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Income Withholding Orders and Cash Medical Support

Legal Authorities:

29 USC § 1169
42 USC § 666(a)(19) – Health Care Coverage
29 CFR § 2590 – Rules and Regulations for Group Health Plans, Qualified Medical Child Support Order
45 CFR § 160.103
45 CFR § 164.501
45 CFR § 164.512(a) and (d)(1)(iii)
45 CFR §§ 303.30, and 303.32
36 OS § 6058A
43 OS § 118.2(B)
21 OS § 566.1
43 OS § 139.1
OAC 340:25-5-67
OAC 340:25-5-114, 118, and 123
OAC 340:25-5-171
OAC 340:25-5-198.2

The Income Withholding Order (IWO) has a line specifying the amount of cash medical support to be withheld from the parent’s income. That line is specifically identified as Cash Medical Support.

  • CSS adds both the cash medical support and fixed medical support together for this line. They are added together to comply with federal requirements on the IWO form.
  • If the cash medical support amount is terminated, the fixed medical amount remains on the Income Withholding Order.