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The Supplemental Instructions provide guidance for completing the OMBapproved Part A NMSN form. NATIONAL MEDICAL SUPPORT NOTICE - PART A. NOTICE TO WITHHOLD FOR HEALTH CARE COVERAGE.The NMSN consists of the following four documents and instructions: Part A – Notice to Withhold for Health Care Coverage. The National Medical Support Notice (NMSN) is made up of four documents: Part A- Notice to Withhold for Health Care Coverage. How does a National Medical Support Notice satisfy the. This information collection expedites requests for medical coverage between state child support enforcement agencies and employers. What if an employer does not have any record of an employee listed in the National Medical Support Notice (NMSN)?. 2 of the Employer Responsibilities, see instructions, complete item 5 of the Employer Response to notify the. The National Medical Support Notice (NMSN) is a new, two-part federally-required form. The Future of Population Health (Part 1): Public Health Systems and Structures.