Montana Medicaid (FFS)

Submitted by Admin on
States
Oasis Wound Matrix Q4102

Covered Based on Medical Necessity – DFU/VLU/DLEU

Oasis Burn Matrix Q4103

HOPD Only – Covered Based on Medical Necessity - DFU/VLU/DLEU

Oasis Ultra Q4124

Covered Based on Medical Necessity – DFU/VLU/DLEU