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• Cooperate. • Exclude allowable individuals. • Request that the case be closed. • Request a hearing. If the 10 days have expired and no option has been taken, the IM agency must deny the individual’s BadgerCare Plus eligibility. The sanctions remain in effect until there is cooperation or until it is no longer an issue. This page last updated in Release Number: 23-03 Release Date: 08/14/2023 Effective Date: 08/14/2023 5.4 Cooperation Between IM & CSA The relationship between the IM agency and the CSA requires ongoing cooperation. 5.4.1 Information The IM agency provides the CSA with information vital to opening medical support cases. The IM agency also supplies continuing information, which assists them in providing medical support services. Therefore, the CSA may request information from the IM agency in addition to that included in the referral and as contained in the case record. CARES automatically shares information with KIDS so it is important to enter the data accurately. 5.4.2 BadgerCare Plus Discontinued The CSA is notified through CARES when BadgerCare Plus is discontinued. 5.4.3 Failure to Cooperate The CSA will determine if non-cooperation occurs. KIDS notifies CARES when an individual refuses or fails to cooperate. The IM Agency must then review eligibility. 5.4.4 Fraud When the CSA has knowledge of possible fraud, they will refer the case back to the IM agency. For example, if in the process of collecting support, the CSA establishes that a parent is in fact not absent, the CSA will give that information to the IM agency for appropriate action. This page last updated in Release Number: 19-02 Release Date: 09/10/2019 Effective Date: 09/10/2019 5.5 Third Party Liability Third Party Liability (TPL) refers to the obligation that a third party (not Wisconsin BadgerCare Plus program or the BadgerCare Plus member), has to pay the bills for a BadgerCare Plus member’s medical services. BadgerCare Plus is the payer of last resort for the cost of medical care. This means that if a BadgerCare Plus member also has coverage under a private health insurance plan, that plan is to be billed first for any medical services. BadgerCare Plus then pays any amount remaining after the private insurer has paid what they owe, up to the BadgerCare Plus reimbursement rate. Another common example of third-party liability is when someone receives an insurance settlement resulting from an