Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of the Ability of Noncustodial Parents to Contribute Towards the Medical Costs of Title IV-D Children in New Jersey That Were Paid Under the Medicaid Program," (A-02-02-02004)

November 14, 2003

Complete Text of Report is available in PDF format (611 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


We statistically sampled a population of 17,701 children in New Jersey who received Title IV-D services, were on public assistance, and whose non-custodial parents (NCP) were making child support payments and were court ordered to provide medical support.  We estimate that the NCPs of approximately 5,930 of these children did not or could not provide the court ordered medical support, but could have contributed toward part or all of their children’s medical costs paid by Medicaid from September 2001 through August  2002.  We estimate these NCPs could have contributed about $2.5 million of the $11.8 million incurred by the State and Federal Governments to provide health care for these children.  We recommended that New Jersey utilize the results of our review in determining whether existing child support guidelines should be modified to require NCPs to contribute towards the Medicaid costs of their dependent children.