As we communicated in the October 2019 edition of Provider News, the AIM Rehabilitative program for our Commercial membership will relaunch on November 1. AIM Specialty Health® (AIM), a separate company, will begin to perform prior authorization review of physical, occupational and speech therapy services. Prior authorization requests may be submitted via the AIM ProviderPortalSM for dates of service on or after November 1, 2019. The OrthoNet program is no longer active in applicable markets.


 Anthem is also transitioning vendors for review of outpatient physical, occupational and speech therapy rehabilitative services for our Medicare members to AIM Specialty Health. We have decided to delay the implementation of this transition. The AIM Rehabilitative program for Medicare members will now begin in April 2020. Prior authorization will not be required for the above-mentioned services for Medicare members through March 2020. (Note: This delay does NOT apply to members in the states of Florida, New Jersey and New York for whom prior authorization will still be required.) We will provide an update in an upcoming Provider News about the AIM Rehabilitative Program for Medicare members.

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November 2019 GA Provider News