TMPPM 2011 > Gynecological and Reproductive Health, Obstetrics, and Family Planning Services Handbook > Medicaid Title XIX family planning services > Services, Benefits, Limitations, and Prior Authorization > Sterilization and Sterilization-Related Procedures > Sterilization Consent

2.3.8.1 Sterilization Consent

Per federal regulation 42 CFR 50, Subpart B, all sterilization procedures require an approved Sterilization Consent Form.

Note: Hysterectomy Acknowledgment forms are not sterilization consents.

Refer to: Form GN.2, "Sterilization Consent Form (English)" in this handbook.

Form GN.3, "Sterilization Consent Form (Spanish)" in this handbook.

Form GN.1, "Sterilization Consent Form Instructions (2 pages)" in this handbook.