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.
Updated on Dec 9, 2020