AIM Musculoskeletal program expansion
AIM will begin accepting prior authorization requests on October 26, 2020, for dates of service on and after November 1, 2020. To determine if prior authorization is required, please call the prior authorization number located on the back of the member’s ID card.
Members included in the new program
All fully insured and administrative services only (ASO) members currently participating in the AIM Musculoskeletal Program are included. For ASO groups that currently do not participate in the AIM Musculoskeletal Program, the program will be offered to ASOs to add to their members’ benefit package as of November 1, 2020.
Pre-service review requirements
For surgeries scheduled to begin on or after November 1, 2020, all providers must contact AIM to obtain prior authorization for the following non-emergency modalities:
Small joint replacement (including all associated revision surgeries)
- Total joint replacement of ankle
- Correction of Hallux Valgus
- Hammertoe repair
Surgeries performed as part of an inpatient admission are included.
To place a review request:
- Online: Get fast, convenient, online service via the AIM ProviderPortalSM , available twenty-four hours a day, seven days a week, processing requests in real-time using clinical criteria. Go to aimspecialtyhealth.com/goweb to register.
- Phone: Call AIM Specialty Health toll-free at 866-714-1103, Monday through Friday 8:30 a.m.–7:00 p.m.
For more information:
Go to aimprovider.com/msk for resources to help your practice get started with the musculoskeletal and pain management program. Our website provides access to helpful information and tools such as order entry checklists, clinical guidelines and FAQs.
We value your participation in our network and look forward to working with you to help improve the health of our members.
August 2020 Anthem Provider News - Georgia