Georgia Medicaid policy covers transgender-related health care.
Rush v. Parham, 625 F.2d 1150, 1157 n.12 (5th Cir. 1980)
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.
- Amerigroup - Gender Reassignment Surgery
- CareSource - Gender Dysphoria
- Peach State Health Plan - Gender Affirming Surgery
- WellCare - Gender Reassignment Surgery
State Plan (Attachment 3.1-A, page 1c) (1992) (listing "transsexual surgery" as an example of a non-covered experimental or investigational procedure).
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.
Updated on Dec 9, 2020