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Guidance on Adding Sexual Orientation and Gender Identity Questions to State Medicaid and CHIP Applications for Health Coverage

The purpose of the SOGI questions is to enhance consumer experience by allowing consumers to attest in a way that better reflects and affirms their identities, improve demographic data collection to identify disparities in access to care and,
ultimately, to support appropriate and equitable health care. These three new optional questions
will complement the existing “sex” question, which will continue to be required (see Table 1).

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 09, 2023

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.