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  • Current: Georgia Medicaid Regulations And Guidance

Prev Index States With Coverage [6 of 26] Next

Medicaid Regulations and Guidance

Georgia


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Georgia Medicaid policy covers transgender-related health care.

Decisions:

  • Court Decision:  Rush v. Parham, 625 F.2d 1150, 1157 n.12 (5th Cir. 1980)
    Summary:

    Observing that a categorical denial of healthcare simply “because it was transsexual surgery” would violate Medicaid laws, but allowing it to be denied as "experimental" in 1980.

Clinical Policies:

  • Amerigroup - Gender Reassignment Surgery
  • CareSource - Gender Dysphoria
  • Peach State Health Plan - Gender Affirming Surgery
  • WellCare - Gender Reassignment Surgery

Historical Notes:

State Plan (Attachment 3.1-A, page 1c) (1992) (listing "transsexual surgery" as an example of a non-covered experimental or investigational procedure).

Notes:

While there is no current guidance from the Georgia Department of Community Health, the managed care organizations operating under Georgia's Medicaid program have clinical policy guidelines for covering transgender-related care.

If you have been denied transgender-related care under a Georgia Medicaid plan, please contact us.

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Updated on Dec 9, 2020

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