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Sleep Management

Prior authorization requirements for sleep testing and treatment

For these services, we require prior authorization for all commercial  and Medicare Advantage members. Authorization is not required for Federal Employees Program (FEP) members.1

  • Home sleep test (HST)
  • Initial and ongoing treatment orders for DME and supplies related to sleep therapy: APAP, CPAP, BPAP
  • In-lab sleep study (PSG)
  • Titration study
  • Oral appliances for sleep therapy

How to submit a prior authorization request

AIM Specialty Health is the company that administers the prior authorization program for us. AIM uses our medical policies to identify the clinical appropriateness of home or lab testing:

Ordering clinicians

Ordering physicians or clinicians must request authorization before the member receives the test (or before performing services). There are three ways to contact AIM to request prior authorization:

  1. Through a direct link on this site (no additional registration is required). In the eTools tab, go to AIM Specialty Health(). Click the Go Now button.
  2. Go directly to the AIM ProviderPortal (registration is required) Note: If you’ve already registered for the AIM ProviderPortal for Blue Cross Blue Shield of Massachusetts or another insurer, you won’t need to register again.
  3. Call AIM’s Contact Center at 1-866-745-1783
    • Available Monday through Friday, 8 a.m. – 6 p.m. If you leave a voicemail after these hours, AIM will respond the next business day.

Free-standing labs, hospitals, and DME vendors 

Check with AIM to make sure an authorization is in place before rendering services. Authorization for ongoing sleep therapy supplies will be dependent on member utilization of the equipment. The DME vendor will be required to provide utilization data to AIM when requesting authorization for ongoing treatment. 


1. For FEP, prior approval is required for sleep studies performed in a location other than the home. Fax prior authorization requests to us at 1-888-282-1315.