Page 34

Title 8: Medicaid Page 30 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

2. Ms. T receives Medicaid for herself and one child. Ms. T refuses without good cause to cooperate in obtaining medical support for the child. Ms. T’s Medicaid is canceled for failure to cooperate. The child continues to be eligible. If the Sanctioned Parent or Other Caretaker Decides to Cooperate Legal reference: 441 IAC 76.12(1)”b” A client who is not receiving Medicaid due to failure to cooperate may be eligible to receive Medicaid when the client indicates a willingness to cooperate. When adding the client back to an existing household, the date the client expresses a willingness to cooperate is the date of application. The parent or other caretaker may contact you or CSS to express willingness to cooperate. Contact with either office establishes the date of application. NOTE: An application must be filed when the client cannot be added to an existing household. If the client contacts you to indicate a willingness to cooperate, tell the client to contact CSS. State in writing that the client has ten calendar days to contact and cooperate with CSS. Make it clear to the client that the client cannot receive Medicaid benefits until the client has followed through on the action required by CSS. Grant an extension if appropriate. If the client fails to cooperate by the due date, deny the application. The client remains ineligible for Medicaid. Do not take action to approve the parent or other caretaker until CSS gives notice that the parent or other caretaker has cooperated. Approve the client’s Medicaid beginning with the first day of the month that the client has cooperated with CSS. If the client is otherwise eligible and meets retroactive eligibility criteria as defined in 8-A, Definitions, approve Medicaid up to three months before the date of application. When the client contacts CSS to indicate a willingness to cooperate, you may not find out that the client has cooperated until CSS notifies you. The notification from CSS will contain the date the client initially contacted CSS and expressed willingness to cooperate. If necessary, contact CSS to confirm the date the client first indicated a willingness to cooperate to determine the correct date of application.