Revision to the Title IV-D State Plan Preprint: Medical Support and the NMSN


Publication Date: October 7, 2003



ATTACHMENT: Section 2.8 Medical Support Enforcement Activities (DOC)
Section 2.12 Procedures to Improve Program Effectiveness (DOC)

DATE: October 7, 2003


SUBJECT: Revision to the Title IV-D State Plan Preprint: Submission of State Plan Pages to Indicate Compliance with Federal Requirements on Medical Support, Including the Use of the National Medical Support Notice

BACKGROUND: Section 401(c) of the Child Support Performance Incentive Act of 1998, P.L. 105-200, amended section 466 (a)(19) of the Social Security Act (the Act) to require states to have in effect laws that require the use of the National Medical Support Notice (NMSN) in all IV-D cases which include a provision for medical support in the support order, and the employer of the obligated parent is known to the IV-D agency. The effective date for the use of the NMSN was the later of October 1, 2001, or the effective date of the laws enacted by the State legislature to implement the NMSN, but no later than the first day of the first quarter after the close of the first regular session of the State legislature that began after October 1, 2001. For State legislatures that have a 2-year legislative session, each year of the session is deemed to be a separate regular session.

ATTACHMENTS: The attachments consist of:

• Section 2.8, Medical Support Enforcement Activities, has been revised by deleting in the first paragraph of page 2.8 "including petitioning for health insurance" and by adding a citation to "45 CFR 303.32" to reflect the requirement for states to have in effect laws requiring the use of the NMSN in appropriate IV-D cases.

• Section 2.12-19, Enforcement of Orders for Health Care Coverage, has not been revised but must be re-submitted to show that the state has
implemented the revised requirements in section 466(a)(19) of the Act for states to have in effect laws requiring the use of the NMSN in appropriate IV-D cases.

PAPERWORK REDUCTION ACT OF 1995: Public reporting burden for this collection of information is estimated to average 78 minutes (39 minutes per page) per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.

An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

REFERENCES: OCSE-AT-01-02, OCSE-AT-01-03, and OCSE-AT-01-05.

ACTION REQUIRED: Submit revised page 2.8 and re-submit page 2.12-19, with a completed transmittal notice form (OCSE-21-U4) to the appropriate ACF Regional Office attesting to compliance with the requirements set forth on the page. Submit the package as soon as possible, and no later than the end of the quarter in which the State Plan page provisions are implemented.

INQUIRIES: ACF Regional Administrators


Sherri Z. Heller, Ed.D.
Office of Child Support Enforcement

Current as of: