Here in Arizona there are several options. It can be paid directly from one spouse to the other. Both parties should keep very accurate records of the payments. The court may order the payments to be made through the clearinghouse, administered by the state of Arizona. They keep track of payments for you. Failure to pay is more easily handled in the court if the payments go through the clearinghouse. Be aware that there is a lag time between the time the payment is made and the time it is received if you go through the state.
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