5016-1        INFORMING APPLICANTS AND RECIPIENTS ABOUT MEDICAL SUPPORT ORDERS AND REQUIREMENTS

When an initial application is received and when a recipient requests that a child be added to the case, the caseworker must discuss medical support cooperation and enforcement requirements with caretaker relatives who are required to cooperate and provide them with:

• A Child Support Information form ( CSSD Child Support Services Division 1603a) to complete for each noncustodial parent not living in the home of the dependent child;
   

• Written notice of the caretaker's right to claim good cause for not cooperating with CSSD Child Support Services Division (provided on the DPA Division of Public Assistance application and the Child Support Information form);
   

• A Child Support Cooperation Statement (GEN 80 Child Support Cooperation Statement or EIS Eligibility Information System notice M060) for caretakers to complete if they choose not to provide the information requested on the Child Support Information form and want to claim good cause; and
   

• An opportunity to request that CSSD Child Support Services Division keep the household’s address confidential because of a threat to their well-being.  The Release of Information form ( CSSD Child Support Services Division 0500b) is used for this purpose.  In addition, CSSD Child Support Services Division will provide the caretaker with an Affidavit for Address Confidentiality when the medical support case is opened.  These forms are used to keep identifying information from being released to a person (such as a parent) who would otherwise be entitled to have information about the medical support case.

Note:

The requirement to discuss medical support cooperation and enforcement requirements, including the completion of a CSSD 1603a does not apply to the adding of a newborn until after the end of the mother's 60-day post-partum period.

Note:  

Enrollment of a child in Medicaid or Denali KidCare does not satisfy the noncustodial parent’s obligation of providing medical support.  If that occurs, the noncustodial parent will be required to repay the state for the cost of services provided to the child covered by Denali KidCare or Medicaid if those services should have been provided under the medical support order (i.e., dependent care coverage under the noncustodial parent’s health insurance).