Hi Sarah:  I worked at a therapeutic riding barn for several years and 
started using hippotherapy after I got my OT degree.

We have 14 horses, but only 3 that we used for hippotherapy.  When I left, I 
only had 1 client.  The PT had 5 clients.  Both the PT and I had been through 
the Intro to HPOT course.  The PT had been to additional classes and was 
registered through the American Hippotherapy Association.  I haven't been an 
OT long enough to sit for the exam.

We charged the parents, who could go through insurance, but generally they 
didn't have a lot of luck getting insurance to pay.  Most of the parents 
referred to it as "horse therapy" instead of OT or PT.  Another barn in the 
area had much better luck getting insurance to pay for OT or PT services.

You do need a physician prescription for OT or PT to eval and treat.  A 
prescription for Hippotherapy isn't acceptable.  This would be like a doctor 
ordering eval and treat with therapy ball.  

Horse selection and equipment would make this post way too long.  I highly 
recommend the Intro to HPOT course from NARHA  (1-800-369-RIDE).  If you want 
to ask more specific questions, I would happy to talk to you more about this 
subject.  It's the whole reason I became an OT

Patty

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