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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Division of Welfare and Supportive Services Medical Assistance Manual 24 Jan 26 MTL 02/24 C-305 GENERAL ELIGIBILITY REQUIREMENTS CHILD SUPPORT NON-COOPERATION C-300 CHILD SUPPORT ENFORCEMENT (Proposed Rule 433.138, 433.145, 433.147, 433.148, 433.152 and 435.610) As a condition of eligibility for Medicaid, parents and caretaker relatives seeking medical assistance must agree to cooperate with the state in establishing paternity and in obtaining medical support and payments. While parents and caretaker relatives can be denied Medicaid eligibility or terminated from coverage for refusal to cooperate, children cannot be denied Medicaid eligibility or terminated from coverage due to a parent or caretaker relative’s failure to do so. Individuals must attest on the application that they agree to cooperate in establishing paternity and obtaining medical support at application. If the individual refuses to attest to agree to cooperate with child support on the application the individual is denied medical assistance. Medicaid eligible individuals are provided information about accessing child support services and how those interested may benefit from child support services. Language containing required information and contact numbers for child support offices will be added to the approval notice. Form 4046-EC (child support information brochure) must be made available to any individual requesting information regarding child support services. If an individual wishes to request child support services, they must submit an application Form 4000 to the local child support office. Pregnant women are exempt from the requirements to cooperate in establishing paternity of a child born out-of-wedlock. Although they must assign the right to medical support and payment for themselves and the child, they are not required to obtain medical support and payments. C-305 CHILD SUPPORT NON-COOPERATION By signing the application, individuals agree to cooperate with Child Support in pursuing medical support and establishing paternity. If a previous member was denied for child support cooperation and re-applies, they are only required to agree to cooperate and are not required to provide verification of cooperation prior to being enrolled. CSEP will notify the responsible office, via email, of a customer who has failed to cooperate on their existing TANF case. This parent and/or caretaker can also lose their Medicaid eligibility. C-400 CITIZENSHIP AND IDENTIFICATION REQUIREMENTS (435.406, 435.407, 435.940, 435.956)