Sometimes other factors may be considered. Both parents have the right to ask CSE to review a child support order within three years after the order became effective. The request must be made in writing to the child support office handling your case. The review can find that the amount should be less, more or stay the same. Medical insurance may also be added to the order.
States cooperate with each other to establish and collect child support.
However, the other state's child suppor agency and legal system may be involved, which may cause a delay. If either parent can get medical insurance for the child at a reasonable cost, the court will consider that cost in deciding the amount of child support awarded. Usually, if the non-custodial parent can get health insurance at a reasonable cost, that parent will be ordered to obtain it for the child. When the non-custodial parent does not pay the full amount, or does not pay at all, enforcement action is necessary. After a child support order is in place, the support amount will be deducted from the non-custodial parent's paycheck.