Revised National Medical Support Notice and Instructions Parts A and B – expire Oct. 31, 2022
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
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:
- Added a checkbox to distinguish between the National Medical Support Order/Notice and a Termination Order/Notice.
- 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