REMINDER: New AIM Rehabilitative Program effective April 1, 2020

As recently communicated in the February 2020 edition of Anthem’s Provider News, the AIM Rehabilitative program for Anthem’s Commercial Membership will relaunch April 1st.  AIM Specialty Health® (AIM), a separate company, will perform prior authorization review of physical, occupational and speech therapy services.  Requests may be submitted via the AIM ProviderPortal for dates of service April 1, 2020 and after.   

 

The AIM Rehab Program follows the Anthem Clinical Guidelines that state the services must be delivered by a qualified provider of therapy services acting within the scope of their licensure. Qualified providers acting within the scope of their license, including chiropractors, who intend to provide PT, OT or ST services should request prior authorization for those services through AIM. 

 

Please note that if you are providing PT/OT/ST services to an Anthem Commercial member whose state of issuance is part of the AIM Rehab Program, you will be required to obtain an authorization.

 

Anthem is also transitioning vendors for review of Rehabilitative Services for our *Medicare members to include out-patient PT, OT, and SLP, to AIM Specialty Health April 1, 2020 for dates of service April 1, 2020 and after.  *This does not apply to members in the states of FL, NJ and NY for whom prior authorization will still be required. Please review the update in an upcoming notice for more information about the AIM Rehabilitative Program for Medicare members.