Applicants for medical assistance are required to agree to cooperate with the Division of Child Support unless they have good cause not to cooperate. They are not required by the Department to complete paternity affidavits or pursue a medical support order. Signing the application is proof the client has agreed to cooperate. If the Division of Child Support sanctions an adult applicant for failure to cooperate during the application process, the adult applicant who failed to cooperate is denied. Use the CSM case descriptor to identify applicants denied for failure to cooperate.