Children's Speech Therapy Funding Options
National Disability Insurance Scheme (NDIS)
The NDIS is a Federal Government funding scheme to assist individuals aged 65-years and under diagnosed with a disability and chronic health condition. Children under 6-years of age with a developmental delay in a number of areas are also eligible to access services under their Early Childhood Early Intervention (ECEI) program. Our clinicians are often able to help identify if a child is likely to be eligible for NDIS funding and assist in the process of applying for entry into the NDIS.
At Connecting Dots For Kids we are able to see children who are:
- Self managed: parents or carers are responsible for managing the funds in a child’s plan.
- Plan managed: a registered plan manager helps to coordinate and manage your child’s funding, paperwork and payment of invoices
*** Connecting Dots For Kids is not a registered NDIS provider and is unable to provide services to Agency managed (NDIS managed) NDIS participants.
There are many funding options for speech therapy, including NDIS, Medicare, Private Health Insurance & Chronic Disease Management Plans.
Chronic Disease Management Plan (CDM)
If you or your child has a ‘chronic’ condition (a condition that is present for a minimum of six months) requiring speech pathology, you may be eligible for a Chronic Disease Management Plan (CDM). This is a GP managed plan that provides a Medicare rebate for allied health services. The Medicare rebate is $55.10 per session.
The CDM plan provides a maximum of 5 total rebates per calendar year for all allied health services. If you are accessing more than one type of allied health service, you are entitled to 5 rebates across all of the services combined, not 5 rebates per clinical service.
You can book an appointment with your local GP to discuss whether this is a viable option for your child.
Private Health Insurance
Some private health insurance plans provide limited coverage for speech pathology services. All of our speech pathologists are qualified to provide services under eligible insurance plans. Please check your policy to identify your level of coverage for speech pathology.
Medicare Helping Children with Autism Plans
A paediatrician may refer a child for assessment to diagnose a pervasive developmental disorder or Autism spectrum condition. These referrals provide rebates for up to 4 sessions of assessment with eligible allied health professionals. The current rebate is $77.80 for speech pathology (slightly higher for psychology).
In addition, a Helping Children with Autism referral entitles a child under 15 to up to 20 sessions (lifetime allowance) of intervention related to a diagnosed autism spectrum clinician. The rebate for each session is currently $77.80. Both the assessment items and therapy items can be delivered face-to-face, via the phone, or as an online consultation.