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Final Rule: Medicaid Extension when IV-D Support Collection Results in Termination of AFDC Eligibility


Published: December 7, 1994
Information About:
State/Local Child Support Agencies
Case Management, Medical Support, Family Services & Referrals, Health Care Coverage
Policy, Dear Colleague Letters (DCL), Regulations


RE:  Extension of Medicaid When IV-D Support Collection Results in Termination of AFDC Eligibility

Dear Colleague:

Attached is Health Care Financing Administration (HCFA) and Administration for Children and Families / Office of Family Assistance (ACF/OFA) final rule published November 17, 1994, in the Federal Register (59 FR 59372).  

The final rule implements section 20 of the Child Support Enforcement Amendments of 1984 (P.L. 98-378), as amended by section 303(e) of the Family Support Act of 1988 (P.L. 100-485) and section 8003 of the Omnibus Budget Reconciliation Act of 1989 (P.L. 101-239).  P.L.
98-378 amended both the AFDC and Medicaid titles of the Social Security Act (the Act) to extend Medicaid coverage for four months when termination of AFDC is due, wholly or partly, to increased IV-D support collections.  This provision had a sunset provision of October 1, 1988, but P.L. 100-485 extended the sunset date to October1, 1989, and P.L. 101-239 deleted the sunset date, thus making the provision a permanent provision of the Act.    

Thank you for your continuing efforts on behalf of children.



David Gray Ross
Deputy Director
Office of Child Support Enforcement   


cc:  ACF Regional Administrators
      CSE Program Managers