Guidance on Adding Sexual Orientation and Gender Identity Questions to State Medicaid and CHIP Applications for Health Coverage
Starting November 1, 2023, the Centers for Medicare & Medicaid Service (CMS) began asking three new optional sexual orientation and gender identity (SOGI) questions on the single, streamlined application developed by the Secretary. This guidance gives instructs states on the process for modifying SOGI questions in their applications.

The document offers CMS guidance on adding optional sexual orientation and gender identity (SOGI) questions to state Medicaid and CHIP applications.
These questions are not mandatory, do not impact eligibility, and require states to ensure privacy and data security if included, with certain modifications needing CMS approval.
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