Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

Update: We previously advised that the effective date of this transition was October 13, 2020. We have now updated the effective date of this transition to December 8, 2020.

 

Effective December 8, 2020, Anthem Blue Cross will transition the clinical criteria for medical necessity review of certain outpatient rehabilitative services from our clinical guidelines for physical therapy CG-REHAB-04, occupational therapy CG-REHAB-05 and speech language pathology CG-REHAB-06 to AIM Specialty Health_®* Rehabilitative Service Clinical Appropriateness Guidelines. These reviews will continue to be completed by the CA utilization management team.

 

Access and download a copy of the current and upcoming guidelines here.