OKDHS - OAC 340:25-5-169. Establishment of medical enforcement only cases

340:25-5-169. Establishment of medical enforcement only cases

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Revised 7-1-11

(a) Medical enforcement only (MEO) status. When a person receiving non-TANF (Temporary Assistance for Needy Families) SoonerCare (Medicaid) notifies Oklahoma Child Support Services (OCSS) that only IV-D services related to securing medical support are requested, OCSS updates the case as an MEO case and does not provide full child support services per OAC 340:25-1-1.2. OCSS follows Sections 302.33, 302.56, 303.30, and 303.31 of Title 45 of the Code of Federal Regulations; Section 6058A of Title 36, Sections 112, 118F, 118.2, and 119 of Title 43; and Section 237 of Title 56 of the Oklahoma Statutes. • 1 & • 2

(b) Services provided on MEO cases.

(1) OCSS establishes paternity, if necessary, and a child support order. The child support order must include:

(A) a provision for current child support per OAC 340:25-5-178;

(B) a provision for support for a prior period per OAC 340:25-5-179.1, when appropriate; and

(C) a provision for medical support per OAC 340:25-5-168.

(2) OCSS 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:

(A) the existing child support order does not include a medical support provision;

(B) no insurance is available for the child(ren); or

(C) a parent or custodial person claims that the available health insurance is not accessible or reasonable in cost.

(c) Exception to MEO status. OCSS opens a full-service case when OCSS 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; or

(4) the custodial person is a child care subsidy recipient. • 1 through • 3

INSTRUCTIONS TO STAFF 340:25-5-169

Revised 7-1-11

1.   Oklahoma Child Support Services (OCSS) staff initially build all cases as full-service cases. When a child support order has been established, OCSS staff indicate that the custodial person has requested a medical enforcement only (MEO) case by updating the Custodial Person Data Update (CCPU) screen on the Oklahoma Support Information System (OSIS) with an MEO begin date.

2.   When the child(ren) on the case is on SoonerCare (Medicaid) and health insurance or a cash medical support order of $0 is ordered for the child(ren), OCSS staff update the case as an MEO case upon the custodial person's request.

3.   When OCSS establishes a child support order with a medical support provision for cash medical support greater than $0 assigned to the Oklahoma Health Care Authority per OAC 340:25-5-117, OCSS staff must not update the case as an MEO case.

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