State & FederalBadgerCare Plus and Medicaid SSI ProgramsMay 1, 2021

Retraction: AIM Rehabilitative program - initial evaluations and site of service reviews

Please be aware that AIM Specialty Health® (AIM),* a separate company, scheduled to expand the AIM Rehabilitation program to perform medical necessity review evaluations for physical, occupational and speech therapy procedures for the requested site of service that was previously announced in an earlier notice has been cancelled until further notice. The program effective date of August 1, 2021, is no longer valid.

 

AIM will continue to manage physical therapy (PT), occupational therapy (OT) and speech therapy (ST) medical necessity reviews and will require prior authorization for all outpatient facility and office-based rehabilitative and habilitative services.

 

How to place a review request

Providers may submit prior authorization requests to AIM in one of several ways:

  • Access AIM’s ProviderPortallSM 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 Portal* at availity.com.
  • Call the AIM Contact Center toll-free number at 1-800-714-0040 from 7 a.m. to 7 p.m. ET.

 

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