REMINDER: AIM Rehabilitative Program Pediatric Exclusions

As previously communicated in the October 2019 and December 2019 editions of Anthem Blue Cross and Blue Shield (Anthem) Provider News, the AIM Rehabilitative program for Anthem’s Commercial Membership relaunched November 1, 2019. AIM Specialty Health_® (AIM), a separate company, will perform prior authorization review of physical, occupational and speech therapy services. Requests may be submitted via the AIM ProviderPortal_SM.

 

There are many markets that have early childhood programs to protect the health and safety of children. They focus on improving the systems that serve young children and address their physical, emotional, social, cognitive and behavioral growth with the goal for all children to reach physical, social, emotional, behavioral, and cognitive milestones. In alignment with these goals, the AIM Rehabilitative program does not require prior authorization for physical, occupational and speech therapy services for pediatric members from birth to 36 months. Post service claims will not be subject to a medical management review either.

 

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