Medical Support

Final Rule Resources

Published: January 9, 2017

Provides links to policy, fact sheets, and training materials summarizing the final regulation

NPRM: Flexibility, Efficiency, and Modernization in Child Support Enforcement Programs

Published: November 17, 2014

The NPRM updates existing rules and proposes changes that will help modernize the Child Support Enforcement program

Distribution of Federally Approved National Medical Support Notice - 2014

Published: March 26, 2014

Transmits the federally approved National Medical Support Notice (NMSN) that expires on August 31, 2016

Medicaid Referrals to the IV-D Agency

Published: March 13, 2014

Policy on Medicaid referrals resulting from an application for medical insurance via the Healthcare Marketplace

National Medical Support Notice (Part B - Expires 3-31-16)

Published: July 15, 2013

OMB approved the National Medical Support Notice (NMSN) - Part B, submitted by the Department of Labor.  Expiration date is March 31, 2016. 

State Medical Support Contacts and Program Requirements

Published: May 18, 2020

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

Distribution of Federally Approved National Medical Support Notice

Published: March 29, 2011

Transmits 2011 National Medical Support Notice Parts A and B and outlines changes in Part A

Revised National Medical Support Notice and Instructions Parts A and B – expire Oct. 31, 2022

Published: March 5, 2020

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

Update to Revised Part A National Medical Support Notice and Instructions

Published: December 3, 2019

Announces the correction to the revised National Medical Support Notice Part A form instructions

Medical Support in Outgoing Cases to Canada

Published: August 7, 2019

Guidance on requesting medical support in applications from the U.S. to Canada

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