Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines*

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 ProviderPortal_SM 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: 800-554-0580, Monday – Friday, 8:30 a.m. – 7:00 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 here.

 

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