AIM Specialty Health® (AIM) Precertification/Preapproval for Sleep Disorder Testing; Positive Airway Pressure (PAP) Titration; and APAP, BPAP, and CPAP Machines and Related Supplies for Commercial Members




    For most members enrolled in the Company’s commercial HMO and PPO products, the Company requires precertification/preapproval through AIM Specialty Health® (AIM) for the following services:

    • Facility-based sleep disorder testing and positive airway pressure (PAP) titration
    • Home-based sleep disorder testing and PAP titration
    • Positive airway pressure therapy
    • Supplies related to PAP therapy


    To direct the application of these services and devices for our members, AIM utilizes their Sleep Disorder Management Diagnostic & Treatment Guidelines.* For more information about the services and devices that require precertification/preapproval, refer to the current version of medical policy #07.03.05: Sleep Disorder Testing and Positive Airway Pressure Therapy Services and Supplies.


    *AIM’s medical necessity guidelines are consistent with the clinical appropriateness criteria based on technology assessment, peer-reviewed medical literature including clinical outcomes research and consensus opinion in medical practice. To access the complete list of AIM Specialty Health Sleep Disorder Management Diagnostic & Treatment Guidelines, click here.

    Issued on - 03/01/2018