Effective for dates of service on and after August 16, 2020, the following updates will apply to the AIM Sleep Disorder Management Clinical Appropriateness Guideline.

 

Sleep Disorder Management:

Bi-Level Positive Airway Pressure Devices

  • Change in BPAP FiO2 from 45 to 52 mmHg based on strong evidence and aligns with Medicare requirements for use of BPAP.

 

Multiple Sleep Latency Testing and/or Maintenance of Wakefulness Testing

  • Style change for clarity
  • Code Changes:  None 

 

As a reminder, ordering and servicing providers may submit prior authorization requests to AIM in one of several ways:

 

  • Access AIM’s ProviderPortalSM directly at providerportal.com. Online access is available 24/7 to process orders in real-time, and is the fastest and most convenient way to request authorization.
  • Access AIM via the Availity Web Portal at availity.com.
  • Call the AIM Contact Center toll-free number: 866-714-1107, Monday – Friday, 8:00 a.m. – 5:00 p.m.

 

For questions related to guidelines, please contact AIM via email at aim.guidelines@aimspecialtyhealth.com. Additionally, you may access and download a copy of the current and upcoming guidelines here.

 

427-0520-PN-NE

 



Featured In:
May 2020 Anthem Connecticut Provider News