Molina Healthcare Illinois policy
Gender Dysphoria Hormone Therapy - IL Medicaid Only
Gender Dysphoria Hormone Therapy - IL Medicaid Only is a public Molina Healthcare Illinois policy (policy C23809-A, effective Oct 1, 2022). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- C23809-A
- Effective
- Oct 1, 2022
- Line of business
- Medicaid
- States
- IL
- Source
- www.molinahealthcare.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Molina Healthcare Illinois policies |
|---|---|
| J1050 | Policies naming J1050 |
| J1071 | Policies naming J1071 |
| J3121 | Policies naming J3121 |
| J3145 | Policies naming J3145 |