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- OHP coverage of gender-affirming treatment, effective January 1, 2024
Care coordinators and other staff share current information about gender-affirming treatment coverage, including that all treatments prescribed in accordance with WPATH 8 0 are covered
- Medicaid Coverage of Transgender Transition-Related Health Care . . . - SMSNA
With this information in mind, the authors of a 2020 Journal of Sexual Medicine study set out to determine which U S states’ Medicaid programs cover gender-affirming hormone therapy (GAHT) and which cover genital gender-affirming surgery (GAS) for transgender individuals
- Update on Medicaid Coverage of Gender-Affirming Health Services
This brief presents findings on states’ coverage of gender-affirming health services under Medicaid as of July 2021
- Gender Dysphoria Treatment Community Plan Medical Policy
Gender affirming surgery is considered an irreversible intervention Although infrequent, reversal of prior gender affirming surgery may be covered when the medical necessity criteria for the requested treatment above are met
- Medicaid Coverage for Gender-Affirming Care - Williams Institute
Gender-affirming care includes a range of services, such as surgical procedures, hormone therapy, and other forms of treatment Twenty-five states and D C specifically include coverage for gender-affirming care under their Medicaid programs
- Healthcare Laws and Policies: Medicaid Coverage for Transgender-Related . . .
In November 2021, an Iowa District Court ruled that denying Medicaid coverage for transition-related care violates the state’s law and constitution, and ordering the state’s Department of Human Services to provide coverage when medically necessary
- Medicaid coverage for gender-affirming surgery: A state-by . . . - PubMed
In 2022, 52 9% of states had health policies that protected gender-affirming care under Medicaid; however, coverage for various gender-affirming surgical procedures remains both variable and occasionally unspecified
- Gender-Affirming Care for Oregon Health Plan (OHP) Members
For more information about gender-affirming care coverage under Oregon's Medicaid program, visit the Oregon Health Plan (OHP) webpage If an OHP member has a concern about receiving gender-affirming care, they should contact their Coordinated Care Organization (CCO)
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