MedicaidCoverageMedium impact
Expanded Medicaid Coverage of Gender-Affirming Treatments: New Guidance on Provision of Electrology and Medical Tattoo Services
Maryland Medicaid·MD · Dermatology, Plastic Surgery, Endocrinology·Provider Transmittal
Effective date
Apr 23, 2024
We identified it
Jun 20, 2026
Summary
Maryland Medicaid now covers gender-affirming electrology and medical tattoo services with specific billing codes and reimbursement rates. Licensed electrologists and medical tattoo artists can enroll as temporary provider type XV through ePREP to bill for these services.
Action Required
Immediately: Licensed electrologists and medical tattoo artists providing gender-affirming care should enroll with Maryland Medicaid as provider type XV through ePREP at https://eprep.health.maryland.gov and complete the Gender Affirming Treatment addendum. Update billing systems to use CPT 17380 for electrolysis ($90 reimbursement) and CPT 11920-11922 for medical tattoos. Configure systems to accept atypical NPIs (5 + nine-digit Medicaid ID). Ensure medical necessity documentation is obtained before providing services.