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Medical Overview

Oklahoma Child Support Services (CSS) is mandated to establish and/or enforce medical support by administrative or judicial means for every minor child included in an CSS case. The medical support order may require noncustodial, custodial, or biological parents (NCPs, CPs, or BPs) to enroll their child(ren) in available health insurance through a parent’s employer or other available group health plan, private insurance policy, group plan through another source such as a third party custodian or spouse, other benefits such as Indian Health Services (IHS) or TRICARE through the Defense Eligibility Enrollment Reporting System (DEERS), or the court may order Cash Medical Support.

CSS is required in all IV-D cases to:

  1. establish an order for medical support;
  2. gather information about the insurance policy and provide that information to the custodial person (CP); and
  3. enforce the order for medical support.

Federal Performance Measures have been proposed for medical support enforcement. The Office of Child Support Enforcement (OCSE) does not yet link compliance with the establishment and enforcement of medical support orders to the payment of incentives to states. However, the state of Oklahoma anticipates a link to incentives will occur.