Authorizations

SFHP Medical Criteria

SFHP uses MCG clinical criteria where available. More specific clinical criteria are found below.

UM Criteria for Non-Genital Gender Confirmation Services

UM Criteria for Genital Gender Confirmation Services

• SFDPH Gender Affirming Surgery Eligibility, Referral, and Readiness Process Resources

UM Criteria for EPSDT Private Duty Nursing