CMS/WELLCARE

Music Therapy is officially reimbursable in the state of Florida through Medicaid through MTM, Inc. We are vendors of CMS Wellcare and provide music therapy services and adapted music lessons. For children covered by CMS Wellcare, all services may be provided in-person, over telehealth, at schools and/or facilities. We also subcontract with pre-schools, rehabilitation facilities, and outpatient facilities who are CMS Wellcare providers. Facilities can request our company to be subcontracted as their music therapy provider.

Beginning in February of 2021, any new authorizations as well as the reauthorizations for members who have used all of their sessions and are trying to receive additional sessions, need to be submitted by the member’s Wellcare in-network medical provider. You can request this specific form by e-mailing us at info@nmtworks.com

The in-network medical provider needs to submit the authorization via their portal, fax (1-800-935-5752), or in certain situations, they may end up having to call it into Wellcare as well. In addition, they may need the procedure code which is G0176 for expressive therapies (Art, Music, Canine). This process is in place for all members who are under the age of 21.

For members over the age of 21, there is no change to the process and will follow as we have in the past. MTM, Inc. will obtain new authorizations and request reauthorizations via the member’s case manager at Wellcare.

To request us as your providers, use our vendor code G979. Once your child is approved for services, we will receive the referral and will contact you to connect and schedule all future appointments!

 

GARDINER SCHOLARSHIP

As vendors of the Gardiner Scholarship, we provide specialized neurologic music therapy, music therapy, or adapted music lesson services and will invoice the Gardiner Scholarship for any services rendered every two weeks on your behalf. Please contact us directly and provide us with your child’s Gardiner Scholarship ID to begin services.

We gladly walk any family or facility through the steps on how to receive music therapy and adapted music lesson services. For all inquiries contact us directly!