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 - for UAW Retiree Medical Benefits Trust non-Medicare members (for dates of service on or after Jan. 1, 2019), Medicare Plus Blue members (for dates of service on or after Jan. 1, 2020) and Blue Cross commercial fully insured members (for dates of service on or after Dec. 1, 2020)

    Note: These requirements don't apply to Blue Cross commercial fully insured members covered through the Federal Employee Program and the Michigan Education Special Services Association.

  • Radiation oncology - UAW Retiree Medical Benefits Trust non-Medicare members

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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