(a) The Child Support Enforcement Division (CSED) may initiate modification of a child support order under Sections 112, 118, 118.1, 601-611, 601-613, and 601-615 of Title 43 of the Oklahoma Statutes in the appropriate tribunal when facts indicate modification is warranted under applicable state or federal law or regulation.

• (1) If there is no existing order for either parent to provide dependent health care coverage, CSED initiates a modification of a support order to require either or both parents to provide dependent health care coverage when CSED obtains information that the child(ren) is not covered under an existing health care plan other than Medicaid, regardless of whether the coverage is currently available to either parent.
• (2) When CSED participates in the modification of a child support order, CSED requests that the court order contain a provision for medical support consistent with OAC 340:25-5-168.
• (3) OAC 340:25-5-201.1 describes when modification of a child support order is appropriate after a noncustodial parent obtains physical or legal custody of the child(ren).
• (4) CSED initiates a modification of the child support order when there is:
  • (A) no existing order for either parent to provide a portion of child care expenses;
  • (B) a change in how child care is being provided;
  • (C) a change in whether the Oklahoma Department of Human Services provides child care subsidy to a child(ren) in the order; or
  • (D) an order for the custodial person to provide medical support for the minor child(ren) and enforcement of the order is not appropriate pursuant to Section 139.1 of Title 43 or Section 566 of Title 21 of the Oklahoma Statutes.

(b) When a child support order exists, CSED considers a request to establish a medical support order as a request for modification of the order under Section 118.1 of Title 43 of the Oklahoma Statutes.  CSED seeks a medical support order in a tribunal that has jurisdiction to modify the child support order and follows procedures in OAC 340:25‑5‑198.1.