As recently communicated in the February 2020 edition of Anthem’s Provider News, effective for dates of service on and after May 17, 2020, updates will apply to the AIM Musculoskeletal Program: Joint Surgery Clinical Appropriateness Guidelines.  These updates relate to the criteria in the following sections:

 

  • Hip arthroplasty

 

  • Knee arthroscopy and open procedures

 

  • Shoulder arthroplasty including the removal of the  indication for subacromial impingement with rotator cuff tear  


As a reminder, ordering and servicing providers may submit prior authorization requests to AIM in one of several ways:

  • Access AIM’s ProviderPortalSM directly at providerportal.com. Online access is available 24/7 to process orders in real-time, and is the fastest and most convenient way to request authorization.

 

  • Access AIM via the Availity Web Portal at availity.com.

  • Call the AIM Contact Center toll-free number:  866-789-0397, Monday - Friday, 8 a.m. to 5 p.m. ET.


For questions related to guidelines, please contact AIM via email at aim.guidelines@aimspecialtyhealth.com.  Additionally, you may access and download a copy of the current and upcoming guidelines.

 

438-0520-PN-VA



Featured In:
May 2020 Anthem Provider News - Virginia