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If a fair hearing is requested on a good cause determination, BadgerCare Plus certification is continued until the decision is made. The 45-day period for determining good cause is not used to extend an eligibility determination. The 30- day limit on processing an application is still a requirement. The IM worker must notify the applicant or member in writing of the final determination and of the right to a fair hearing and send the CSA a copy. The CSA may also participate in any fair hearing. 5.3.8 Good Cause Found When good cause is granted, the IM worker must direct the CSA to not initiate any or to suspend all further case activities. However, when the CSA's activities, without the member's participation, are reasonably anticipated to not result in physical or emotional harm, the IM agency must: 1. First notify the person of the determination and the proposed directive to the CSA to proceed without their participation. 2. The person has 10 days from the notification date to: a. Exclude allowable individuals, or b. Request a hearing, or c. Withdraw the application or request that the case be closed. 3. At the end of the 10 days, direct the CSA to proceed if no option was taken. The CSA may decide to not proceed based on its own assessment. The IM agency determination to proceed without the member's participation must be in writing. Include your findings and the basis for the determination. File it in the case record. 5.3.9 Good Cause Not Found When good cause is not granted, the IM agency must notify the parent or caretaker. It must be stated in the notice that the parent or caretaker has 10 days from the notification date to do one of the following: • Cooperate. • Exclude allowable individuals. • Request a hearing. • Withdraw the application. • Request that the case be closed. If the 10 days have expired, no option has been taken, and the member is in non-cooperation status, the IM agency must terminate the member’s BadgerCare Plus eligibility. Sanctions remain in effect until there is cooperation or it is no longer an issue. The IM agency will continue to refer the case to the CSA. 5.3.10 Review The IM agency does not have to review determinations based on permanent circumstances. Review good cause determinations that were based on circumstances subject to change at redetermination and when there is new evidence. The parent or caretaker must be notified when it is determined that good cause no longer exists. It must be stated in the notice that they have 10 days from the notification date to do one of the following: