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1549.463 Ineligibility for noncompliance with child support
16determinations and obligations. (1) Definitions. In this section:
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(a) “Able-bodied adult” means an adult who is not elderly, as defined in s.
1849.468 (1) (a) 2., or disabled, as defined in s. 49.471 (1) (cm), who is not pregnant, and
19who is able-bodied, as defined by the department.
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1(b) “Custodial parent" has the meaning given in s. 49.141 (1) (b).
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(c) “Noncustodial parent" has the meaning given in s. 49.141 (1) (h).
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3(2) Eligibility denial; child support noncompliance. (a) In this subsection,
4what constitutes a refusal to cooperate is determined by the department in
5accordance with
42 USC 1396k and any federal regulations promulgated under
42
6USC 1396k.
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(b) An able-bodied adult is ineligible for the Medical Assistance program under
8this subchapter in a month in which any of the following is true:
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1. The able-bodied adult satisfies all of the following:
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a. The able-bodied adult is a custodial parent of or lives with and exercises
11parental control over a child who is under the age of 18 and who has an absent parent.
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b. The able-bodied adult refuses to cooperate fully, in good faith, with efforts
13directed at establishing or enforcing any support order or obtaining any other
14payments or property to which that adult or the child may have rights.
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c. The able-bodied adult does not have good cause for refusing to cooperate, as
16determined by the department in accordance with
42 USC 1396k and any federal
17regulations promulgated under
42 USC 1396k.
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2. The able-bodied adult is a noncustodial parent of a child under the age of
1918 and the adult refuses to cooperate in providing or obtaining support for the child.
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20(3) Eligibility denial; paternity. (a) In this subsection, what constitutes a
21refusal to cooperate is determined by the department in accordance with
42 USC
221396k and any federal regulations promulgated under
42 USC 1396k.
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(b) An able-bodied adult is ineligible for the Medical Assistance program under
24this subchapter in a month in which any of the following is true:
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1. The able-bodied adult satisfies all of the following:
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1a. The able-bodied adult is a custodial parent of or lives with and exercises
2parental control over a child who is under the age of 18 and who has an absent parent.
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b. The able-bodied adult refuses to cooperate fully, in good faith, with
4applicable efforts directed at establishing the paternity of the child.
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c. The able-bodied adult does not have good cause for refusing to cooperate, as
6determined by the department in accordance with
42 USC 1396k and any federal
7regulations promulgated under
42 USC 1396k.
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2. The able-bodied adult is one of the following and refuses to cooperate fully,
9in good faith, with efforts directed at establishing the paternity of the child:
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a. Alleged to be the father under s. 767.80 of a child under the age of 18.
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b. A noncustodial parent of a child under the age of 18 for whom paternity has
12not been established.
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13(4) Eligibility denial; delinquent support. An able-bodied adult is ineligible
14for the Medical Assistance program under this subchapter in a month in which the
15adult is obligated by order granted inside or outside this state to provide support
16payments and is delinquent in making those payments, unless any of the following
17is true:
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(a) The delinquency balance equals less than 3 months of the ordered support
19payment amount.
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(b) A court or a county child support agency under s. 59.53 (5) is allowing the
21able-bodied adult to delay the child support payments.
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(c) The able-bodied adult is complying with a payment plan approved by a
23county child support agency under s. 59.53 (5) to provide support for the child of the
24adult.
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1(d) The able-bodied adult is participating in an employment and training
2program, as determined by the department.
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(e) The able-bodied adult is participating in a substance abuse treatment
4program, as determined by the department.
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5(5) Exception for eligibility of child. A dependent child remains eligible for
6the Medical Assistance program under this subchapter even if a person charged with
7the care and custody of the dependent child is ineligible for the Medical Assistance
8program because he or she did not comply with this section.
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9(5m) Notification requirement. The department or the county department
10under s. 46.215 or 46.22 shall notify an applicant for Medical Assistance of the
11requirements of this section at the time of application.
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12(6) Federal approval. If the department of health services or the department
13of children and families determines that federal approval is required to implement
14any part of this section, the applicable department shall submit a state plan
15amendment or request for a waiver to the federal department of health and human
16services. The departments shall implement this section to the extent that the federal
17department of health and human services does not disapprove of the plan
18amendment or waiver request and if the department of children and families
19determines that this section as it pertains to child support and paternity order
20establishment and compliance is able to be implemented in a way that is
21substantially state budget neutral in regard to child support fees.