Revised Part A National Medical Support Notice (NMSN) and Instructions
DATE: October 30, 2019
TO: State IV-D Agencies
SUBJECT: Revised Part A National Medical Support Notice (NMSN) and Instructions
ATTACHMENT: National Medical Support Notice Form and Instructions, OMB 0970-0222 [No longer available]
The Office of Management and Budget (OMB) has approved the revised NMSN Part A with a new expiration date of October 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.
On March 19, 2019, a notice for public comment for Part A was published in the Federal Register, page 10096, Volume 84, Number 53 (PDF) Visit disclaimer page . The revised OMB-approved form includes an option for state child support agencies to use the NMSN Part A to notify an employer that a medical support order has terminated.
Significant Changes to the NMSN Part A Form and Instructions
- A checkbox was added 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.
The Department of Labor is the agency that will update the NMSN Part B form. OCSE will publish the revised NMSN Part B on its website once the updated form is available. Meanwhile, continue using the current NMSN Part B form.
EFFECTIVE DATE: November 1, 2019
INQUIRIES: ACF/OCSE Regional Program Managers
Scott M. Lekan
Office of Child Support Enforcement
- PDF AT-19-05 Attachment A.pdf (288.57 KB)