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The good cause determination and all evidence submitted filed in the case record along with a statement on how the determination was reached. If there is no evidence or verifiable information available that suggests otherwise, it must be concluded that an alleged refusal to cooperate was, in fact, a case of cooperation to the fullest extent possible. If the parent or caretaker is cooperating in furnishing evidence and information, do not deny, delay, or discontinue Medicaid pending the determination. If a fair hearing is requested on a good cause determination, Medicaid 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 must notify the applicant/member in writing of the final determination and of the right to a fair hearing. Send the CSA a copy. The CSA may also participate in any fair hearing. 8.3.8 Good Cause Found When good cause is granted, the IM 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 his or her participation. 2. He or she has ten 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 ten 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. 8.3.9 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 he or she has ten days from the notification date to: 1. Cooperate, or 2. Exclude allowable individuals, or 3. Request a hearing, or 4. Withdraw the application or request that the case be closed. When the ten days have expired, and if none of the options listed above has been taken, the IM agency must deny Medicaid to the applicant or terminate the member’s Medicaid eligibility. The sanctions remain in effect until there is cooperation or until it is no longer an issue.