AIM-Managed Procedures

Providers must obtain authorization from AIM Specialty Health® for the following services:

  • Cardiology services - Medicare Plus BlueSM. This includes cardiac implantable devices and services, for dates of service on or after Jan. 1, 2021.
  • High-tech radiology - This includes procedures for Michigan Blue Cross and Blue Shield Federal Employee Program® members, for dates of service on or after Feb. 1, 2021.
  • In-lab sleep management
  • Proton beam therapy
  • Echocardiogram services
  • Medical oncology - This applies to the following:
    • Medicare Plus Blue members
    • Blue Cross commercial fully insured members. This includes MESSA members for dates of service on or after Jan. 1, 2022.
    • Select Blue Cross commercial self-funded groups, including UAW Retiree Medical Benefits Trust. To determine which groups have opted in and the date on which they opted in, see the AIM medical drug prior authorization opt-in-list (PDF).
  • Radiation oncology - UAW Retiree Medical Benefits Trust non-Medicare members

Note: These requirements don’t apply to the UAW Retiree Health Care Trust (group number 70605) or the UAW International Union (group number 71714).

For more information, see the Summary of utilization management programs for Michigan providers (PDF).

This requirement applies to services performed in the following settings:

  • Freestanding diagnostic facilities
  • Outpatient hospital settings
  • Ambulatory surgery centers
  • Physician offices

When these services are performed in an observation, emergency or inpatient care setting, they do not require authorization.

How to submit authorization requests

Submit authorization requests using one of the following methods:

Requests should be submitted before the services are provided.

Resources - cardiology, radiology and in-lab sleep studies

Resources - medical oncology

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