Who makes the referrals to Music Integrative Neurotherapy™?
Psychiatrist/ Psychologist: for Mental Disorders, Behavioral Disorders;
Primary Care Physician: for handicapped children, developmental disabilities, behavioral disorders (ADD and DBD), geriatrics, other medical conditions;
Team of specialists required by IDEA (Individuals with Disabilities Education Act) as part of EAHCA 1975, Public Law 94-142 and referring to IEP (Individualized Education Plan) for children and IPP (Individualized Program Plan) for adolescents and adults;
Cardiologist: for hypertension, pre/post surgical procedures, post-stroke rehabilitation
Obstetrician: for perinatal cure and pre/post menopausal disturbances;
Otorinolaringologist: for comprehensive assessment of hearing and tinnitus cure;
Occupational Therapist: for comprehensive assessment, fine/gross motor activity disturbances, rehabilitation;
Anesthesiologist: for pre/post surgical procedures;
Neurologist: for epilepsy, sleep disorders, cerebral palsy, pain management
Social workers: for substance abuse, abused or sexual abused children and adults, geriatric mental disorders;
Nutritionist: for the intermediate phase in weight control therapies (involving the psychological rejection of the diets).
ABOUT INSURANCE COVERAGE
(Based on information released by the American Music Therapy Association)
Music therapy is comparable to other health professions 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.
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 to patients with varying diagnoses.
The government has recognized music therapy as a reimbursable service. A program memorandum was released in June of 1995 by the Health Care Financing Administration (HCFA) of the Department of Health and Human Services, the federal agency responsible for establishing all Medicare guidelines, that cited music therapy as a reimbursable service under Medicare’s Partial Hospitalization Benefit.
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, and Great West Life are reimbursing for music therapy services on a case-by-case basis, based on medical necessity.
As quality of life issues and patient choices are pushed to the forefront of the national healthcare agenda, music therapy interventions are being favored for the ability to meet quality of life needs.
Talk to your physician about Music Integrative Neurotherapy™ and its potential benefits for your health condition.