Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

Effective December 8, 2020, HealthKeepers, Inc. will transition the clinical criteria for Anthem HealthKeepers Plus 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 VA utilization management team.

 

Access and download a copy of the current and upcoming guidelines.

 

If you have any questions about this communication, call Provider Services at 1‑800‑901‑0020 or Anthem CCC Plus Provider Services at 1‑855‑323‑4687.

 

* AIM Specialty Health is an independent company providing some utilization review services on behalf of HealthKeepers, Inc.

AVA-NU-0314-20