Final Rule: Child Support Enforcement Program Medical Support


Publication Date: July 24, 2008



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

Margot Bean
Office of Child Support Enforcement

cc: Tribal IV-D Directors

Last Reviewed Date: