Anthem BCBS of Kentucky will implement rehabilitative site of care guidelines for outpatient physical, occupational, and speech therapy services. In this article, I will answer the following questions:

Anthem Blue Cross and Blue Shield has updated their Kentucky Provider Manual. To access the updated manual, log into your account and click

Effective March 19, 2020, all outpatient rehabilitative settings shall close and transition to a telehealth platform in accordance with DMS guidance immediately. Click HERE to read it straight from the Governor. Skilled rehabilitation professionals (physical therapists, occupational therapists, speech languagetherapists, and respiratory therapists) shall continue to work in acute care, inpatient rehabilitativesettings, and skilled nursing facilities. Their work will allow patients to heal sooner and return home to their preferred setting. All CDC recommended protective measures shall be in place when providing services to patients. Home health rehabilitation professionals shall use best clinical judgment to determine best practicefor the implementation

If you submit claims to Anthem Blue Cross, significant changes are occurring beginning with dates of service on and after November 1, 2019. AIM Specialty Health has announced they will relaunch the AIM Rehabilitative program (i.e. prior authorization) for Anthem’s Commercial Membership on November 1, 2019 for the following states: I hope you found this article helpful. Thank you for being a Gold Member!

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: