Skip to main content

Birth Expense Reporting

Paternity Unit


The Paternity Unit is part of Michigan Department of Health and Human Services'  Third Party Liability Division and works with the Office of Child Support, local prosecutors, and friend of the court offices to recover birthing expenses from fathers of children born out of wedlock and paid for by Medicaid pursuant to the Paternity Act.

The Paternity Unit's responsibility is to complete birth expense requests submitted by IV-D agencies including county friend of the court offices, county prosecuting attorneys and the Office of Child Support, for women enrolled with Medicaid during pregnancy and whose child was born out of wedlock. The Paternity Unit receives approximately 3,200 requests each month. The Third Party Liability Division does not initiate any requests.


Frequently Asked Questions

Why am I reimbursing the State of Michigan for birth expenses for my child?

If Medicaid paid these expenses only the father of the child is obligated to reimburse the state. Under provisions of Michigan PA 205, Section 722.712 of 1956, the State of Michigan is mandated to recover money from the father of a child born out of wedlock if Medicaid paid for the pre-natal care and delivery expenses for the mother.


How is the amount to repay the State of Michigan determined?

The county office will use that figure in conjunction with the Michigan Child Support Formula to determine the amount to repay. The Paternity Unit will submit a birth expense report to the county friend of the court or prosecuting attorney's office detailing the total Medicaid expenditures for pregnancy related services for the mother.


How will the money be collected?

The Paternity Unit is not involved in collections of any type from the father and no money should be sent to the Michigan Department of Health and Human Services directly. Please contact the county friend of the court office responsible for managing your court case to discuss this matter. This obligation is collected by the county friend of the court office and is applied according to statutory priorities.