REHABILITATION PROGRAM

Welcome

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.

Developed in collaboration with your patients’ health plans, our Rehabilitation Program provides a clinical appropriateness review process that encompasses the appropriate duration of rehabilitation services. The program includes review of rehabilitative and habilitative outpatient physical, occupational and speech therapy services for medical necessity.

Our process

AIM is here to assist in your efforts to deliver the best quality and affordable care for your patients. The clinical information you submit is reviewed against AIM clinical guidelines and health plan specific guidelines to ensure alignment with current best practices. Therapy providers and physicians benefit by having a central location to obtain authorizations required by your patients’ health plans. This decision can be made immediately if all relevant clinical information is provided.

Our program reviews outpatient rehabilitative services including, but not limited to:

  • Physical therapy
  • Occupational therapy
  • Speech therapy

Note: Review requirements and modalities may vary by health plan. Please verify or check with the patient’s health plan if you have any questions.

Provider Webinar

The Rehabilitation ProviderPortalSM Experience

Learn to enter your rehabilitation services order request online.

Get the details and register here

Important message for Anthem Implementation

The AIM Rehabilitative program for Anthem’s Commercial Membership is scheduled to relaunch November 1st for the following states: CT, ME, NH, NY, GA, IN, KY, MO, OH, WI. Requests may be submitted beginning October 21st via the AIM ProviderPortal. The relaunch of the Commercial West membership (CA, CO, NV) is targeting first quarter 2020.

The AIM Rehabilitative program for Anthem Medicare membership is delayed until April 2020. Pre-authorization will not be required for outpatient PT/OT/SLP services through March 2020. This does not apply to members in the states of FL, NJ and NY for whom prior authorization will still be required. During this time, in addition to all other rights Anthem has under our contract and law, Anthem and AIM will be monitoring claims history and utilization trends, and validating provider and member information.

ProviderPortal

The AIM ProviderPortal is your access point for submitting order requests online.

Learn more

Important message for Anthem commercial membership