REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020
As recently communicated in the August 2020 edition of Anthem’s Provider News, AIM Specialty Health® (AIM), a specialty health benefits company, will expand the AIM Musculoskeletal program to perform medical necessity reviews for certain elective surgeries of the small joints for Anthem members effective November 1, 2020. Replacement and revision surgeries for procedures such as total joint of ankle, correction of Hallux Valgus, hammertoe repair are included.
The AIM Rehab Program follows the Anthem Clinical Guidelines that state the services must be delivered by a qualified provider within the scope of their licensure. Qualified providers acting within the scope of their license, including podiatrists, who intend to perform certain elective surgeries of the small joints procedures should request prior authorization for those services through AIM.
AIM will begin accepting prior authorization requests on October 26, 2020, for dates of service on and after November 1, 2020. Prior authorization requests may be submitted via the AIM ProviderPortal or by calling (866) 789-0158, Monday through Friday.
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October 2020 Anthem Provider News - Virginia