Funding & rebates
Medicare:
There are a range of rebates available for occupational therapy services through Medicare.
Kristy is eligible to provide services under the following plans once a written referral is supplied by your GP, Paediatrician, or Psychiatrist.
1. Complex Neurodevelopmental Disorders and Eligible Disability Services
This funding is available for patients that have been diagnosed with a complex Neurodevelopmental Disorder (such as Autism Spectrum Disorder) or an eligible disability. Offspring OT is eligible to assist with providing these supports.
For a Medicare rebate to be paid, Offspring OT must be in receipt of a current referral provided by an eligible medical practitioner. For a complex Neurodevelopmental Disorder a person can be referred by a Consultant Psychiatrist or Paediatrician. For an eligible disability a person can be referred by a specialist or a GP.
The maximum service allocation claimable across a person's lifetime is twenty (20).
For more information visit:
http://www9.health.gov.au/mbs/fullDisplay.cfm?type=note&q=MN.10.2&qt=noteID&criteria=82025
2. Chronic Disease Management Plan (previously known as the Enhanced Primary Care Plan)
This funding plan allows eligible people with complex and chronic care needs to attend up to a total of five allied health sessions per calendar year. Your Doctor or Paediatrician will determine if your child is eligible and provide a referral.
Please arrange a referral before attending the therapy sessions you wish to claim as this cannot be arranged retrospectively. To use this plan, a copy of the referral will need to be provided during the first appointment, with Offspring Occupational Therapy listed as the provider of the OT service.
To claim the Medicare rebate you must submit the receipt provided by Offspring Occupational Therapy to Medicare.
For more information visit The Department of Health website
Department of Health and Aged Care | Chronic Disease Management Patient Information
3. Better Access to Mental Health Care Plan
Medicare rebates are available for up to ten individual and ten group allied mental health services per calendar year to patients with an assessed mental disorder who are referred by:
- A GP managing the patient under a GP Mental Health Treatment Plan.
- Psychiatrists and paediatricians
Under this initiative, Medicare rebates are available to patients for selected mental health services provided by general practitioners (GPs), psychiatrists, psychologists (clinical and registered) and eligible social workers and occupational therapists.
For more information visit The Department of Health website:
NDIS:
Supporting your access request:
Please discuss with us regarding our capacity to assist you with necessary assessments and writing of any required reports to support an application to the scheme.
Preparation for planning meetings:
Offspring Occupational Therapy can assist to prepare for NDIS planning meetings by helping to establish clear goals in line with the identified areas for seeking support and the NDIS guidelines.
We can also assist with the provision of assessments and reports to provide clear information to the NDIS about how a person's disability impacts aspects of their daily life.
Approved plans:
Offspring Occupational Therapy can provide therapy to children/young people with NDIS plans which are self-managed or plan-managed.
For more information about the NDIS please visit www.ndis.gov.au
Private Health Insurance:
Kristy is registered with all the major health funds so you can claim the rebate you are entitled to according to your level of extras cover and which health fund you belong to. You will need to present your receipt to your health fund to receive the rebate.