Thanks for posting that helpful link, katniss!

The Transgender Program at OHSU in Portland OR accepts out of state Medicaid.
https://www.ohsu.edu/xd/health/services/...er-health/

Closer by is the Transgender Program at the University of Utah.
https://healthcare.utah.edu/transgender-...ob-gyn.php
...but I've only heard that they take Medicare specifically, not Medicaid.

In either case, travel and accommodation expense remains an issue.