A Range of Options

Funding Available for Speech Pathology Services

There are a range of funding options available for speech pathology services.
Please scroll down or use the in page menu above to view the funding options available.

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Medicare

Funding option information

Eligible Clients

Referral Process

No. Services Per Client

Rebate

 Clients who have a chronic medical condition and complex care needs  Chronic Disease Management (CDM) plan referral form – must be completed by a GP  5 per calendar year for Allied Health Services, including Speech Pathology  $52.95 per session
Aboriginal and Torres Strait Islander (ATSI) people who have had a health assessment  A referral form for follow-up allied health services for clients of ATSI descent must be completed by a GP who has conducted a health check consistent with the ATSI Medicare health checks  5 per calendar year in addition to 5 per calendar year under the CDM  $52.95 per session
Clients with Autism or any other pervasive developmental disorder aged under 13 for diagnosis aged under 15 for treatment (must have been diagnosed before age 13)  A referral letter from a Consultant Psychiatrist or A referral letter from a Paediatrician  Up to 4 allied health assessments in total per child. Up to 20 allied health treatment services in total per child including Speech Pathology  $74.80 per session
Clients diagnosed with Down syndrome, Cerebral palsy, Fragile X syndrome, or a moderate or greater vision or hearing impairment, including deaf/blindness aged under 13 for diagnosis aged under 15 for treatment (must have been diagnosed before age 13) A referral from a specialist, consultant physician or general practitioner to an eligible allied health professional  Up to 4 allied health assessments in total per child. Up to 20 allied health treatment services in total per child including Speech Pathology  $74.80 per session

National Disability Insurance Scheme (NDIS)

Rollout details for NSW

For existing clients of specialist disability services – From 1 July 2013, the first stage of the scheme commenced for people living in the local government area (LGA) of Newcastle. From 1 July 2014, people living in the Lake Macquarie LGA entered the scheme, and people living in the Maitland LGA will access the scheme from mid-2015.

People with permanent and significant disability or mental illness residing in the Hunter launch site not currently receiving specialist disability services can make an access request to the National Disability Insurance Agency at any time from 1 July 2013.

From July 2016, the National Disability Insurance Scheme will progressively roll out in New South Wales and by July 2018, all eligible residents will be covered

For more information please visit: http://www.ndis.gov.au/
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Better Start Initiative

Funding Option Information

Eligible Clients

Referral Process

No. Services Per Client

Rebate

Children under 6 yrs of age meeting the following criteria:
Hearing impairment:
children will be eligible if they have a hearing loss of 40 decibels or greater in the better ear, across 4 frequencies (including children with permanent conductive hearing loss and auditory neuropathy).
Sight impairment:
children will be eligible if they have vision of less than or equal to 6/18 or equivalent field loss, in the better eye with correction.
Deaf/blindness:

diagnosis by a specialist multidisciplinary team which includes an ophthalmological and audiological evaluation (therefore application of a threshold is not necessary).
Down syndrome:

all children with a confirmed diagnosis of Down syndrome, including those with mosaic Down syndrome.
Fragile X syndrome:

all children with a confirmed diagnosis of Fragile X syndrome with full mutation.
Cerebral palsy:

all children with a confirmed diagnosis of cerebral palsy.
 Registration will be completed by a dedicated Registration and Information Service (RIS). Contact details are available.  Speech pathology, audiology, occupational therapy, physiotherapy, psychology and orthoptics  From 1 July 2011, eligible children will be able to be registered to access early intervention funding of up to $12,000 (to a maximum of $6,000 per financial year
From 1 July 2011, eligible children diagnosed with Down syndrome, cerebral palsy, Fragile X syndrome, or a moderate or greater vision or hearing impairment, including deaf/blindness, will have access to funding and new Medicare items under the Better Start for Children with Disability (Better Start) initiative.

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