Failure to Cooperate With Third-Party Assignment

Failure to Cooperate With Third-Party Assignment A. The Third-Party Recovery (TPR) Unit has the responsibility for determining if an individual has failed, without good cause, to cooperate with assignment of third-party rights. B. If the TPR Unit determines there was good cause for failure to cooperate, the individual will be exempted from the cooperation requirement. C. A determination of failure to assign rights or lack of cooperation in obtaining third-party payments, without good cause, will result in denial or termination of Medicaid benefits after affording the right to appeal. D. If the TPR Unit determines an individual has failed, without good cause, to cooperate with third-party assignment, action may be taken to deny or terminate eligibility with advance notice and state appeal rights.