El Paso First Health Plans

Submitted by Admin on
States
Oasis Wound Matrix Q4102

Covered Based on Medical Necessity – DFU/VLU/DLEU 

Covered Based on State Medicaid – Other Wounds

Oasis Burn Matrix Q4103

Covered Based on Medical Necessity – DFU/VLU/DLEU 

Covered Based on State Medicaid – Other Wounds

Oasis Ultra Q4124

Covered Based on Medical Necessity – DFU/VLU/DLEU

Covered Based on State Medicaid – Other Wounds