Medical Support

Medical support is a form of child support often provided through an employer’s health insurance plan. However, there are several ways a parent can provide medical support:
- Provide health care coverage through a noncustodial parent or custodial party’s employer
- Pay for private health insurance or reimburse another parent for health insurance premiums
- Pay additional amounts for ongoing medical bills or as reimbursement for uninsured medical costs (cash medical support)
State child support agencies send the National Medical Support Notice (OMB 0970-0222) to employers to help ensure that children receive health care coverage when it is available and required as part of a child support order. The notice is designed to simplify the work of employers and plan administrators by providing uniform documents to request health care coverage. For information about a specific state’s requirements, see the State Medical Support Contacts and Program Information.
Related Pages
Featured Resources

State Medical Support Contacts and Program Information
April 19, 2013
Federal Agency Medical Support Contacts
March 27, 2013
National Medical Support Notice Form & Instructions
April 24, 2012

Distribution of Federally Approved National Medical Support Notice
March 29, 2011
National Medical Support Notice Flowchart
September 10, 2009
What’s New With Medical Support
July 1, 2006

Medical Support for Private Sector Employers
April 10, 2012
Medical Support for Federal Agencies
May 10, 2012
Most Recent & Requested Documents for Medical Support RSS Feed
State Medical Support Contacts and Program Information
April 19, 2013Provides state-specific requirements, contacts, and information about medical support for employers and other statesFederal Agency Medical Support Contacts
March 27, 2013Provides where states should send medical support notices to federal agenciesWorking with the Military as an Employer
March 1, 2013Provides policy and procedural guidance to child support staff working with the militaryWhat Employers Should Know When Working with Tribes
February 21, 2013Provides answers to common questions employers have about working with a tribal child support programOpen Comment Period - NMSN Part A and Part B
July 26, 2012Notifies state agencies of deadline for comments on the National Medical Support Notice (NMSN) Part A and Part B
National Medical Support Notice Form & Instructions
April 24, 2012Legal notice that the employee identified is obligated to provide health care coverage for the child(ren) identifiedDepartment of Veterans Affairs
March 1, 2012Provides information on when and how to can send an income withholding order to attach a veteran's benefit paymentThe Child Support Program and Employers
July 1, 2003An overview of employers' responsibilities for new hire reporting, income withholding, medical support, and centralized paymentsThree Things Every Employer Must Know About Child Support
March 28, 2012Summarizes employer responsibilities for reporting new hires and terminations, withholding payments, and verifying employmentState Medical Support Contacts and Program Information
April 19, 2013Provides state-specific requirements, contacts, and information about medical support for employers and other states




