Coastwide Therapy Services
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Phone: 4388 1110
 
   
 



  FUNDING

Accessing Medicare Funding for Therapy

Over recent years there have been Medicare schemes established that enable people to access funding for Occupational Therapy services. Coastwide Therapy Services is registered with Medicare.

Helping Children with Autism

This package entitles children with an Autism Spectrum Disorder to claim up to 4 sessions for assessment (until 13 years of age) and up to 20 sessions for treatment (until 15 years of age). In order to access this package an initial consultation is required with a Paediatrician or Psychiatrist (NOT a GP) to register the diagnosis with Medicare therefore making the child eligible for these rebates. Please NOTE these consultations can only be used ONCE within the lifetime of the child, and NOT every calendar year. The sessions can be spread across years and used with a range of health professionals. It covers diagnoses of Autism, Pervasive Development Disorder, Rett's Disorder, Asperger's Syndrome and childhood Disintegrative Disorder. The amount rebated for Occupational Therapy is $70 per assessment and treatment session.
FaHCSIA

Coastwide Therapy Services is an eligible provider of early intervention services under the FaHCSIA guidelines for children with Autism Spectrum Disorder. To be eligible for the early intervention funding package a child must have been seen by an Autism Advisor and deemed eligible to access the program before their sixth birthday. The $12,000 in funding under the early intervention component can be used until the child's seventh birthday to a maximum of $6,000 per financial year. The Autism Advisor for NSW is ASPECT and they can be contacted on 1300 978 611

Better Start for children with disabilities

As of 1 July 2011, children who are aged under 6 years and have been diagnosed with Down syndrome, cerebral palsy, Fragile X syndrome, or a moderate or greater vision or hearing impairment, including deafblindness, can be registered to access early intervention funding. If a child is diagnosed with one of the listed disabilities he/she can be registered to access early intervention funding of up to $12,000 (up to a maximum of $6,000 per financial year).

The funding can be used to pay for early intervention services provided by health professionals who are members of the Better Start Early Intervention Service Provider Panel. The professionals on the panel include speech pathologists, audiologists, occupational therapists, physiotherapists, psychologists, orthoptists and others.

In order to access this package children are required to be seen by a paediatrician, OR a relevant medical specialist, such as a neurologist, ophthalmologist, otologist or ENT, OR your GP, OR Australian Hearing.

Support for families with older children

A Medicare item for the development of a treatment and management plan will be available for children up to the age of 13. Medicare items will also be available for up to four allied health diagnostic services and for a total of 20 relevant allied health services per eligible child.

The new items will be available for children up to the age of 15 provided the treatment and management plan is in place before 13 years of age.

To register your child for the Better Start initiative, call the Carers Australia RIS on 1800 242 636.
For further information about the Better Start initiative, please visit the Department of Families, Housing, Community Services and Indigenous Affairs (FaHCSIA) website at www.fahcsia.gov.au.

Enhanced Primary Care Program


This program can be accessed through your GP. The eligibility criteria states that you must have a "chronic" condition (your condition is likely to impact you for over 6 months) and there needs to be 2 health professionals involved in providing services. Your GP must co-ordinate the Care Plan and send out the appropriate referrals to the involved health professionals. Under this program you can access up to 5 sessions in total for individual therapy rebated by Medicare for "Allied Health" NOT 5 sessions for each professional, per calendar year. The Health Professional providing the service must be registered with Medicare. For Occupational Therapy the rebated amount is approximately $50 per session.

Better Access to Mental Health


This program can be accessed via your GP, Psychiatrist or Paediatrician. You must be clinically diagnosed with a specific mental disorder (these include Anxiety, Depression, Conduct Disorders, Sleep Problems, ADHD etc). This program entitles you to up to 12 session rebates. Initially referrals are for 6 sessions to an Allied Health professional, after this time the health professional must write to the referrer, and you may receive another 6 sessions if needed. Health professionals must be registered as a Mental Health provider with Medicare. 12 sessions are calculated per calendar year. Rates of rebate may vary, however typically 45 minute session conducted at the clinic, the rebate is approximately $50 and approximately $70 for a session that is a minimum of 50 minutes long.

© Coastwide Therapy Services 2017