DCSE ensures that child support orders include a provision for health care coverage. When insurance is provided through a noncustodial parent’s employer, DCSE enforces these orders by sending the employer a National Medical Support Notice, which notifies the employer of the children’s need to be enrolled in the employer’s health care plan. The Notice also requires the employer to withhold employee contributions required by the health care plan in which the children are enrolled.

DCSE also sends a monthly file to DMAS containing information on third-party liability coverage for Temporary Assistance for Needy Families, IV-E Foster Care, and Medicaid cases. DMAS uses this information to identify other medical insurance that can offset Medicaid costs. Pursuing third-party liability is therefore a cooperative method for mitigating Medicaid costs.

Currently, DMAS does not refer cases to DCSE seeking direct reimbursement of Medicaid expenses. DCSE is prepared to begin accepting referrals again and to assist DMAS in establishing and enforcing repayment of Medicaid assistance. Such referrals would require DMAS to calculate the amount to be reimbursed.