Code of Massachusetts Regulations
130 CMR - DIVISION OF MEDICAL ASSISTANCE
Title 130 CMR 517.000 - MassHealth: Universal Eligibility Requirements
Section 517.010 - Waiver of Cooperation for Good Cause
Universal Citation: 130 MA Code of Regs 130.517
Current through Register 1531, September 27, 2024
(A) Good cause is established if
(1) 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, the MassHealth agency finds that cooperation
is against the best interest of the child; or
(2) with respect to the obligation to
cooperate in all cases not covered by 130 CMR 517.010(A)(1), 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.
(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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