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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)

Detailed Overview of the e-NMSN Process

Another Paperless Solution
March 9, 2022
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Provides an overview of the e-NMSN process and options available to states and employers

Medical Support for Employers

August 16, 2016
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Provides medical support compliance and step-by-step information for employers

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

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

What Employers Should Know When Working with Tribes

Frequently Asked Questions
June 2, 2023
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Provides answers to common questions about working with a tribal child support program

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

Medical Support - Answers to Employers' Questions

Frequently Asked Questions
November 7, 2017
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Employers' frequently asked questions about medical support for children

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

e-NMSN Agreement and Profile Forms

OMB 0970-0370
July 21, 2022
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Completed by employers or plan administration to register to use electronic National Medical Support Notice