As previously communicated in the October 2019 edition of Anthem Blue Cross and Blue Shield (Anthem)’s Provider News, the AIM Rehabilitative program for Anthem’s Commercial Membership relaunched November 1, 2019.  AIM Specialty Health® (AIM), a separate company, will begin to perform prior authorization review of physical, occupational and speech therapy services.  Requests may be submitted via the AIM ProviderPortalSM for dates of service November 1 and after. The OrthoNet program is no longer active in applicable markets.

 

Anthem is also transitioning vendors for review of Rehabilitative Services for our *Medicare members to include outpatient physical therapy, occupational therapy, and speech-language pathology, to AIM Specialty Health. Anthem has decided to delay the implementation of this transition. The AIM Rehab program will now begin in April 2020. Pre-authorization will not be required for the above mentioned services through March 2020.

 

*This does not apply to members in the states of Florida, New Jersey and New York for whom prior authorization will still be required.

 



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November 2019 Anthem Provider News - Ohio