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Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of the Ability of Noncustodial Parents to Contribute Toward the Medical Costs of Title IV-D Children in North Carolina Under the State Children Health Insurance Program," (A-04-02-00014)

August 20, 2004

Complete Text of Report is available in PDF format (626 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


This final report points out that North Carolina has an opportunity to increase enrollment in the State Children’s Health Insurance Program (SCHIP) and have noncustodial parents pay a portion of the associated premiums.  Based on a statistical sample, we estimated that 30,809 Title IV-D children would have been eligible to receive SCHIP benefits from June 1, 2001 through May 31, 2002.  The noncustodial parents of 20,637 of these children could have contributed $16.4 million toward the $24.9 million in premiums that would have been incurred if the children had been enrolled.  We also determined that 8,776 Title IV-D children received SCHIP benefits during the audit period.  An estimated 3,686 of these children had noncustodial parents who could have contributed $1.9 million toward the $3.6 million in SCHIP premiums paid on behalf of their children.  We recommended that North Carolina take appropriate steps to recover SCHIP premiums from noncustodial parents with medical support orders and the ability to pay for their dependent children.