Rehabilitation
AIM Clinical Guidelines for Outpatient Rehabilitative and Habilitative Services
The services addressed in the AIM Clinical Appropriateness Guidelines for Outpatient Rehabilitative and Habilitative Services include physical therapy, occupational therapy, speech therapy, and associated adjunctive and alternative treatments.
For commercial, Medicare, and Medicaid members except Indiana Medicaid
OPEN THE GUIDELINES FOR OUTPATIENT REHABILITATIVE AND HABILITATIVE SERVICES EFFECTIVE JUNE 12, 2022
For Indiana Medicaid members
OPEN THE GUIDELINES FOR OUTPATIENT REHABILITATIVE AND HABILITATIVE SERVICES EFFECTIVE MAY 1, 2021
For commercial, Medicare, and Medicaid members
COMING SOON OUTPATIENT REHABILITATIVE AND HABILITATIVE SERVICES GUIDELINES EFFECTIVE APRIL 9, 2023
Code cross-reference guide
Download a helpful spreadsheet to find current and archived procedure codes for each solution!Anthem medical policy site:
For a complete listing of medical policies, please go to Anthem Provider site > select your state > Scroll down page, select Review Policies > view Medical Policies & Clinical UM GuidelinesOther client policy sites:
- Amerigroup Provider site > Select your state
- Healthlink Provider site
- Healthy Blue LA Provider site
- Healthy Blue SC Provider site
- Simply Healthcare site
- Summit Community Care AR Provider site
- Unicare Provider site
Other Clinical Guidelines
Archived Guidelines
Rehabilitative and Habilitative Services
- Rehabilitative and Habilitative Services effective May 1, 2021 – June 11, 2022 for commercial, Medicare, and Medicaid except Anthem BCBS Indiana Medicaid and Healthy Blue Nebraska, – September 10, 2022 for Healthy Blue Nebraska
- Rehabilitative and Habilitative Services effective December 1, 2020 – April 30, 2021