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

Per the New Hampshire Physical Therapy Associations website, Governor Sununu released an Executive Order that along with Guidance from the State of NH Office of Professional Licensure and Certification (OPLC) that appears to provide guidance for utilization of telehealth by physical therapists in NH.  The New Hampshire Physical Therapy Association website goes on to say “While the executive order from the governor does not explicitly detail physical therapists, the additional OPLC guidance states that “effective immediately, the Governor has ordered ‘all medical providers[…] be allowed to perform health care services through the use of all modes of telehealth, including video and

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: