Mar
04
2008
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Written by Amy K. Hemenway, MT-BC
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Tuesday, 04 March 2008 |
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Q: What kind of music do music therapists use in sessions?
A: The type of music utilized in music therapy sessions varies greatly among populations and differs among clients. Music should reflect a client's personal preferences as well as their mood at that very moment. Someone may prefer music with a strong beat with a fast tempo on one occasion, or a slow, soft melody on a different occasion, for example. |
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Mar
04
2008
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Written by Amy K. Hemenway, MT-BC
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Tuesday, 04 March 2008 |
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Q: Why is live music often more effective than recorded music?
A: Live music is "in the moment," and can be adjusted at any time to meet the needs of the client(s). This "live" music, is either played and/or sung by the therapist. The tempi, meter, style, key, etc., can be adjusted at any time to offer support and to reflect the emotions of another human being. |
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Jan
23
2008
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What is the future of music therapy? |
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Written by Website Admin
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Wednesday, 23 January 2008 |
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The future of music therapy is promising because state of the art music therapy research in physical rehabilitation, Alzheimer's disease, and psychoneuroimmunology is documenting the effectiveness of music therapy in terms that are important in the context of a biological medical model. |
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Jan
23
2008
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What is a typical music therapy session like? |
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Written by Website Admin
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Wednesday, 23 January 2008 |
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Since music therapists serve a wide variety of persons with many different types of needs there is no such thing as an overall typical session. Sessions are designed and music selected based on the individual client's treatment plan. |
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Jan
23
2008
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What is the American Music Therapy Association? |
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Written by Website Admin
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Wednesday, 23 January 2008 |
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The American Music Therapy Association is the largest professional association which represents over 5,000 music therapists, corporate members and related associations worldwide. Founded in 1998, its mission is the progressive development of the therapeutic use of music in rehabilitation, special education, and community settings. AMTA sets the education and clinical training standards for music therapists. Predecessors to the American Music Therapy Association included the National Association for Music Therapy founded in 1950 and the American Association for Music Therapy founded in 1971. |
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Jan
23
2008
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Is music therapy reimbursable service? |
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Written by Website Admin
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Wednesday, 23 January 2008 |
Medicare
Since 1994, music therapy has been identified as a reimbursable service under benefits for Partial Hospitalization Programs (PHP). Falling under the heading of Activity Therapy, the interventions cannot be purely recreational or diversionary in nature and must be individualized and based on goals specified in the treatment plan. The current HCPCS Code for PHP is G0176.
The music therapy must be considered an active treatment by meeting the following criteria:
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Be prescribed by a physician;
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Be reasonable and necessary for the treatment of the individual’s illness or injury;
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Be goal directed and based on a documented treatment plan;
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The goal of treatment cannot be to merely maintain current level of functioning; the individual must exhibit some level of improvement.
Medicaid
As Medicaid programs vary from state-to-state, so do the Medicaid coverage avenues for music therapy services. Some private practice music therapists have successfully applied for Medicaid provider numbers within their states. Some states offer waiver programs in which music therapy can be covered. In some situations, although music therapy is not specifically listed as a covered service, due to functional outcomes achieved, music therapy interventions can fall under an existing treatment category such as community support, rehabilitation, or habilitation.
Examples:
Arizona
Medicaid coverage for music therapy provided to individuals with developmental disabilities; originally recognized as a habilitation service but also considered as a socialization service.
Minnesota
Individual music therapist received provider number to service clients with mental illness and developmental disabilities. Waiver program for children with developmental disabilities provides coverage for music therapy.
Pennsylvania
Department of Aging Waiver program allows Medicaid payment for music therapy provided in a community based setting. Music therapy is listed under health and mental health related counseling services.
North Carolina
Medicaid reimbursement is available for music therapy services through the Community Alternatives Program (CAP) for clients with developmental disabilities.
Indiana
Waiver program for children with developmental disabilities offers coverage for music therapy.
Michigan
Music therapy is a covered service under the state’s Medicaid Children’s Waiver Program.
Private Insurance
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The number of success stories involving third party reimbursement for the provision of music therapy services continues to grow. Over the past twelve years a growing public demand for music therapy services has been accompanied by a demand for third party reimbursement. In response to the increasing demand the music therapy profession has worked to facilitate the reimbursement process for clients of music therapy services.
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The American Music Therapy Association now estimates that at least 20% of music therapists receive third party reimbursement for the services they provide. This number is expected to increase exponentially as music therapy occupies a strong position in the health care industry.
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Insurance companies are recognizing the advantages of including music therapy as a benefit as they respond to the increasing market demand for greater patient choice of health care services. Companies like, Blue Cross/Blue Shield, Humana, Great West Life, Aetna, Metropolitan, and Provident have reimbursed for music therapy services on a case-by-case basis, based on medical necessity.
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Music therapy is comparable to other health professions like occupational therapy and physical therapy in that individual assessments are provided for each client, service must be found reasonable and necessary for the individual’s illness or injury and interventions include a goal-directed documented treatment plan.
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Like other therapies, music therapy is typically pre-approved for coverage or reimbursement, and is found to be reimbursable when deemed medically necessary to reach the treatment goals of the individual patient. Therefore, reimbursement for services is determined on a case-by-case basis and is available in a large variety of health care settings, with patients with varying diagnoses.
Other Sources
Additional sources for reimbursement and financing of music therapy services include: many state departments of mental health, state departments of mental retardation/developmental disabilities, state adoption subsidy programs, private auto insurance, employee worker’s compensation, county boards of mental retardation/developmental disabilities, IDEA Part B related services funds, foundations, grants, and private pay. |
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