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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

Legal notice that the employee is obligated to provide health care coverage for the child(ren) identified

States Using e-NMSN (Updated)

December 5, 2022

States that have implemented or are in development e-NMSN

Detailed Overview of the e-NMSN Process

Another Paperless Solution
March 9, 2022

Provides an overview of the e-NMSN process and options available to states and employers

e-NMSN Software Interface Specification (Updated)

Version 1.6
January 31, 2022

Provides software interface specification of an electronic version of the National Medical Support Notice for the employer

Provides state-specific information about medical support for employers and other states

Provides information on sending an income withholding order to attach a VA benefits payment

Announces the expiration date of October 31, 2022 for federally approved of the National Medical Support Notice Part A and B

Addresses disclosure of protected health information to a child support agency in response to a National Medical Support Notice

Announces the final rule implementing the medical support provisions of the Child Support Performance and Incentives Act