#Aim specialty health how to#
Based on How to Choose a Medical Specialty by Anita Taylor.
#Aim specialty health plus#
AIM is a non-profit health plan, serving over 68 million members in 50 states, the District of Columbia, and US territories to ensure they receive optimal health care through evidence-based clinical guidelines and real-time decision support. AIM Specialty Health manages authorizations for select services for Blue Cross commercial, Medicare Plus Blue, BCN commercial and BCN Advantage members. Quiz to find the best medical specialty match for your personality, interests and abilities.
See FAQs for more information ProviderPortal Specialty health care is delivered in an appropriate, safe and affordable manner by AIM Specialty Health.
#Aim specialty health manual#
Medicare: CA, CO, CT, GA, IN, KY, ME, MO, NH, NM, NY, OH, TN, TX, VA, WA, WI (as of )Ĭommercial: CA – (implementation date TBD) Autism Spectrum Disorder:Īnthem and AIM Specialty Health are working together to make improvements to the clinical review of PT/OT/ST Services when used to treat Autism Spectrum Disorder or Pervasive Developmental Disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association. Processing requests forīlue Cross Centennial Community Medicaid: NM (as of ) Anthem:Ĭommercial: CT, ME, NH, NY, GA, IN, KY, MO, OH, WI (as of ) See FAQs for more details, Also, please check your market website often for the latest Anthem COVID-19 information. Information regarding COVID-19 and TelehealthĬertain CPT codes will be appropriate to be considered for Telehealth (audio and video) for physical, occupational, and speech therapies. Learn to enter your rehabilitation services order request online. The Rehabilitation Provider Portal SM Experience Please verify or check with the patient’s health plan if you have any questions. Note: Review requirements and modalities may vary by health plan. Our program reviews outpatient rehabilitative services including, but not limited to: This decision can be made immediately if all relevant clinical information is provided. Therapy providers and physicians benefit by having a central location to obtain authorizations required by your patients’ health plans. The clinical information you submit is reviewed against AIM clinical guidelines and health plan specific guidelines to ensure alignment with current best practices. The program includes review of rehabilitative and habilitative outpatient physical, occupational and speech therapy services for medical necessity.ĪIM is here to assist in your efforts to deliver the best quality and affordable care for your patients. AIM Specialty Health ® (AIM) recognizes the key role that you and other providers play in the delivery of care for patients needing rehabilitative services to improve, adapt or restore functions, which have been impaired or permanently lost.ĭeveloped in collaboration with your patients’ health plans, our Rehabilitation Program provides a clinical appropriateness review process that encompasses the appropriate duration of rehabilitation services.
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