This article was revised on May 12, 2020, to reflect the updated policy name.
AmeriHealth is committed to providing our members with access to the care they need. As COVID-19 has escalated into a pandemic, we are working to make sure that our members can receive appropriate testing and treatment for the virus causing COVID-19 if needed.
We encourage all AmeriHealth members to visit our dedicated
AmeriHealth New Jersey and AmeriHealth Pennsylvania COVID-19 webpages regularly for the latest news and updates. We will continue to evaluate member needs as the situation changes.
Changes to AIM guidelines
Effective March 12, 2020, AIM Specialty Health® (AIM) has revised their Clinical Appropriateness Guidelines for Advanced Imaging – Appropriate Use Criteria: Imaging of the Chest. The revised guidelines are available on AIM's
The summary changes to the Guideline are as follows:
- Chest imaging:
- Allow CT for diagnosis of COVID-19 pneumonia
Advanced imaging of the chest is considered medically necessary for individuals under investigation, as defined by the Centers for Disease Control and Prevention (CDC), for Coronavirus Disease 2019 (COVID-19) pneumonia when reverse transcription polymerase chain reaction (RT-PCR) is negative or cannot be performed.
You can view the complete announcement,
Computed tomography (CT) chest imaging for diagnosis of COVID-19 pneumonia, on our
Medical Policy Portal in the News & Announcements section.
For more information about the AmeriHealth position on COVID-19, please review the following resources: