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

Child support can help children get the financial and medical support they need to help them thrive

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

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

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

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

Guidance on what can and cannot be changed on the standard OMB-approved IWO form

Describes the proper way to allocate child support payments across multiple child support orders

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

Distributes the revised OMB Income Withholding for Support (IWO) form and instructions with expiration date 8/31/2020