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a. Exception: Referrals are not made to the CSA when both parents are in the home and the father is on the child's birth certificate or the father's paternity has been legally established in another state by a court order or by a Voluntary Paternity Acknowledgement Form filed with a state agency. 4. Biological or adoptive parent(s) not living in the household. a. Exception: Referrals are not made to the CSA when the only reason a parent or stepparent is not in the home is because they are in the military. 5. Married biological parents in the home, but: a. Child was born prior to their marriage, and b. Paternity was not established by court action, or established after their marriage. Referrals for the following individuals are not made to the local CSA: • Former Foster Care Youth, unless the youth is also a parent of an eligible child in the household. • People residing in domestic abuse shelters. The referral is sent to the CSA after the person moves out of the domestic abuse shelter. This page last updated in Release Number: 26-03 Release Date: 08/12/2026 Effective Date: 06/01/2026 8.2 Medical Support/Child Support Agency Cooperation 8.2.1 Introduction Unless the person is exempt or has good cause for refusal to cooperate (see SECTION 8.2.2 EXEMPTIONS FROM COOPERATION and SECTION 8.3 CLAIMING GOOD CAUSE), each applicant or member who is referred, must, as a condition of eligibility, cooperate in both the following: • Establishing the paternity of any child born out of wedlock for whom BadgerCare Plus or Medicaid, including Medicare Savings Programs, is requested or received • Obtaining medical support for the applicant and for any child for whom Medicaid, including Medicare Savings Programs, is requested or received Cooperation includes any relevant and necessary action to achieve the above. As a part of cooperation, the applicant may be required to: 1. Provide verbal or written information known to, possessed by, or reasonably obtainable by the applicant. 2. Appear as a witness at judicial or other hearings or proceedings. 3. Provide information, or attest to the lack of information, under penalty of perjury. 4. Pay to the Child Support Agency (CSA) any court-ordered medical support payments received directly from the absent parent after support has been assigned. 5. Attend office appointments as well as hearings and scheduled genetic tests. 8.2.2 Exemptions from Cooperation The parent or caretaker relative is exempt from the requirement to cooperate and from any sanction for non-cooperation if: