The incorporation of hippotherapy as a treatment tool in occupational therapy, physical therapy, and speech-language therapy continues to gain momentum throughout the United States and indeed the entire world. A growing body of research supports its value as a treatment tool, however, there continue to be misconceptions about what hippotherapy is and what role it plays as a treatment tool in a medical model therapy practice. This presentation will review AHA, Inc.’s stance on best practices for therapy services in which hippotherapy is a specialty tool. Particular attention will be given to new recommendations for both for private practice and for therapy professionals providing therapy services within existing therapeutic/adaptive riding facilities. Documentation and reimbursement issues will be discussed with attention to avoiding insurance company denials and chargebacks as well as resources for practicing therapy professionals. AHA, Inc. is dedicated to ensuring that therapy professionals who include hippotherapy as a tool within their clinical practice do so with correct information regarding business acumen, marketing, and financial success.