12-002.01 Client Cooperation Required

As a condition of eligibility, a client must cooperate in obtaining third-party resources unless s/he has good cause for noncooperation. Cooperation includes any or all of the following: 1. Providing complete information regarding the extent of third-party resources that s/he or any other household member has or may have. This includes coverage provided by a person not in the household or by an agency; 2. Providing any additional information or signing claim forms that may be necessary for identification and collection of potential third-party payments; 3. Appearing as a witness in a court or another proceeding, if necessary; 4. Notifying the Department of any action s/he is initiating to recover money from a liable third-party for medical care or services. This includes the identity of the third-party, as well as the entire amount of any settlement, court award, or judgment; 5. Reimbursing the Department or paying to the provider any payments received directly from a third-party for any services payable by Medicaid; and 6. Taking any other reasonable steps to secure payments Noncooperation by the client is failure or refusal by the client to fulfill these requirements. Pregnant women are not exempt from these requirements.