Funding Options

• Clients may choose to access services privately.
• No referral is required and therapy when a place becomes available.

• Allied health services may be funded through the NDIS for eligible participants.
• Services are typically claimed under:
• Capacity Building - Improved Daily Living.
• This may include:
  • Speech therapy
  • Occupational therapy
  • Therapy support delivered by Allied Health Assistants under clinician supervision
• Participants may access services through:
  • Self-managed plans
  • Plan-managed plans

• Clients with a chronic medical condition may be eligible for Medicare rebates if their GP prepares:
  • GP Management Plan (GPMP)
  • Team Care Arrangement (TCA)
• This allows access to up to 5 allied health sessions per calendar year, shared across all allied health providers.
• Speech Pathology Medicare Item Number
• 10970 - Speech pathology service under a Chronic Disease Management Plan.
• Sessions must generally be a minimum of 20 minutes in duration.
• Medicare provides a partial rebate, and a gap fee may apply

Children and young people under 25 years of age with suspected or diagnosed complex neurodevelopmental disorders (such as Autism Spectrum Disorder) may access Medicare-funded allied health services when referred by a paediatrician or psychiatrist.

• Assessment Services
• Up to 4 allied health assessment sessions
• Relevant speech pathology item numbers include:
  • 82005 - Assessment service
  • 93033 - Telehealth video assessment
  • 93041 - Telephone assessment
• This allows access to up to 5 allied health sessions per calendar year, shared across all allied health providers.

• Up to 20 therapy sessions following diagnosis and treatment planning.
• Relevant speech pathology item numbers include:
  • 82020 - Treatment session
  • 93036 - Telehealth video session
  • 93044 - Telephone session

• Many private health funds offer rebates for allied health services under extras cover.
• Common speech pathology item codes include:
  • 320 - Speech pathology assessment
  • 340 - Speech pathology therapy session
• Coverage depends on the client’s policy, annual limits and waiting periods.

• Older adults may be able to access allied health services through My Aged Care Home Care Packages.
• Occupational therapy services may support:
  • Maintaining independence at home
  • Functional assessments
  • Falls prevention strategies
  • Equipment and home modification recommendations
  • Support for daily living activities
• Services are usually arranged through the client’s Home Care Package provider, who allocates funding for allied health supports as part of the care plan.