THE PSYCHOLOGY HUB FEES AND REBATES

PATHWAYS TO REBATES

Better Access to Mental Health Care Initiative (Mental Health Care Plan)

1) You must be referred under a Mental Health Treatment Plan by your GP, a paediatrician or psychiatrist

2) You must bring your referral with your Mental Health Treatment Plan to your appointment

3) After 6 appointments the referrer will be provided with a report from your practitioner. This report will outline the assessment and treatment provided, recommendations and if necessary, a request for further appointments

4) If further appointments are required, you will need to return to the referrer for a review. The review will determine eligibility for up to an additional 4 appointments (totalling 10 appointments in a calendar year)

5) You can then return to the practitioner for the specified number of appointments

6) You will need to pay for your full appointment costs at the time of your appointment and then you will receive a Medicare rebate (if the correct referral is in place). There is always an out-of-pocket cost as we are not a bulk billing provider.

Complex Neurodevelopmental Conditions (formerly Helping Children With Autism/PDD (HCWA) Initiative)

Assessment:

  • A consultant paediatrician or a consultant psychiatrist can refer under the Complex Neurodevelopmental Disorder MBS assessment items (previously HCWA).
  • This can be for up to 8 assessment sessions (in a lifetime) across a range of allied health professionals including psychology (other allied health include, Occupational Therapist, Speech Pathologist, Audiologist, Optometrist, Orthoptist, Physiotherapist).
  • Only 4 can be allocated per discipline at a time before a review with the referring practitioner (case conference, phone call, written correspondence etc) would be needed for more.
  • Concurrent referrals to different allied health practitioners can be made.
  • Eligibility has increased from 13 years to up to 25 years of age.
  • An allied health practitioner (in consultation with the referrer) can make an interdisciplinary referral.
  • Allied health assessment items can also be used for assistance with developing a treatment and management plan.
  • You will need to pay for your full appointment costs at the time of your appointment and then you will receive a Medicare rebate (if the correct referral is in place). There is always an out-of-pocket cost as we are not a bulk billing provider.

 

Treatment:

 

Medicare:

  • Once a diagnosis of a Complex Neurodevelopmental Disorder has been made, and the consultant paediatrician or consultant psychiatrist has a treatment and management plan in place, they can refer to eligible allied health treatment practitioners (e.g., Psychologist, Occupational Therapist, Speech Pathologist, Audiologist, Optometrist, Orthoptist, Physiotherapist) for a total of 20 allied health treatment services (per lifetime)
  • The paediatrician or psychiatrist can refer to multiple eligible allied health practitioner concurrently.
  • There is a maximum of 10 services per course of treatment.
  • Eligibility has increased from 15 years of age to 25 years of age
  • You will need to pay for your full appointment costs at the time of your appointment and then you will receive a Medicare rebate (if the correct referral is in place). There is always an out-of-pocket cost as we are not a bulk billing provider.

Eligible Disabilities (formerly Better Start for Children with a Disability)

The Medicare rules are the same as those for complex neurodevelopmental conditions above, except the referral is made by a consultant physician or a GP.

The Medicare rules are the same as those for complex neurodevelopmental conditions above, except the referral is made by a consultant physician or a GP.

(a)sight impairment that results in vision of less than or equal to 6/18 vision or equivalent field loss in the better eye, with correction.

(b)hearing impairment that results in:
a hearing loss of 40 decibels or greater in the better ear, across 4 frequencies; or permanent conductive hearing loss and auditory neuropathy.

(c)deafblindness

(d)cerebral palsy

(e)Down syndrome

(f)Fragile X syndrome

(g)Prader-Willi syndrome

(h)Williams syndrome

(i)Angelman syndrome

(j)Kabuki syndrome

(k)Smith-Magenis syndrome

(l)CHARGE syndrome

(m)Cri du Chat syndrome

(n)Cornelia de Lange syndrome

(o)microcephaly if a patient has:
a head circumference less than the third percentile for age and sex; and a functional level at or below 2 standard deviations below the mean for age on a standard developmental test, or an IQ score of less than 70 on a standardised test of intelligence*

(p)Rett’s disorder

(q)Fetal Alcohol Spectrum Disorder (FASD)

(r)Lesch-Nyhan syndrome

(s)22q deletion syndrome

National Disability Insurance Scheme (NDIS)

The NDIS provides support to eligible people with intellectual, physical, sensory, cognitive and psychosocial disability. Early intervention supports can also be provided for eligible people with disability or children with developmental delay.

To access NDIS services and become a participant you must:

  • Be an Australian citizen, or hold a permanent visa or a Protected Special Category visa,
  • Reside in Australia
  • Be aged less than 65 years old when initially entering NDIS
  • Have a permanent disability that significantly impacts your ability to participate in everyday activities

To check if you are eligible click here go to www.ndis.gov.au/applying-access-ndis/am-i-eligible

If you meet the criteria and you would like to become a NDIS participant, call 1800 800 110 and ask to make an Access Request.

Chronic Disease Management Initiative (formerly known as Enhanced Primary Care)

1) For patients with a chronic or terminal medical condition referred by their GP

2) Up to 5 allied health services (in a calendar year)

3) On the completion of treatment, the treating practitioner will provide the referrer with a report of the treatment provided and recommendations

4)You will need to pay for your full appointment costs at the time of your appointment and then you will receive a Medicare rebate (if the correct referral is in place). There is always an out-of-pocket cost as we are not a bulk billing provider.

Workcover and CTP

We provide psychological services via QLD Workcover and CTP insurance. You will need to provide your Work Cover or CTP Claim Number and your Case Managers Details (name and email) so that we can get confirmation on the number of sessions you are entitled too. There is no out of pocket expense to Workcover or CTP clients, however if Workcover or the CTP Insurer decides not to cover the cost of your sessions you will be required to cover the costs. Workcover and CTP Insurance do not cover cancellation fees and you will be responsible for paying these should you cancel or DNA.

For more information on medicare rebates please go to www.health.gov.au; on early intervention funding go to www.dss.gov.au; NDIS go to www.ndis.gov.au/participants, workcover go to www.worksafe.qld.gov.au

Also check out our FAQ page