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1. The child under their care is eligible for benefits funded under any source other than Title 19, such as Title 21 (Separate CHIP) or General Purpose Revenue (that is, state funds). Information on children’s categories funded by Separate CHIP or state funds is available in BadgerCare Plus, Section 51.1 BadgerCare Plus Categories. The CSA will monitor the child's BadgerCare Plus or Medicaid funding source. 2. The child under their care receives SSI. 3. The parent or caretaker relative is one of the following: a. Eligible for the BadgerCare Plus Eligibility Extension., b. A pregnant person, until the end of the 12-month postpartum period. c. Under 18 years old. d. Age 18 and receiving CHIP coverage under BadgerCare Plus (income is over 156% FPL). 4. Both absent parents are now living in the home with the child. 5. The absent parent is deceased. 6. Paternity has been established and the father is living in the home with the mother and child. 7. The only parent absent from the home is absent because of military service. 8.2.3 Failure to Cooperate The CSA determines if there is non-cooperation for persons required to cooperate. The IM agency determines if good cause exists (see SECTION 8.3.7 DETERMINATION) and whether the applicant or member is exempt (see SECTION 8.2.2 EXEMPTIONS FROM COOPERATION). If there is a dispute, the CSA makes the final determination of cooperation while the IM agency makes the final determination of exemptions or good cause. The member remains ineligible until they cooperate, establish good cause, or their cooperation is no longer required. Note If the local CSA determines that a parent is not cooperating because court ordered birth costs are not paid, the parent or caretaker is not sanctioned.

Example 1 Mary, a disabled parent, is applying for Medicaid for her and her son, Michael. She refuses to cooperate in obtaining medical support for Michael. Mary meets all other non-financial and financial criteria for Medicaid and EBD Medicaid. Mary is not eligible for EBD Medicaid or Medicaid, because she will not cooperate in obtaining medical support for Michael. Even though Mary has not cooperated in obtaining medical support for Michael, he remains eligible for Medicaid. This page last updated in Release Number: 26-03 Release Date: 08/12/2026 Effective Date: 06/01/2026 8.3 Claiming Good Cause 8.3.1 Claiming Good Cause Introduction Any parent or other caretaker relative who is required to cooperate in establishing paternity and obtaining medical support may claim good cause. He or she must: 1. Specify the circumstance that is the basis for good cause, and 2. Corroborate the circumstance according to the evidence requirements in SECTION 8.3.5 EVIDENCE