Maine Medicaid (FFS)
DLEU – HOPD Only
Maine
Harvard Pilgrim (Point32 Health)
Coverage Depends on Member Plan
Wellcare (Centene)
DFU and VLU - Grafix PRIME (Q4133) only
Anthem
DFU (Grafix Prime only)
UHC Community Plan
Follows Medicaid Fee-for-Service
Cigna
Commercial DFU
Medicare Advantage DFU, VLU, DLEU
United Healthcare
Commercial DFU
Medicare Advantage Follows Active LCD
Retired LCD Follows Commercial