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Empire BlueCross BlueShield

New AIM Rehabilitative Program to be Implemented


Empire BlueCross BlueShield announced in July that the AIM Rehabilitative Program for Commercial membership was delayed. The AIM Rehabilitative Program for prior authorization for physical, speech, and occupational therapy services relaunched on November 1, 2019.


Coverage for physical, speech, and occupational therapy services with dates of service July 1, 2019, through October 31, 2019 do not require prior authorization; processes have been created to allow providers to continue to provide treatment and to allow claims to adjudicate for those dates of service without authorization.  Claims that were denied for no authorization in error for dates of service after July 1, 2019 are being reprocessed. The OrthoNet program is no longer active in applicable markets.

 

Source:  https://providernews.empireblue.com/new-york/article/update-new-aim-rehabilitative-program-will-begin-november-1-2019

Insights
October 2019