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8.3.2 Notice At application or a new request for health care on an existing case, the income maintenance (IM) agency must provide a Child Support Cooperation & Good Cause notice (DCF-P-5600) whenever a child with an absent parent is part of the health care application or case. The Child Support Cooperation & Good Cause notice describes the right to refuse to cooperate for good cause in establishing paternity and securing medical support from the absent parent. Exception: The agency does not need to provide this notice to applicants who apply via ACCESS since this information is included in the ACCESS application. The agency must also provide this notice to the member in situations where a parent leaves the home, resulting in a child on the case now having an absent parent. Applicants and members are not required to sign the Child Support Cooperation & Good Cause notice in order to be eligible for health care programs. 8.3.3 Good Cause Claim The Good Cause Claim form (DCF-F-DWSP2019) must be provided to any health care applicant or member who requests one. It describes the circumstances that support a claim and how to document a claim. The parent or caretaker must sign and date the Good Cause Claim form in order to initiate the claim. The income maintenance (IM) agency must send a copy of the submitted Good Cause Claim form to the parent or caretaker upon request. The child support agency (CSA) must be informed within two business days that a good cause claim has been filled. When the CSA is informed of a good cause claim, they will immediately suspend all activities to establish paternity or secure medical support until notified of the final determination. 8.3.4 Circumstances The IM agency must determine whether or not cooperation is against the best interests of the child. Cooperation is waived only if: 1. The parent or caretaker’s cooperation is reasonably anticipated to result in physical or emotional harm to the: a. Child. This means that the child is so emotionally impaired, that his or her normal functioning is substantially affected, or b. Parent or Caretaker. This means the impairment is of such a nature or degree that it reduces that person's capacity to adequately care for the child. 2. At least one of the following circumstances exists and it is reasonably anticipated that proceeding to establish paternity or secure support or both would be detrimental to the child: a. The child was conceived as a result of incest or sexual assault, or b. A petition for the child's adoption has been filed with a court, or c. The parent or caretaker is being assisted by a public or private social agency in deciding whether or not to terminate parental rights and this has not gone on for more than three months.