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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

Income Withholding and Medical Support for Social Security Beneficiaries – Answers to States’ Questions

August 4, 2020
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Provides information on how to find and attach a beneficiary's Social Security disability or retirement benefit

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

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

Open Comment Period – Revised National Medical Support Notice

DCL-22-05
May 17, 2022
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Announces public comment period open until July 4 for proposed revisions to Part A of the form

Revised NMSN Parts A and B – Expire Nov. 30, 2025

AT-23-01
January 17, 2023
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Announces revised NMSN Part A and B forms with OMB approved expiration Nov. 30, 2025

NMSN Parts A and B - extended to Oct. 31, 2023

AT-22-06
December 27, 2022
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Announces the extension for using the NMSN Part A and B forms to Oct 31, 2023

Medical Support Enforcement Policy Clarifications

PIQ-02-03
December 20, 2002
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Guidance regarding the implementation of the National Medical Support Notice and other medical support issues

Income Withholding and Medical Support for Department of Veterans Affairs Benefits

Frequently Asked Questions
May 4, 2021
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Provides information on sending an income withholding order to attach a VA benefits payment

Department of Labor Booklet on Qualified Medical Child Support Orders

DCL-03-40
October 31, 2003
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Compliance guide for Qualified Medical Child Support Orders (QMCSOs)