Effective August 1, 2021, AIM Specialty Health® (AIM), a separate company, will expand the AIM Rehabilitative program to perform medical necessity review of the requested site of service for physical, occupational and speech therapy procedures for Anthem fully-insured members. This site of service review will impact providers of therapy services in the following states: Connecticut Colorado Georgia Indiana Kentucky Missouri New Hampshire Nevada Ohio Per AIM, pre-certification I hope you found this article helpful to your therapy practice or department. Thank you for being a Gold Member!

AIM Specialty Health has announced the launch dates for the AIM Rehabilitative program for Anthem’s Commercial Membership and Anthem’s Medicare Advantage Membership. This announcement impacts 2 states for Anthem’s Commercial Membership and 16 states for Anthem’s Medicare Advantage Membership. The AIM Rehabilitative program for Anthem’s Commercial Membership will relaunch April 1, 2020 for the states of The AIM Rehabilitative program for Anthem’s Medicare Advantage membership will launch April 1, 2020 and will impact the following states: I hope you found this article helpful. Thank you for being a Gold Member!

Anthem Blue Cross has announced they will further delay the implementation of AIM Specialty Health and the prior authorization process for outpatient therapy services for the 13 states that were originally scheduled to begin with dates of service on and after July 1, 2019. On July 2, Anthem Blue Cross announced the implementation that began July 1, 2019 was being halted and would resume with dates of service on and after August 1, 2019. On July 16, 2019, Anthem Blue Cross announced they are

Effective July 1, 2019, Anthem Blue Cross patients in several states will require preauthorization to receive outpatient physical, occupational and speech therapy services. This will be true not only for new patients beginning therapy on or after July 1, 2019, but also for current Anthem patients who are being seen now and will continue to be seen for therapy on or after July 1, 2019. The states where prior authorization will be required effective for dates of service on and after July 1, 2019 are: