The Kids Therapy Network team is keen to guide you through the various funding options. Wonderful Wendy is right up to date with all the Medicare programmes available. Please feel free to email or phone her with any queries.
firstname.lastname@example.org or 0395327509
Enhanced Primary Care Programme - not known as Chronic Disease management Care Plan
Five therapy sessions rebated to the value of $50.95 per child per session.
This programme is set up by your General Practitioner and may be available to patients who have complex and chronic health needs, needing at least three health care provider eg, GP, Occupational Therapy and Speech Therapy.
All the paper work needs to be set up prior to the first occupational therapy session to ensure the programme is registered with medicare and that correct codes are in place for a rebate from Medicare. There will be a gap payable by families to Kids Therapy Network, This gap payment can not be claimed on Extras cover through health insurance.
Kids Therapy Network handout - Chronic Disease Management Plan formerly known as Enhanced Primary Care Programme Click here>>.
Better Outcomes for Mental Health
10 therapy sessions per calender year, rebated by Medicare at $50.95 (80125) or $71.95 (80135) depending on the length of the session.
This programme is set up by your General Practitioner. A care plan is written, this document identifies your child's needs and lists Kids Therapy Network as the preferred service provider. The care plan must be sent to KTN prior to the first OT session, in order for you to claim your Medicare rebate. Six therapy sessions can then be provided, the rebate you receive depends on the length of the OT session, this will be mutually agreed between the family and Cathy Love Director and / or the treating OT.
After the sixth session a report letter is sent to the referring Doctor indicating OT goals and progress, and requesting a further block of 4 sessions as required. The provision of the second set of four sessions are at the sole discretion of the referring Doctor.
Kids Therapy Network charges more than the Medicare rebate, after payment of the account the receipt can be presented to Medicare and a rebate claimed. The gap cannot be claimed on extras cover through private health insurance.
Kids Therapy Network handout - Better Outcomes for Mental Health Click here>>
Fahcsia - Helping Children with ASD - Early Intervention and Better Start Early Intervention
The team at Kids Therapy Network is registered to see children under the Helping Children with Autism early intervention and Better Start Early Intervention plans for Children up to age of seven years.
Kids Therapy Network handout - Helping Children with Autism Spectrum Disorder - Early Intervention Funding Click here>>
20 Medicare Autism Spectrum Disorder sessions
Up to four assessment sessions (82010) rebated at $71.95 per sessions
Up to 20 OT sessions (82025) over the period until child is aged 15 years Medicare rebated at $71.95 per session
Typically the sessions are shared between a range of professionals.
Set up Paediatrician or Psychiatrist
Older children may have Occupational Therapy services subsidised through the ASD programme. It is possible to receive assessment and intervention sessions. This programme can only be set up by the child's Paediatrician, thorough discussion is needed to determine how the assessment and 20 sessions will be distributed between professionals and over what duration. Kids Therapy Network charges more than the Medicare amount so a gap payment will need to be paid by parents at the time of consultation. This gap payment can not be claimed on Extras cover through health insurance.
Association of Independent Schools of Victoria. (AISV)
For children attending private schools it may be possible to apply for funding for Occupational Therapy services. A full assessment of the child's motor skills and a written application letter is required. The process is coordinated by the schools special education coordinator, they will be able to provide you with further information. It may be necessary for the school to complete testing and for the child to be reviewed by a Paediatrician. AISV applications are submitted in September each year with approval and funds being provided at the start of the following school year.