08/27/2026
🚨 Advocacy & Quarterly Reporting Update
Today, representatives from the IN Music Therapy Task Force, AIMT, AMTA, CBMT, & our government relations partners met with leadership from BDS, DDARS, & FSSA to continue conversations about Music Therapy within Indiana’s Medicaid waivers.
We received clarification on two questions surrounding the new quarterly reports:
1. Does the 75% direct / 25% indirect ratio need to be met each month?
No. BDS clarified that the monthly ratios on the quarterly report does not create a new requirement that the ratio be met each month. Rather, the monthly information is intended to provide greater transparency on how services are being billed. This is important because monthly percentages can naturally fluctuate based on factors such as cancellations, the timing of required documentation, etc.
For the specific requirements regarding the “45/15-minute rule,” providers should to refer to the current Medicaid Waiver Manual, Section 9.15, under “Limitations.”
2. Do Music Therapy goals have to match the PCISP goals exactly?
No. BDS clarified that Music Therapy goals do not need to mirror PCISP goals word-for-word, but they should align with the PCISP. Importantly, BDS emphasized that Music Therapists are valued members of the Individualized Support Team (IST) and that development of the PCISP should be a collaborative process. This allows Music Therapists to bring their clinical assessment, professional expertise, and knowledge of the individual into the development of therapeutic goals and objectives.
We also discussed situations in which the IST agrees that a goal should change, but that change has not yet been reflected in the PCISP. BDS clarified that the therapist may document the date of the IST meeting at which the change was agreed upon, along with the relevant update, within the new quarterly report. This documentation can connect the therapy goal or update to the team’s collaborative PCISP planning process and provide helpful context while the formal PCISP is being updated.
We are grateful for the opportunity to bring our organizations together with state leadership for a collaborative discussion.