PM 24-04-01: Penalty for Refusal to Comply (Family Health Plans, AABD Medical, AABD Cash)

WAG 24-04-01.

Remove medical from a client in a Family Health Plans, AABD Medical or AABD cash case who does not cooperate with the CSE process.

A person whose medical benefits have stopped for not cooperating with the CSE process can show willingness to cooperate by:

  • stating they want to cooperate; or
  • giving a valid reason; or
  • proving good cause.

Restore medical benefits when the person cooperates with the CSE process or is exempt from cooperation due to good cause. A new application is needed if the case was canceled. When a caretaker relative who was canceled due to noncooperation with the CSE process reapplies for benefits, the FRC asks DCSE to schedule another appointment through the expedited interview process. This new application cannot be approved until cooperation with DCSE has been demonstrated.

No additional verbal or signed requests are required to add the client to an active medical unit.