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Creating a Medical Child Support Order Using Other Options

A medical child support order must be submitted to and qualified by the Qualified Order Center to become a Qualified Medical Child Support Order (QMCSO). Rather than creating the order on this site, you may consider other options such as hiring an attorney to create the order or creating it yourself by following the steps below.

What You Need to Do

  1. Get the employer's procedures and model language form on this site. You or your attorney may want to refer to these important documents for guidance when creating the order.

  2. Create the medical child support order. Be aware there are many ways to draft the terms of a QMCSO. You may want to use the employer's model language form or a similar structure.

    Note: The order must be completed accurately and satisfy all the general QMCSO requirements and the employer's QMCSO requirements in its procedures document.

  3. Review the completed order carefully before sending it. Here are the top reasons why a medical child support order is denied QMCSO status:
    • It's missing the employee's or child(ren)'s name.
    • It's missing the employee's or child(ren)'s address.
    • It's missing the employer's name.
    • It's missing a judge's signature and court certification.
  4. Send the order.
    1. Get the completed order signed by a judge.
    2. Have the order court-certified by the clerk of the court.
    3. Mail the form to:
      Qualified Order Center
      PO Box 299082
      Lewisville, TX 75029-9082
  5. Wait 15 business days to receive a written response about the determination of the order.

Follow These Steps to Upload Your Order

If you have already drafted a Domestic Relations Order and would like to upload it online, begin by following the step by step process outlined on this site to upload your order.

What the Qualified Order Center Will Do

Once the order is received, the Qualified Order Center will:

  • Review the order.
  • Notify all people in the order in 15 business days of receiving the order whether it meets all qualification requirements.
  • Send the following, as appropriate, to all people named in the order and their designated representatives:
    • Copy of the QMCSO procedures
    • Determination letter
    • Copy of the order
    • Model language

Did You Know?

It takes <strong>15 business days</strong> from the time a medical child support order is received for the Qualified Order Center to review it.

You'll receive written notification by postal mail after the 15-business-day review is completed.