*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***
Effective: September 1, 2009 |
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16.15.10 - Evidence of Good Cause |
Archived: June 1, 2016 (Previous Versions) |
Caretakers who claim good cause for not cooperating with medical support requirements must provide evidence for their claim.
Possible Evidence of Good Cause.
The good cause committee or health care program worker will ask caretakers who claim good cause to provide evidence to support the good cause claim within 20 days of filing the claim. The good cause committee may allow additional time for caretakers who are having difficulty getting evidence.
l Help the caretaker determine what type of evidence is available to support his or her good cause claim.
l Assist the caretaker in getting the evidence if needed.
n Pay any necessary costs from MA or MinnesotaCare administrative funds.
l Explain that:
n Submitting evidence does not guarantee a finding of good cause, and
n Lack of third party evidence does not result in an automatic denial of the claim.
Possible Evidence of Good Cause
Evidence to support a good cause claim may include, but is not limited to:
l A birth certificate or medical or law enforcement record that shows the child was conceived as a result of rape or incest.
Note: Birth certificates rarely specify these circumstances. A birth certificate with no father's name shown is not sufficient evidence without other documentation.
l Court documents or other records that show legal actions for adoption are pending in court.
l Court, medical, criminal, child protective services, social services, domestic violence advocate services, psychological or law enforcement records that show the alleged father or obligor might cause physical or emotional harm to the caretaker or child.
l Medical or emotional health records that show cooperation with medical support requirements may cause physical or emotional harm to the caretaker or child.
l Statements or letters from an agency that is working with the caretaker in deciding whether to place the child for adoption.
l Notarized statements from friends, neighbors, clergy, social workers, medical professionals or others who are aware of the good cause circumstances.
l At a minimum, a written statement from the caretaker describing the good cause circumstances.
l Safe at Home (SAH) identification card. The good cause committee will approve a client’s good cause request if they are a current Safe at Home participant and have a Safe at Home identification Card.