Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 503.000 - Health Care Reform: MassHealth: Universal Eligibility Requirements
Section 503.005 - Waiver of Cooperation for Good Cause
Universal Citation: 130 MA Code of Regs 130.503
Current through Register 1531, September 27, 2024
(A) Good cause is established if
(1) the MassHealth agency finds that
cooperation is against the best interest of the child with respect to the
obligation to establish paternity of a child born out of wedlock, obtain
medical-care support and payments, or identify or provide information to assist
the MassHealth agency in pursuing a liable third party for a child for whom the
applicant or member can legally assign rights; or
(2) the MassHealth agency finds that
cooperation is not in the best interest of the applicant or member or the
person for whom the benefit is being requested or furnished because it is
anticipated that cooperation will result in reprisal against, and cause serious
physical or emotional harm to the applicant or member or another person with
respect to the obligation to cooperate in all cases not covered by 130 CMR
503.005(A)(1).
(B) Good cause for noncooperation includes, but is not limited to, the following circumstances:
(1) the child was conceived as
a result of incest or forcible rape;
(2) legal proceedings for adoption are
pending before a court;
(3) a
public agency or licensed facility is assisting in resolving the issue of
adoption and discussions have not lasted longer than three months; or
(4) cooperation would result in serious
physical or emotional harm to the child, the relative with whom the child
resides, or to the applicant or member.
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