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Cooperation in identifying and providing information about responsible third parties, including absent parents, as well as cooperation in obtaining third party payments and medical support, is required unless the applicant/recipient establishes good cause.94
2434.05.00 MEDICAL SUPPORT COOPERATION REQUIREMENTS This section does not apply to pregnant women (MAGP), Transitional Medical Assistance (MA F), or applicant/recipient children under 18 whose eligibility is being determined under a category other than MAGF. The applicant/recipient is required to cooperate, unless good cause is established, in obtaining medical support and payments for medical care as follows:95
• Provide the DFR with all information regarding existing and future medical insurance coverage. • Advise the DFR of any existing or future court orders which provide support for medical care. • Advise the DFR of any legal action taken or intended to be taken against a third party for injuries he has sustained in an accident; (this also applies to any other applicant/recipient for whom he is legally responsible). • Assist in obtaining any support for medical care available to him under any order of a court or administrative agency. • Assist in obtaining any third-party payments which may be available; and • Pay to the Central Office or DFR any money from any third party who is paid directly to him for medical services which were or will be paid by Medicaid.
2434.10.00 IV-D SANCTION REQUEST When an IV-D sanction request is received, it must state that the custodial parent or legal guardian failed to cooperate in obtaining medical support. Information regarding policy after the receipt of an IV-D sanction request is found in Section 2434.20.00.
2434.15.00 IDENTIFICATION OF MEDICAL RESOURCES The DFR must secure information from the applicant and any other knowledgeable source such as a parent, authorized representative or legal guardian on medical resources that are available or were available during the retroactive period to pay for the applicant's medical expenses. Medical resources include, but are not limited to: