5016-6        PROCEDURES FOR EXCHANGING INFORMATION

5016-6 A.   APPLICATION MATERIALS TO CSSD Child Support Services Division

When Medicaid eligibility is determined and a new case opened, the following materials must be sent to CSSD within two working days, unless the applicant has claimed good cause.  These materials should be fastened together into a single packet:

• Child Support Information form (CSSD 1603a) for each noncustodial parent.
   

• Birth certificates for each child born out-of-state.
   

• Paternity affidavits.  A completed copy of a Bureau of Vital Statistics Affidavit of Paternity (BVS Bureau of Vital Statistics form 16) or a completed DPA Statement of Relationship (GEN #7), if either of these forms have been completed to establish relationship.
   

• Divorce decrees or support orders.  A copy of each divorce decree and child support order, if these have been provided by the caretaker.

Note:  

These documents are not required as a condition of eligibility; however, providing them at the time of application may help to expedite enforcement.  The applicant should be encouraged to provide these documents whenever possible so they can be included in the packet of documents sent to CSSD.

5016-6 B.   OPEN CASE INFORMATION FROM DPA TO CSSD Child Support Services Division

In addition to normal data system exchange of information, the caseworker must inform CSSD of the following information:

• Receipt of divorce decrees and court orders.  Forward a copy to CSSD with the Medicaid case name and number identified on the document.
   

• Cooperation statements and good cause decisions.  When good cause is allowed after the eligibility determination has been completed and benefits approved, the caseworker must notify CSSD of the good cause decision by sending an email to cssdgoodcause@revenue.state.ak.us.

When a caretaker decides to cooperate and completes the necessary CSSD forms, mail the forms to CSSD.

5016-6 C.   INFORMATION FROM CSSD Child Support Services Division TO DPA

CSSD provides DPA with the following types of information:

1. Report of a child support collection/distribution.  This computer-generated alert may require a new Medicaid income determination;
    

2. Notice of non-cooperation;
    

3. Notice that the caretaker has cooperated;
    

4. Request to review good cause decisions;
    

5. Medicaid eligibility information, if it differs from DPA 's case file; and
    

6. Requests for case information not captured by the data system.

The caseworker must act on each CSSD report of change within 10 days.