(a) Medical enforcement only (MEO) status.  When a person receiving non-TANF (Temporary Assistance for Needy Families) 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 under 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 as described in OAC 340:25-5-178;
  • (B) a provision for support for a prior period under OAC 340:25-5-179.1, when appropriate; and
  • (C) a provision for medical support as described in OAC 340:25-5-168.
• (2) OCSS conducts a review of the order under OAC 340:25-5-198.1 and seeks a modified order that includes 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 is not reasonable in cost.

(c) Exception to MEO status. OCSS opens a full-service case when OCSS receives a non-TANF Medicaid referral from the Family Support Services worker in which:

• (1) assigned court-ordered child support is owed under 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 under OAC 340:25-5-117; or
• (4) the custodial person is a child care subsidy recipient. • 1 through 3