Financial Assistance

NDIS is a funding scheme that has been allocated by the federal government, for early intervention services for children who have been diagnosed with a disability. Your child must first be assessed against the access requirements in order to see if they are eligible for funding. Below is a list of requirements that your child must meet:

  1. Age Requirements

  2. Location Requirements

  3. Residency Requirements

  4. Disability Requirements

    The child may meet disability requirements if:

    • They have an impairment or a condition that is likely to be permanent (ie: likely to be lifelong)

    • The impairment substantially reduces their ability to participate effectively in activities or perform tasks or actions unless they have assistance from others, technology, assistive equipment etc..

    • The impairment affects the child’s capacity for social and economic participation

    • The child is likely to require support under NDIS for the child’s lifetime.

  5. Early Intervention Requirements

    The child may meet the early intervention requirements if:

    • The impairment or condition is likely to be permanent and there is evidence that getting supports now will help

    • Those supports are most appropriately funded through the NDIS and not through another service system.

    • The child is aged under 6 years with a developmental delay which results in substantially reduced functional capacity in one or more of the areas of self care, receptive and expressive language, cognitive development or motor development.

The government recognises the importance of early intervention and support people when there is good evidence that this will improve an area of functioning or delay or lessen the decline in functioning.


NDIS funding cannot be used for:

- Subsidizing the gap in a Medicare funded service.

- Paying for cancelled or missed appointments.

For more information regarding the National Disability Insurance Scheme or to see if your child meets the access requirements head to their website. www.ndis.gov.au or you can phone them on 1800 800 110.

The Autism Initiative (Helping Children with Autism) is a funding scheme that has been allocated by the federal government for children with Autism Spectrum Disorder (ASD), or Pervasive Developmental Disorder (PDD) to access early intervention services. It is currently provided in the form of a medicare rebate for assessment and treatment of ASD & PDD through the private allied health sector. Services provided by Psychologists, Occupational Therapists, and Speech Pathologists are eligible.

Eligible children are entitled to a maximum of 4 sessions of funding for Allied Health assessments and 20 sessions for Allied Health intervention (therapy). These rebated sessions are available once only, and once used, cannot be claimed again.

Children under the age of 13yrs may be eligible for assessment and treatment funding. Children under the age of 15yrs may be eligible for treatment funding only if they have a prior diagnosis of ASD or PDD.

I Think My Child May Have ASD or PDD, What Should I Do?

Consult your General Practictioner (GP). Your GP will provide you with a referral to see a Psychiatrist or Paediatrician if appropriate. If the Psychiatrist or Paediatrician decides to investigate further, you will be provided with a referral to an Allied Health Professional who will assist in the diagnosis and treatment of your child. You may ask your child's Doctor to refer you to a specific clinic if you have a preference.

What If My Child Already Has A Diagnosis Or Is Accessing Allied Health Services?

Your existing Consultant Psychiatrist or Consultant Paediatrician will be able to provide you with a referral to an Allied Health professional. If your child is already accessing early intervention services privately and is eligible, you can ask your Psychiatrist or Paediatrician for a referral to your existing provider in order to access the medicare rebate.

Rebate available?

The current rebate through Medicare is $74.10 per a consultation. Chatterbox Speech Pathology offers on the spot medicare claims, so you can rebate your claim immediately after your session.

Where Can I Access Further Information?

Further information is available on the Department Of Health and Ageing, Diagnosis and Early Intervention for Children with Autism website.

The Chronic Disease Management Plan (CDM) provides medicare rebates for allied health services, for people who have a chronic medical condition. You may be eligible to claim a rebate through medicare for these services if you have a chronic condition that is being managed by your GP under a Chronic Disease Management Plan. A chronic medical condition is one that has been or will be present for at least 6 months.

The CDM provides a maximum of 5 total rebates per calendar year for all Allied Health services. This means that if you are accessing more than one Allied Health service, you are entitled to 5 rebates across all of the services combined, not 5 rebates per service.

How do I access the CDM plan?

Your GP will decide if you are eligible for these services and will refer you where appropriate. For further information, please contact your GP.

I have been referred to you on an CDM plan, how does it work?

You will need to provide us with your referral form. Once you have given us the form you will be eligible to claim up to a maximum of 5 rebated sessions per calendar year, provided that your GP has registered your plan through medicare.

Therapy provided by Chatterbox Speech Pathology will need to be paid in full. You will then be required to provide your medicare card along with an eftpos card so that we can process an on the spot rebate for you.

The medicare rebate is currently $52.95 per service as of 20/02/2018. Chatterbox Speech Pathology provides on the spot claiming through Medicare. This means you can claim your rebate immediately after your consult.

Where can I access further information?

http://www.health.gov.au/internet/main/publishing.nsf/content/mbsprimarycare-chronicdiseasemanagement

FaCHSIA is a funding scheme that has been allocated by the federal government, for early intervention services for children with Autism Spectrum Disorder (ASD), or Pervasive Developmental Disorder (PDD). Provided your child is aged 0-7yrs, and has not started full time compulsory schooling, you are eligible to access the funding. Families who are eligible can spend up to $6000 per financial year (up to a total of $12000) on early intervention for the affected child.

What does this mean for me?

Provided your health service is registered with FaCHSIA, all services provided will be paid for via your FaCHSIA funding. This means that accessing early interevention services for your child will cost you nothing, up to the $6000 threshold per financial year. Once the $6000 limit is reached, you will need to start paying your health service provider as usual. FaCHSIA funding can be used to access more than one health service. For example, you can use your funding to access both Speech Pathology and Occupational Therapy.

FaCHSIA funding cannot be used for:

  • subsidising the gap in a Medicare funded service.
  • paying for cancelled or missed appointments.

When is my child no longer eligible?

Children may access funding up until the day that they turn 6yrs old. Children may be eligible up until the age of 7yrs if they have not yet started full time school.

If you use up the $12000 of allocated funding, regardless of the child's age, you are no longer eligible to access FaCHSIA funding.

What happens if my child is no longer eligible?

Your child may still be able to access other subsidised services through the Helping Children with Autism package, but will no longer be able to receive FaCHSIA funding.

See the Autism Initiative page for more information.

Can I access my FaCHSIA funding at Chatterbox?

Yes! Chatterbox is registered to provide FaCHSIA services through Connect Child and Family Services.

Where can I access further information?

Further information can be accessed through FaCHSIA - Helping Children with Autism Website.

The Department of Health and Ageing also has a site dedicated to Helping Children with Autism, which covers FaCHSIA funding and the Autism Initiative through medicare.

Private speech pathology is covered under many health fund plans. It is best to check that your specific level of cover entitles you to a rebate before you make an appointment.

The following item numbers will help your fund identify if you are covered;

  • 320 is the item number for a Speech Pathology Assessment.
  • 340 is the item number for a Speech Pathology therapy consultation.

I've contacted my health fund and they've said you aren't registered?

Chatterbox therapists are registered with health funds for health fund rebates, and every effort is made to register with all health funds. From time to time a new health fund will start, or their requirements may change and we may not have been informed of this by the fund themselves. If you do find that we aren't registered with your specific fund, please contact us so we can rectify this for you. Every effort will be made to make sure that we are registered so you can receive the health fund rebate that you are entitled to.

Do you process claims through the HICAPS system?

Yes! We can process your health fund claim on the spot provided you have your health fund card, and your health fund is registered with HICAPS for Speech Pathology claims. This means that when you attend Speech Pathology, all you will need to pay is the gap between your health fund benefit, and our fee. Easy!

You can access more information on the HICAPS system through our website.

HICAPS is a system that enables our clients to process their health fund claim on the spot, in the clinic. Provided your health fund participates in HICAPS, you will never have to wait in line at your health fund again!

Chatterbox Speech Pathology is happy to provide the HICAPS service to our clients.

What does this mean for me?

It means no more waiting in queues at your health fund. No need to fill out claims forms. Direct processing of your claim on the spot when you access your health service. The only payment you will be required to make is the gap between your allowed benefit and the cost of the service.

Great! How do I use it?

Simply present your health fund card when you attend Chatterbox Speech Pathology, whether it be for an Assessment or Therapy, and we'll take care of the rest. After swiping your card we're able to see the size of the benefit that the health fund has paid for you, and deduct that from our total fee so that all you pay is the gap!

You can access more information on the HICAPS system through our website.

How do I check if my health fund is participating in HICAPS for Speech Pathology?

The HICAPS website has a list of HICAPS participating health funds for Speech Pathology, which is updated periodically. If your fund is not listed, please contact your health fund for further information.

If you have concerns for your child's talking, understanding or speech sound development contact Chatterbox Speech Pathology to book an assessment.

Penrith

(02) 4731 2432

680 High Street Penrith,
NSW 2750

Oran Park

(02) 4647 6777

Oran Park Podium, Level 3, Suite 306, 351 Oran Park
Drive, Oran Park, NSW, 2570

Bella Vista

(02) 8814 1821

T1 Building, Level 3, Suite 306, 14-16 Lexington
Drive, Bella Vista, NSW, 2153

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