NVTRP does not work with insurance, however hippotherapy patients are encouraged to file for reimbursement with their insurance. Because hippotherapy is physical therapy, occupational therapy or speech therapy on horseback, many insurance providers will reimburse. The same codes used when seeing a patient in a clinic, are used when providing hippotherapy. NVTRP will provide codes and invoices needed. Therapeutic riding is usually not covered at this time as it is an adaptive sport/recreation and not a therapy or medical service.