Revised National Medical Support Notice and Instructions Parts A and B – expire Oct. 31, 2022


Publication Date: March 5, 2020



DATE: March 5, 2020

TO: State IV-D Agencies

SUBJECT: Revised National Medical Support Notice and Instructions Parts A and B — exp. Oct. 31, 2022

ATTACHMENT: National Medical Support Form and Instructions, OMB 0970-0222

The Office of Management and Budget has re-approved the revised NMSN Parts A and B with the same expiration date of Oct. 31, 2022. State child support agencies under title IV-D of the Social Security Act must enforce the health care coverage provision in a child support order and use the NMSN to aid enforcement. Tribal IV-D agencies do not have to use these forms.

Significant changes to Part A:

  1. Added a checkbox to distinguish between the National Medical Support Order/Notice and a Termination Order/Notice.
  2. The Employer Responsibilities section indicates that employers are required to terminate medical insurance when they receive an NMSN with the Termination Order/Notice checkbox checked on page one unless the parent wishes to continue the insurance voluntarily.

There are no significant changes to Part B.

EFFECTIVE DATE: Nov. 1, 2019. We understand some states may need additional time to make programming changes. You must begin generating the revised form by Aug. 31, 2020.


INQUIRIES: ACF/OCSE Regional Program Managers

Scott M. Lekan
Office of Child Support Enforcement

Last Reviewed Date: