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8.3.10 Review The IM agency does not have to review determinations based on permanent circumstances. Review good cause determinations that were based on circumstances subject to change when there is new evidence or at redeterminations. The parent or caretaker must be notified when it is determined that good cause no longer exists. 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 that the case be closed, or 4. Request a hearing. When the ten days have expired, and if none options listed above has been taken, the IM agency must deny the individual’s Medicaid 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 8.4 Cooperation Between IM & CSA The relationship between the IM agency and the CSA requires ongoing cooperation. 8.4.1 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. 8.4.2 Medicaid Discontinued The CSA is notified through CARES when Medicaid is discontinued. 8.4.3 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: 22-01 Release Date: 04/04/2022 Effective Date: 04/04/2022