Maine Medicaid policy covers transgender-related health care.
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
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
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