How are extraordinary medical costs treated by child support in Maryland?

Maryland has specialized guidelines for the sharing of a child’s extraordinary medical care costs that are separate from, and in addition to, basic child support payments. Extraordinary medical costs are generally costs generated by things such as illness, hospital visits, or costly procedures such as getting braces.

Maryland treats extraordinary medical care costs as a “mandatory deduction” for basic child support. This means that if the non-custodial parent pays child care costs, the portion of the total monthly child care costs attributed to the custodial partner are deducted from the noncustodial partner’s monthly child support payment. If the custodial parent pays for child care, the non-custodial parent must pay their share in addition to basic child support.

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