Health Care

By establishing and enforcing medical support orders, the child support program can assure that children have continuous, stable access to health care by requiring parents to obtain health care coverage or provide for their children’s health care needs.  We collaborate with private insurers, employers, Medicaid, CHIP, and state health insurance exchanges, to meet this goal.


Top Health Care Resources

Guidance on Referral of Medicaid cases to Title IV-D Child Support Enforcement Agencies

April 22, 2008

Clarifies Federal policy on referral of Medicaid cases to IV-D agencies and provides information on appropriate referrals

Read Guidance on Referral of Medicaid cases to Title IV-D Child Support Enforcement Agencies

State Medical Support Contacts and Program Requirements

August 17, 2021

Provides state-specific information about medical support for employers and other states

Read State Medical Support Contacts and Program Requirements

Child Support Health Care Connections

July 3, 2013

Provides the child support community with summary information and resources about the Affordable Care Act

Read Child Support Health Care Connections

Medicaid Referrals to the IV-D Agency

March 13, 2014

Policy on Medicaid referrals resulting from an application for medical insurance via the Healthcare Marketplace

Read Medicaid Referrals to the IV-D Agency

Final Rule: Flexibility, Efficiency, and Modernization in Child Support Enforcement Programs

December 20, 2016

Issues the Flexibility, Efficiency, and Modernization in Child Support Enforcement Programs final rule

Read Final Rule: Flexibility, Efficiency, and Modernization in Child Support Enforcement Programs

Compliance with Medical Support Final Rule Requirements

August 1, 2018

Rescinds AT-10-02, which held states harmless of penalties for noncompliance with the 2008 Medical Support Final Rule

Read Compliance with Medical Support Final Rule Requirements

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