resolve the issue of whether to keep the child or relinquish the child for adoption.  Sworn statements from persons other than the member or applicant with knowledge of the circumstances that provide the basis for the good cause claim. Written statements from the client’s relatives and friends are not sufficient to grant good cause but may be used to support other evidence provided. If requested, the member must also provide additional evidence that may be needed, and help with an investigation of good cause. Failure to meet these requirements is sufficient basis for determining that good cause does not exist. Worker Responsibilities When a Good Cause Claim Is Filed Legal reference: 441 IAC 75.14 Immediately notify Child Support Services whenever a client files a claim for good cause. Enter all information relating to the claim and determination of good cause into the case record. When a client asks for help in getting evidence, offer suggestions about how to obtain the necessary documents. Make a reasonable effort to obtain necessary documents that the client has been unable to obtain.