Frequently Asked Questions

1. Can I be reimbursed for music therapy?

Since 1994, medicare has identified music therapy as a reimbursable service under benefits for Partial Hospitalization Programs (PHP). Falling under activity therapy, the interventions cannot be purely recreational or diversionary and must be individualized and based on goals specified in your child/adolescent’s treatment plan. The current HCPCS code for PHP is GO176. Music Therapy must meet the following criteria: 1. Be prescribed by a physician; 2. Be reasonable and necessary for the treatment of your child/adolescent’s illness or injury; 3. Be goal directed and based on a documented treatment plan; 4. The goals of treatment cannot be to merely maintain current level of functioning; your child/adolescent’s music therapy treatment must exhibit some level of improvement.

The American Music Therapy Association estimates that at least 20% of music therapists receive third party reimbursement for the services they provide. Private insurance companies that are recognizing the benefit of music therapy include Blue Cross/Blue Shield, Humana, Great West Life, Aetna, Metropolitan, and Provident. These companies have reimbursed for music therapy services on a case-by-case basis. Additional sources for reimbursement of music therapy include state/county departments of mental health, state/county departments of developmental disabilities, state/county adoption subsidy programs, auto insurance, worker’s compensation, IDEA Part B related service funds, foundations, grants, and private pay.

Music Therapy Resources, LLC primarily charges a fee-for-service. In this instance,you take responsibility for paying Music Therapy Resources, LLC. As a result, Music Therapy Resources, LLC provides the necessary documentation to you in order to facilitate reimbursement.

2. Is music therapy successful in treating children with special needs?

Yes, music therapy has successfully treated children with special needs. There is clinical research in well known journals that report how music therapy has significantly improved children’s health. Researchers have used objective measuring tools (e.g. motor coordination test scores, cognition test scores, and psychological test scores) to identify these significant changes. The research page in this web-site provides you with links to some of these clinical research journal articles.

3. Will music therapy conflict with other therapy services that are being received by my child or adolescent?

Music Therapy will not conflict with other therapy services. Music Therapy is able to assist with other therapy services. In turn, this may motivate your child or adolescent to comply with other therapy services.

4. What is the difference between music therapy and music instruction? My child could probably have their therapeutic needs met through music instruction?

There is a distinct difference between music therapy and music instruction. Music instruction will establish and improve your child’s music skills. Music Therapy is used to treat your child’s therapeutic needs. All music therapy activities are created to meet your child or adolescent’s therapeutic objectives and goals. This process requires working with a board certified music therapist (MT-BC).