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Title 8: Medicaid Page 31 Iowa Department of Health and Human Services Employees’ Manual Chapter C: Nonfinancial Eligibility Cooperation with Child Support Services Revised October 10, 2025 If the Sanctioned Parent or Other Caretaker… Document details in the case record of any contact with the client or with CSS. When the parent or other caretaker expresses a willingness to cooperate before the effective date of their loss of Medicaid, notify CSS. When CSS notifies you that the parent or other caretaker has cooperated, reinstate their Medicaid. When the parent or other caretaker expresses a willingness to cooperate on or after the effective date of losing Medicaid, the earliest effective date they can be added and approved for Medicaid is the first day of the month in which the parent or other caretaker expressed a willingness to cooperate. NOTE: Refer to NJA0093, Cooperation for the process when Medicaid has been requested and a noncompliance still exists.

1. On December 1, CSS notifies the IM worker that Mrs. A failed to cooperate. On December 3, the IM worker sends Notice of Decision or Notice of Action canceling Mrs. A’s Medicaid effective January 1. On December 10, Mrs. A calls the IM worker and expresses her willingness to cooperate. On December 26, CSS notifies the IM worker that Mrs. A has cooperated. The IM worker reinstates Mrs. A’s Medicaid effective January 1. 2. The same as Example 1, except CSS does not notify the IM worker until January 10 that Mrs. A has cooperated. The worker reinstates Mrs. A’s Medicaid effective January 1 because she indicated her willingness to cooperate before the effective date of cancellation of her medical assistance. 3. Same as Example 1, except Mrs. A does not contact the IM worker until January 2 to express her intent to cooperate. On January 4, CSS notifies the IM worker that Mrs. A has cooperated. The worker reopens Mrs. A’s Medicaid effective January 1. 4. Same as Example 3, except CSS does not notify the IM worker until February 1 that Mrs. A cooperated in January. The worker reopens Mrs. A’s Medicaid effective January 1.