Final Rule: Child Support Enforcement Program Medical Support
DATE: July 24, 2008
TO: State Agencies Administrating Child Support Enforcement Plans under Title IV-D of the Social Security Act and Other Interested Individuals
SUBJECT: Final Rule: Child Support Enforcement Program Medical Support
ATTACHMENT: Attached is the Final Rule, published in the Federal Register on July 21, 2008, which prescribes requirements for the Child Support Enforcement Program to address medical support coverage in IV-D cases.
SUMMARY: This final rule:
- defines cash medical support;
- requires that all support orders in the IV-D program address medical support;
- requires that States consider health insurance available to either parent;
- redefines health insurance that is available at "reasonable cost";
- requires health insurance coverage to be "accessible";
- allows States to close child-only Medicaid cases under certain circumstances; and
- makes changes to Federal substantial-compliance audit and State self-assessment to address medical support requirements.
REFERENCES: 45 CFR Parts 302, 303, 304, 305, and 308
EFFECTIVE DATE: This regulation is effective upon publication.
INQUIRIES: ACF OCSE Regional Program Managers
Office of Child Support Enforcement
cc: Tribal IV-D Directors