The All Plan Letter 24-017 outlines requirements for Medi-Cal managed care plans (MCPs) regarding cultural competency training for transgender, gender diverse, and intersex (TGI) individuals, as mandated by Senate Bill 923. MCPs must implement evidence-based training for staff, update provider directories to identify those offering gender-affirming services, and monitor grievances related to trans-inclusive care. Compliance deadlines are set for March 1, 2025, with ongoing reporting and training requirements to ensure effective care for TGI members.

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