You can get financial assistance in accessing speech pathology services at PCSP through Helping Children With Autism package, Better Start for Children with Disability initiative, Medicare and your private health funds. Please note that the Medicare rebates and private health funds do not cover the entire cost of your sessions, and therefore there will be an out-of-pocket cost.
HCWA package allows children aged 0-6 years who are diagnosed with Autism Spectrum Disorder (ASD) to get services and support from an approved Early Childhood Intervention Service Provider. If your child is eligible, HCWA gives him access to funding of up to $12,000 (up to $6000 per financial year) until he turns seven. To access HCWA funds, your child must be diagnosed and registered with an autism advisor before his sixth birthday. PCSP is a registered Early Childhood Intervention Provider panel member, and therefore you can access speech pathology services under HCWA with no out-of-pocket expenses. For more information, see raisingchildren.net.au or amaze.org.au.
To access Better Start funds, a child must be under the age of 6 years and have been diagnosed with one of the following disabilities: Cerebral Palsy, Deafblindness, Down Sydnrome, Fragile X syndrome, Hearing Impairment, Sight Impairment, Prader-Willi syndrome, Angelman syndrome, Kabuki syndrome, Smith-Magenis syndrome, CHARGE syndrome, Cornelia de Lange syndrome, Rett's syndrome, Cri du Chat syndrome, and Microcephaly.
Children registered with Better Start can access up to $12,000 (up to $6000 per year) to pay for early intervention services. PCSP is a registered Early Childhood Intervention Provider Panel Member, and therefore you can access speech pathology services under Better Start with no out-of-pocket expenses. For more information, please see betterstart.net.au.
Please check with your GP, paediatrician or consultant physician to determine your child's eligibility to access funds under Medicare items. Please note that the Medicare rebates may not cover the entire cost of the session, therefore there may be out-of-pocket cost. Here are some Medicare items that you may access for speech pathology sessions:
An eligible child can access up to 5 allied health services per calendar year. A referral from a GP is required. To receive benefits under the EPC Plan, clients need to obtain a referral form, a GP Management Plan, a Team Care Arrangement Plan from their GP.
Up to 4 sessions in total are available for allied health services per eligible child to assist with the assessment and diagnosis and development of a treatment plan. A referral from a consultant psychiatrist or paediatrician is required. To be eligible, your child will need to have a diagnosis of Autism/PDD aged under 13 years.
Up to 20 sessions in total are available for allied health treatment services per eligible child. A referral from a consultant psychiatrist or a paediatrician is required. This item is available for a child with Autism/PDD aged under 15 years, and has a treatment plan put in place before 13th birthday.
Up to 4 sessions in total are available per eligible child for allied health services to assist with the assessment and diagnosis and development of a treatment plan. A referral from a specialist, consultant physician or GP is required. This item is for a child with an eligible disability (see information under Better Start above) aged under 13 years.
Up to 20 sessions in total are available for allied health treatment services per eligible child. A referral from a specialist, consultant physician or GP is required. This item is available for a child with an eligible disability aged under 15 years, and has a treatment plan put in place before 13th birthday.
An eligible child can access up to 5 allied health services per calendar year. This Medicare benefit is available for children who are of Aboriginal or Torres Strait Islander descent who have been identified by their GP to have a need for follow-up allied health services. A referral from a GP is required.
You are able to claim rebates for your speech pathology sessions from your private health funds, depending on your health cover. We have HICAPS facility, so if your private health funds cover for speech pathology sessions, you only need to pay for the gap fee. Please bring your membership card from your private health fund to use this facility.
The National Disability Insurance Scheme (NDIS) is a new way for people with disability to get the support they need throughout their life. Unlike HCWA and Better Start, NDIS is not based on diagnosis, but rather people with disability must meet the age, location, residency and disability or early intervention requirements. Funding decisions are based on your child's individual goals and the rules in the NDIS Act. The NDIS empowers you to choose how you manage your child's plan, so you will be in control which providers you choose as well as when and how your child's supports are delivered. Funding under HCWA and Better Start will transition to NDIS once it rolls out in your area. The NDIS is due to roll out in Wyndham area in October 2018. For more information see ndis.gov.au.
Please contact us for our current fee schedule.
Paediatric Speech Pathology Services
Call 0427 388 798