ABC Talk with me Speech Pathology
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ABC Talk with me Speech Pathology

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Funding

NDIS

 

  • The NDIS adopts a lifetime approach, investing in people with disability early to improve their outcomes later in life. The NDIS provides funding support for people with disability, their families and carers.
  • NDIS funding may be claimed for our services for self-managed and plan-managed participants Include NDIA managed as well when we are registered 

Please visit the NDIS website for more information 


MEDICARE CHRONIC DISEASE MANAGEMENT PLAN (CDM PLAN)

The Chronic Disease Management Plan (CDM Plan) is a Medicare rebate funding program for people who have chronic medical conditions (classified as a condition that has been or is likely to be present for 6 months or longer).Your child may be eligible for a Medicare rebate if accessing Speech Pathology services. 

What do you need to do to obtain a CDM Plan 

  • Make an appointment with your GP and discuss whether or not you meet the requirements for a CDM plan. 
  • If you meet the requirements, your GP will provide you with the paperwork required in order to claim the rebate. *Please note that we charge a gap fee, so you will have some out of pocket expenses.
  • The CDM Plan consists of a maximum rebate of $54.60 per session for five sessions with an eligible allied health provider per calendar year.
  • You cannot pay the gap with your private health insurance.
  • CDM plans need to be shared across allied health providers (i.e. five sessions equals five in total across Occupational Therapy and Speech Pathology if your child is accessing more than one service at a time).

Please visit the Medicare Services website for more information


MEDICARE AUTISM REBATES

 What do parents need to do to obtain this?  

 

  • Medicare rebates exist for the early diagnosis and treatment of children with autism or any pervasive developmental disorders.
  • This Medicare rebate scheme provides four sessions for assessment and twenty sessions for therapy with Speech Pathologists, Occupational Therapists or Psychologists.
  • This funding does not renew each year and can be used for children up to the age of 13 years.


PRIVATE HEALTH INSURANCE

  • You may be able to make claims through your private health extras. Depending on your private health fund, you may be eligible for a rebate for your Speech Pathology sessions.
  • Your eligibility for a private health rebate will be dependent on your particular fund and coverage. Private health coverage also has annual limits that you will need to check with your relevant fund.
  • If you would like to check exactly how much you are able to claim back from your fund per therapy session, please contact your fund directly and quote one of the following codes:
  • 320: Initial assessment
  • 340: 45 minute therapy session
  • 350: 60 minute therapy session

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