Medicare AdvantageDecember 1, 2020
Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines
Effective December 8, 2020, Anthem Blue Cross and Blue Shield 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 NV utilization management team.
Access and download a copy of the current and upcoming guidelines here.*
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