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Medical Enforcement Only (MEO) Criteria


OAC 340:25-5-169 defines the services provided on MEO cases as follows:

  1. Services provided on MEO cases.
    1. Child Support Services (CSS) establishes paternity, if necessary, and a child support order.  The child support order must include:
      1. a provision for current child support per  OAC 340:25-5-178;
      2. a provision for support for a prior period per  OAC 340:25-5-179.1, when appropriate; and
      3. a provision for medical support per  OAC 340:25-5-168.
    2. CSS conducts a review of the order per  OAC 340:25-5-198.1 and seeks a modified order including a provision for medical support when:
      1. the existing child support order does not include a medical support provision;
      2. no insurance is available for the child(ren); or
      3. a parent or custodial person claims that the available health insurance is not accessible or reasonable in cost.

To summarize: an MEO case must have an active child support order that properly addresses medical support under our current policies.  If no order exists yet, one needs to be established. If an order exists that does not properly address medical support, the order must be modified. Further on in OAC 340:25-5-169 gives the following exceptions to MEO status:

  1. Exception to MEO status. CSS opens a full-service case when CSS receives a non-TANF SoonerCare (Medicaid) referral, as defined in  OAC 340:25-5-117, from the Oklahoma Health Care Authority and:
    1. assigned court-ordered child support is owed per  OAC 340:25-5-117;
    2. the child(ren) is in a deprived or delinquent juvenile court action;
    3. assigned cash medical support is owed per  OAC 340:25-5-117;

These exceptions reiterate what was mentioned above: Medicaid (SoonerCare) must be the only benefit being expended in order for a case to be eligible for MEO status.  Please note that assigned cash medical support is money owed to the Oklahoma Health Care Authority (OHCA). This is why a case with an order for cash medical support of greater than $0 is not eligible to be MEO.

Note: Please remember that child-only SoonerCare cases on which an order has been established cannot be closed at the CP’s request, but should only be closed with either closure code 16 (Non-TANF, CP Unreachable for 60 Days) or closure code 17 (Non-TANF, Customer Uncooperative). These closure codes will only work if the CP is not active on SoonerCare. If the CP is active on SoonerCare, the only way to close the case is for the CP to be removed from SoonerCare through the non-cooperation process and then close the case using closure code 17.