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

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

NPRM: National Medical Support Notice

AT-99-13
November 15, 1999

NPRM implementing provisions of CSPIA requiring State agencies to enforce health care coverage using the NMSN

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

e-NMSN Agreement and Profile Forms

OMB 0970-0370
July 21, 2022

Completed by employers or plan administration to register to use electronic National Medical Support Notice

Announces revised NMSN Part A and B forms with OMB approved expiration Nov. 30, 2025

Announces the extension for using the NMSN Part A and B forms to Oct 31, 2023

Guidance regarding the implementation of the National Medical Support Notice and other medical support issues