Child Support Guideline Update: Psychological Expenses Included as Reimbursable Expense

For a long time, psychological expenses under the Pennsylvania Support Guidelines were treated differently than other medical expenses. While “routine” or “traditional” medical expenses such as surgical, dental, optical, and orthodontia were automatically included as reimbursable expenses, the definition of “medical expenses” specifically excluded cosmetic, chiropractic, and most controversially, psychological and psychiatric. Medical care for children is a legal custody issues, so there was always some interplay between an expense and how it may have come about, however, when therapy was in p