You are able to utilise Early Start OT for NDIS funding if you are a self-managed participant or a plan-managed participant.
Fees are expected to be paid on the day of an appointment and a receipt will be issued for you to obtain reimbursement through the NDIS portal. Participants need to independently ensure there is enough funding available in their plan to cover the cost of sessions or administration time.
NDIS participants cancellation fees will be reflective of the current NDIS Price Guide which allows for 90% of the fee for non-attendance or less than 24 hours cancellation of a session.
Prices for NDIS participants are in accordance with the current NDIS Price Guide and will be adjusted as the Price Guide is amended
Private Health Insurance
To determine whether or not you are eligible for Private Health Insurance rebates , please contact your Private Health Insurance provider.
Helping Children with Autism
The Helping Children with Autism Program (HCWA), provides Medicare rebatable sessions to families to assist with the costs associated in the early diagnosis and treatment of children with autism. This plan can only be unlocked by a paediatrician or psychiatrist to access a Medicare rebate for sessions relating to Autism.
Please note, the following guidelines are applied to the HCWA benefit scheme:
HCWA can be utilised for children undergoing Autism Spectrum Disorder diagnosis and/or assessment services for a child under the age of 13 years (up to 4 x Assessment Sessions).
Once diagnosed by a paediatrician, a child can be delegated up to a further 20 treatment sessions to use until the age of 15. These services must be activated by a paediatrician before the child’s 13th birthday.
These services are a once per lifetime service that cannot be reactivated once exhausted.
Chronic Disease Management Plan
A Chronic Disease Management Plan (CDMP) (formerly known as an EPC – Enhanced Primary Care Plan) entitles a client with a chronic/complex medical illness a referral for up to 5 session per calendar year with a range of allied health professionals as determined by your GP, and may include: Psychology, Occupational Therapy and Speech Pathology. A CDMP can be accessed through a GP –Paediatricians cannot issue CDMP to clients.
Medicare rebates do not fully cover the cost of therapy sessions.
Mental Health Treatment Plan – Better Access to Mental Health Initiative
Early Start OT is not eligible to provide rebatable sessions through a mental health treatment plan.