This communication applies to the Medicaid and Medicare Advantage programs for Anthem Blue Cross and Blue Shield (Anthem).


Effective December 1, 2020, Anthem will transition the clinical criteria for medical necessity review of CGSURG-74 Total Ankle Replacement services to AIM Specialty Health®* small joint guidelines. These reviews will continue to be completed by the Anthem Utilization Management team. You may access and download a copy of the AIM Small Joint Guidelines here.


* AIM Specialty Health is an independent company providing some utilization review services on behalf of Anthem Blue Cross and Blue Shield.



Featured In:
December 2020 Anthem Provider News - Wisconsin