Maine Medicaid policy covers transgender-related health care.
Regulations:
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Department of Health and Human Services, Office of MaineCare Services, 10-144 C.M.R., Chapter 101, MainCare Benefits Manual, Section 90, Chapter II, Physician Services
Text:
This regulation eliminates gender affirmation procedures and care from exclusion under MaineCare. "Services related to gender transition that otherwise fall within a member’s scope of covered MaineCare benefits (e.g., physician services, inpatient and outpatient hospital services, prescribed drugs) will be compensable under the MaineCare program when medically necessary."
Handbooks and Provider Manuals:
- Handbook: MaineCare Benefits Manual
Historical Notes:
State policy formerly explicitly excluded transgender health coverage and care, but a June 2019 emergency ruling from the state’s Department of Health and Human Services eliminated this exclusion.
Previously, 10-144-101 Me. Code. R. § 90.07(C)(8) excluded "Transexual procedures" from coverage.
Updated on Jun 18, 2020