Eligibility, Claims & Reimbursement Behavioral Health Medical Policies, Clinical UM Guidelines & Clinical Criteria Preapproval Requirements Patient-Centered Primary Care Program Quality Centers and Designated Hospitals for Transplants Electronic Claims Filing Provider Listings Specialist Tiering Forms and Documents Other Resources Member Benefits Contact Us-
AIM Specialty Health Provides Support for UniCare’s Preauthorization Review Process
The UniCare State Indemnity Plan partners with AIM Specialty HealthSM to support the review process for certain services and procedures that require preapproval.
Our Provider Reference Sheet, lists UniCare’s precertification requirements and indicates whether a service will be reviewed by AIM or by UniCare.
Who to contact
- For AIM reviews: Providers should contact AIM directly, either through the AIM web application or by calling AIM at 866-766-0247.
- For UniCare reviews: Contact UniCare Provider Services at 800-442-9300.
- Express Scripts, the administrator for the prescription drug plan for UniCare's non-Medicare members, covers and dispenses self- or office-administered specialty drugs (non-oncology). In addition, some specialty drugs require review and dispensing by Express Scripts, for non-Medicare members only. The list of these specialty drugs is updated on this site. View the current list effective January 1, 2020..
AIM’s clinical guidelines
View AIM’s clinical guidelines.
AIM’s clinical information worksheets
View worksheets for AIM’s UM review process for:
- Cardiac imaging
- CT/CTA/MRI/MRA prior authorization
- Myocardial perfusion imaging (MPI) and stress echocardiography (SE)
- PET – PET CT
About AIM’s web-based application
Our partnership with AIM lets our providers use AIM’s web-based application for services reviewed by AIM. Providers can log into the AIM application and complete the intake process for certain procedures, as noted below. In many cases, the entire review and approval process can be done online. Providers who already use AIM’s web application will not have to re-register for UniCare.