State & FederalMedicaidOctober 31, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

This communication applies to the Medicaid and Medicare Advantage programs for Empire BlueCross BlueShield (Empire).

 

Empire previously communicated that AIM Specialty Health®* (AIM) would transition the clinical criteria for medical necessity review of certain rehabilitative services to AIM Rehabilitative Service Clinical Appropriateness Guidelines as part of the AIM Rehabilitation Program beginning October 1, 2020. Please be aware that this transition has been delayed. The new transition date will be in December 1, 2020.

 

* AIM Specialty Health is an independent company providing some utilization review services on behalf of Empire BlueCross BlueShield.

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PUBLICATIONS: November 2020 Empire Provider News