Medicare
We accept the following referrals through Medicare:
GP Chronic Condition Management Plans:
Eligible children and young people may be able to access Medicare rebates for allied health services under a Chronic Condition Management Plan (GPCCMP)
Referral required: Referral provided by the child’s or young person’s General Practitioner.
Under the plan, the child or young person may be eligible for the following services each calendar year:
- Up to 5 individual allied health services to help manage their chronic condition.
- Up to 10 individual allied health services for eligible Aboriginal and Torres Strait Islander patients.
Mental Health Care Plans:
Eligible individuals may be able to access Medicare rebates for psychological treatment through the Better Access initiative.
- Referral required: Depending on the applicable pathway, a referral may be provided by the child’s or young person’s GP, psychiatrist or paediatrician.
- Up to 10 individual sessions per calendar year: Eligible clients may claim Medicare rebates for up to 10 individual mental health treatment sessions.
- Sessions in stages: An initial referral can cover up to 6 sessions. If further treatment is needed, a review and additional referral are required.
- Face-to-face or telehealth: Sessions may be available in person or via telehealth, subject to eligibility and the applicable Medicare requirements.
M10 Pathway Plans (Complex Neurodevelopmental Conditions):
Eligible children and young people may be able to access Medicare rebates for allied health assessments and treatment under the M10 pathway for complex neurodevelopmental conditions, such as autism, and certain eligible disabilities.
Referral required:
- Referral provided by a paediatrician or psychiatrist.
- Referrals can cover up to 10 treatment sessions at a time. Further treatment requires review and, where appropriate, another referral.
Assessment and diagnostic support:
- Medicare benefits are available for up to eight allied health assessment services over a person’s lifetime.
- These assessments can help a paediatrician or psychiatrist investigate a possible diagnosis and develop an appropriate treatment and management plan.
- If further assessments are needed, additional approval from the referring specialist may be required in certain circumstances.
Allied health treatment:
- Eligible clients with a confirmed diagnosis may access rebates for up to 20 allied health treatment services over their lifetime.
M10 Pathway Plans (Speech Pathology Only):
Eligible children and young people may be able to access Medicare rebates for allied health assessments and treatment under the M10 pathway for the following speech conditions: cleft lip and/or palate, stuttering, speech sound disorders.
Referral required:
- Referral provided by the child’s or young person’s GP.
- Referrals can cover up to 10 treatment sessions at a time. Further treatment requires review and, where appropriate, another referral.
Assessment and diagnostic support:
- Medicare benefits are available for up to eight allied health assessment services over a person’s lifetime.
Allied health treatment:
- Eligible clients with a confirmed diagnosis may access rebates for up to 20 allied health treatment services over their lifetime.
Eligibility criteria apply, and Medicare rebates may not cover the full cost of appointments.
Kids Are Kids! does not bulk bill.
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