Service Details and Referral Pathway
Rebate and Service Limits
Up to five (5) individual services (in total) per calendar year.
speech pathology health service provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist. A ‘Referral form for Follow-up Allied health Services under Medicare for Aboriginal or Torres Strait Islander Peoples’ must be completed by a GP who has conducted a health check consistent with the Aboriginal and Torres Strait Islander Medicare health checks. This can be downloaded here.
Up to five (5) individual services (in total) per calendar year (Note: these services are in addition to the five individual services for patients with a chronic medical condition and complex care needs)
Item 82005 is for an speech pathology health service provided by an eligible speech pathologist to a child under 13 years of age where the child has been referred to assist with diagnosis or to contribute to a Pervasive Developmental Disorder (PDD) or Disability Treatment Plan. Item 82010 is for an speech pathology health service provided by an eligible speech pathologist to a child under 15 years of age for the treatment of Pervasive Developmental Disorder (PDD) or an eligible disability. Both services require a referral from an eligible practitioner.
Up to four (4) services for assessment (in total per child).
Rebate (82025): $74.80
Up to twenty (20) early intervention treatment services (in total per child).
Eligible disabilities are;
- Cerebral palsy
- Down syndrome, including mosaic Down syndrome
- Fragile X syndrome with full mutation
- Hearing impairment
- Sight impairment
- Prader-Willi syndrome
- Williams syndrome
- Angelman syndrome
- Kabuki syndrome
- Smith-Magenis syndrome
- CHARGE syndrome
- Cornelia de Lange syndrome
- Rett’s Disorder
- Cri du Chat syndrome; or
Children registered with Better Start can access up to $12,000 (maximum $6,000 per year) to pay for early intervention services. These services include:
- occupational therapy
- psychology and
- speech pathology.
Up to 35% of a child’s Early intervention Funding may be used to purchase resources, to a maximum of $2,100 per financial year, or $4,200 in total.
(See item numbers 82005 and 82010.)
Referring medical practitioners are not required to use a specific form to refer patients for the allied health services that are available through the Autism — Helping Children with Autism program. The referral may be a letter or note to an eligible allied health professional, signed and dated by the referring practitioner.
Under the Helping Children with Autism program, a child can be referred by a consultant paediatrician or psychiatrist for the following allied health services:
- up to four diagnostic / assessment services from psychologists, speech pathologists, occupational therapists, audiologists, optometrists, orthoptists or physiotherapists to assist the referring practitioner with diagnosis or to contribute to a child’s treatment and management plan (for a child under 13 years of age).
- up to twenty treatment services from psychologists, speech pathologists, occupational therapists, audiologists, optometrists, orthoptists or physiotherapists (for a child under 15 years of age, providing a treatment and management plan is in place before their 13th birthday).
These are the total number of services available to each child through the Helping Children with Autism program – not an annual entitlement.
PO Box 368, 66 Callide St
BILOELA QLD 4715
(07) 4992 1040