Child Support and Cash Medical

What is Cash Medical Support in the State of Ohio?

Cash medical support is a payment of $388.70 included in a child support order that is paid by the obligor (usually the nonresidential parent) to be put towards the ordinary medical expenses of the child incurred throughout the calendar year. Every child support order in Ohio established or modified on or after March 28, 2019, includes cash medical support as part of the court’s order. A link to Ohio’s official cash medical support statute  can be found here: https://codes.ohio.gov/ohio-revised-code/section-3119.302.

Who Owes Cash Medical Support?

The cash medical payment is received by the child support obligee (usually the residential parent), unless he/she already is a Medicaid participant. If the prior is true and the child is already receiving healthcare benefits under Medicaid, then the cash medical payment is still owed, however it is sent to the State of Ohio in order to defray the costs associated with Medicaid and healthcare expenditures. If the paying party has a gross annual income that is less than 150% of the federal poverty line for an individual ($19,320.00 in 2021), then he/she will not be required to pay the cash medical support.

What if the Child’s Healthcare Expenses Exceed the Support Payment?

​In the case that the child’s healthcare expenses for the year exceed the amount paid in cash medical support, then the remainder of the expenses will be split among the parenting parties in accordance with the percentage determined by the court or child support enforcement agency.

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