Funding options for Speech Pathology and Occupational Therapy
It can be difficult to know what funding options you can access for your child’s therapy. Please see below for helpful links. We are registered for Helping Children with Autism, Better Start and National Disability Insurance Scheme (NDIS) as well as Medicare. Please don’t hesitate to call if you need additional advice.
National Disability Insurance Scheme (NDIS)
NDIS is a new national funding scheme. As an insurance scheme, the NDIS takes a lifetime approach therefore if your child is eligible for NDIS they will receive funding on an annual basis. NDIS is investing in people with disability early to improve their outcomes later in life.
We are an approved provider for the NDIS. To determine if you are eligible please go to the NDIS website
Chronic Disease Management Plan
The Chronic Diseases Management Plan (CDM) is a Medicare-rebated funding program for people who have chronic medical conditions (classified as a condition that has been present for at least 6 months).
It consists of a maximum of 5 rebates per calendar year for Allied Health services (ie. Occupational Therapy, Speech Therapy and Psychology).
For further information about this please talk to your doctor and visit the following website:
• Department of Human Services: Chronic Disease Management Plan
Helping Children with Autism (HCWA) Initiative
The Helping Children with Autism package (HCWA) is a federal government initiative to assist families with children diagnosed with Autism Spectrum Disorder (ASD) to access early intervention services.
If your child is between 0 – 6 years, they are eligible to access this funding through Autism Victoria (up to $6000 per financial year; total of $12,000). The funding can be accessed up until your child’s 7th birthday (however funding must be approved before your child’s 6th birthday) This funding can only be used with approved providers.
For further information about this package please refer to the Department of Social Services website
Mental Health Plan
The Mental Health Plan (MHP) entitles you to Medicare rebates for up to 10 individual or 10 group appointments with psychologists and occupational therapists.
If you or your child have a mental health condition or a diagnosis of Autism Spectrum, Anxiety Disorder or ADD / ADHD and if this condition is being managed by your GP or Mental Health Provider you may be eligible for a MHP.
For further information please talk to your doctor and visit here on the Department of Health website for the fact sheet.
Helping Children with Autism Medicare Rebates
Medicare Rebates exist for the early diagnosis and treatment of children with autism or any other pervasive developmental disorder (PDD). This Medicare rebated scheme provides 4 sessions for assessment and 20 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.
Please refer to the Department of Health website for more information.
Better Start for Children with disabilities Medicare Rebates
Medicare rebates are available for the early diagnosis and treatment of children with an eligible disability.
The initiative is delivered in a similar way as the Helping Children with Autism program. Children under 13 years with both an eligible disability and autism or other pervasive developmental disorder can access either the:
Helping Children with Autism program, or
Better Start for Children with Disability initiative
Please refer to the Better Start website for more information.
Better Start Funding Package (FAHCSIA)
The Better Start Funding Package is a Federal Government initiative to assist families with children diagnosed with specific disabilities to access early intervention services. Children are eligible for the Better Start program if diagnosed with one of the following disabilities:
Down syndrome, including mosaic Down syndrome
Fragile X syndrome with full mutation.
- Hearing impairment
- Sight impairment
- Prader-Willi syndrome
- Williams syndrome
Cornelia de Lange syndrome
Cri du Chat syndrome; or
Children with an eligible diagnosis must register for Better Start before they turn 6 years old. A child will have until they turn 7 to access funding.
Children registered with Better Start can access up to $12,000 (maximum $6,000 per year) to pay for early intervention services.
For further information about this package please refer to the Better Start website.
Private Health Insurance
Please check with your health provider to check if you are covered for speech pathology/occupational therapy.
We are also here to lend a hand when navigating the funding options so please do not hesitate to call or email.