• Each applicant/recipient will report changes in financial and non-financial eligibility information within 10 days of the change.

• Each applicant/recipient, before using MA benefits, will use all other available medical insurance, including other medical insurance coverage, veterans' benefits, and veterans' facilities.
  
  
• Each applicant/recipient will agree to assign to the Department and DOH the right to third-party payment (such as other health insurance that will cover the cost of services received) for care, treatment, and services provided under the MA program. 
  
  
• Each applicant/recipient, unless exempt, will be required to enroll with one of the managed care organizations that the District has contracted with to provide care to Medicaid recipients.  People exempt from this requirement include the elderly, people with disabilities (SR), and people living with HIV.
  
  
• Each applicant/recipient receiving MA coverage or benefits who institutes a legal proceeding against or enters into settlement negotiations with a third party regarding medical claims must provide written notice of the action to the Medical Assistance Administration (MAA) within 20 calendar days.
  
  
• Parents and caretakers with children receiving MA will cooperate with the Child Support Enforcement Division (CSED) of the Office of Corporation Counsel in the determination of a child's biological and/or legal parent and in the establishment of a medical support order. However, applicants completing the DC Healthy Families Application may request quick referral for CSED services.  The adult applicant/recipient's cooperation is a condition for receipt of MA benefits by the adult, unless the applicant/recipient has good cause for failing to cooperate (see Section 2.6:  Good Cause for Non-Cooperation in Part V).  An applicant/recipient's cooperation may include:
  
  
  • naming the absent parent of any child applying for or receiving MA;
  • providing information to assist the Department in locating the absent parent;
  • assisting in the establishment of legal paternity or parental status;
  • agreeing to submit to blood tests, if needed to identify a beneficiary child's biological parents; and
  • providing information on additional medical insurance available to the child receiving MA benefits. 

If an adult fails to cooperate with CSED requirements, the adult is ineligible for MA, but the child's eligibility is not affected.

• Each applicant/recipient will report changes in non-financial eligibility information within 10 days of the change.  Each applicant/recipient will report changes in financial information within 10 days of the change, unless notified of Simplified change reporting requirements.

• Each applicant/recipient household member will repay assistance erroneously received, even when due to Department error (see Chapter 6:  Overpayment and Underpayment in Part VIII).
  
  
• Each applicant/recipient household member will provide the proof required to determine composition of the household.
  
  
• Each applicant/recipient, unless exempt, will participate in mandatory employment, education, and/or training activities as a requirement for receiving benefits (see Chapter 1:  Work Requirements in Part V).
  
  
• Each applicant/recipient who is not exempt from work or work-related activity must report in a timely fashion on hours worked in each activity to the Department or its representative.
  
  
• Each applicant/recipient will cooperate with the Department and CSED in the determination of a child's biological and/or legal parent and in the determination and collection of child and medical support.  Failure to cooperate with CSED requirements without good cause will result in a 25 percent reduction in the group's TANF grant (see Section 2.3:  The Notice of Requirement to Cooperate and Right to Claim Good Cause for Refusal to Cooperate with Child Support Enforcement in Part V).  An applicant/recipient's cooperation may include:
  
  
  • Naming the absent parent of any child applying for or receiving TANF;
  • Providing information to assist the Department in locating the absent parent;
  • Assisting in the establishment of legal paternity or parental status;
  • Agreeing to submit to blood tests, if needed to identify a beneficiary child's biological parents; and
  • Providing information on additional medical insurance available to the child receiving TANF benefits. 

• Each applicant/recipient will report to the Department changes in unearned income of more than $50, except changes in TANF or GC grants, and changes in earned income of more than $100, unless notified of Simplified change reporting requirements.
  
  
• Each applicant/recipient will use FS benefits to purchase only allowable food items (see- Section 2.5.1:  Benefits Provision in Part I).
  
  
• Each applicant/recipient household member will repay assistance erroneously received, even when due to Department error (see Section 6.3:  Overpayments and Section 6.4:  Recovery in Part VIII).
  
  
• Each applicant/recipient household member will provide the proof required to determine composition of the household, when questionable.
  
  
• Each applicant/recipient household member will cooperate with a Quality Control Review (QCR) of eligibility.
  
  
• Each applicant/recipient, unless exempt, will participate in the FSET or a program component for education, and/or training activities as a requirement for receiving benefits (see Chapter 1:  Work Requirements in Part V).