Anthem Blue Cross-Blue Shield has announced they are initiating a new utilization management (UM) program with AIM Specialty Health, a subsidiary of Anthem beginning in 5 states. This program will begin on March 1, 2019 in the states of Indiana, Louisiana, New York and Wisconsin and March 25, 2019 in California. This new UM program will impact all commercial enrollees receiving outpatient physical, occupational and speech therapy services.
AIM has already completed 3 webinars and has 2 more 10-hour webinars planned. The next webinar is February 26, 2019 at 3:00pm ET and the last webinar is on March 20, 2019 at 2:00pm ET. During the webinar, you can:
- See an overview of ProviderPortal, an online tool used to request AIM clinical review
- Learn how to create and submit a rehabilitative services order request
- Get tips and shortcuts to navigate the system
- See how to check the status of your requests
To register for the webinar and for additional information on AIM and this new UM process, log into your Gold Member account and click
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Thanks for the information Rick, is it your understanding that this only pertains to ANTHEM Blue Cross Blue Shield and not all Blue Cross Blue Shield of those states?
Per the release, it states Anthem so any BCBS that are under Anthem, this would apply. If you have a BCBS that is not under Anthem, this would not apply. If you have questions, check with the specific BCBS carrier you are concerned about.