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e-NMSN - Answers to Employers' Questions

June 2, 2023
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Answers employers' frequently asked questions about using electronic National Medical Support Notice (e-NMSN)

National Medical Support Notice Forms & Instructions (Updated)

OMB 0970-0222 & 1210-0113
January 19, 2023
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Legal notice that the employee is obligated to provide health care coverage for the child(ren) identified

State Medical Support Contacts and Program Requirements

Matrix
August 17, 2021
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Provides state-specific information about medical support for employers and other states

How to Complete an Income Withholding for Support Order

A Guide to the IWO and Instructions
January 19, 2021
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Training presentation provides directions on how to complete the Income Withholding for Support Order (IWO)

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

AT-20-03
March 5, 2020
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Announces the expiration date of October 31, 2022 for federally approved of the National Medical Support Notice Part A and B

Dos and Don'ts for the Income Withholding for Support Form

April 29, 2019
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Guidance on what can and cannot be changed on the standard OMB-approved IWO form

2017 Revisions to the IWO Form and Instructions

AT-17-09
August 31, 2017
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Distributes the revised OMB Income Withholding for Support (IWO) form and instructions with expiration date 8/31/2020

Letter to Software Developers and Payroll Service Providers on Allocation Guidance

DCL-06-10
January 26, 2006
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Describes the proper way to allocate child support payments across multiple child support orders

Medical Support Enforcement under the IV-D Program and Privacy Protections under the Health Insurance Portability and Accountability Act

PIQ-04-03
June 24, 2004
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Addresses disclosure of protected health information to a child support agency in response to a National Medical Support Notice

Final Rule: National Medical Support Notice

AT-01-02
January 8, 2001
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Announces the final rule implementing the medical support provisions of the Child Support Performance and Incentives Act