Maine Queer Health
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  • MaineCare Info
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    • Report an Issue
  • Primary Care Providers
  • Other Categories
    • Pediatric & Youth Care
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    • Specialists
    • Care For Older Adults
    • Other Health Professions
    • Dental Care
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  • Mental Health Care
  • Sexual & Reproductive Health
  • Transgender Care
  • Care by Region
    • Care by Cities
      • Lewiston
      • Bangor
      • Portland
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MaineCare Sample Surgery Letters 

Many mental health providers have reached out to us for guidance on how to write referral letters for transgender clients seeking gender affirming surgery. Proper composition of these letters is essential for prior authorization, especially with clients who receive MaineCare. Below, we have attached three documents to aid in this process which have been used successfully to aid a number of clients. These documents are up to date as of February 7, 2020. We will update them periodically as we receive new guidance from DHHS. 

Sample Letter 

Letter Template 

MaineCare Content Requirements 

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  • Home
  • Contact
  • Submit a Provider
  • MaineCare Info
    • Free and Discount Care
    • Surgery Letters
    • Report an Issue
  • Primary Care Providers
  • Other Categories
    • Pediatric & Youth Care
    • Holistic Care
    • Specialists
    • Care For Older Adults
    • Other Health Professions
    • Dental Care
    • Legal Services
    • Community Support & Advocacy
    • Veteran Services
  • Mental Health Care
  • Sexual & Reproductive Health
  • Transgender Care
  • Care by Region
    • Care by Cities
      • Lewiston
      • Bangor
      • Portland
  • MaineTransNet