Maryland Medicaid policy covers transgender-related health care.
Guidance and Announcements:
- Guidance: PT 37-16 (2016)
Handbooks and Provider Manuals:
- Provider Manual: Professional Services Provider Manual
Historical Notes:
Maryland in 2015 promulgated regulations under COMAR 10.09.02.05 extending HealthChoice Managed Care Organizations coverage for gender confirmation surgery.
Prior to the 2015 amendment, COMAR 10.09.02.05(A)(21) explicitly excluded gender confirmation surgery:
“A. Services which are not covered are: … (21) Gender change or sex reassignment procedures”"
Notes:
The coverage extension excludes some hair removal and facial surgery as outlined on page 3 of the guidance document.
If you have been denied transgender-related care under a Connecticut Medicaid plan, please contact us.
Updated on Jun 18, 2020