Speech Pathology

Eligible Clients

Service Details and Referral Pathway

Rebate and Service Limits

Clients who have a chronic (or terminal) medical condition and complex care needs, requiring a multidisciplinary approach
MBS item 10970

The client must be referred by their GP using the ‘Referral Form for Chronic disease Allied health (individual) Services under Medicare’. This can be downloaded here.

Rebate: $52.95

Up to five (5) individual services (in total) per calendar year.

Aboriginal and Torres Strait Islander people who have had a health check.
MBS item 81360

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.

Rebate: $52.95

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)

Children with Autism, Pervasive Developmental Disorder or an eligible disability. Clients must be aged under 13 years for diagnosis services and aged under 15 years for treatment services
MBS items 82005 and 82010

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.

 

Rebate (82010): $74.80

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).

Children under the age of six with an eligible disability.
Better Start Iniative

Eligible disabilities are;

  • Cerebral palsy
  • Deafblindness
  • 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
  • Microcephaly

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:

  • audiology
  • occupational therapy
  • orthoptics
  • physiotherapy
  • 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.

The $12,000 in funding under the early intervention component can be used until the child’s seventh birthday to a maximum of $6,000 per financial year.

(See item numbers 82005 and 82010.)

Children under the age of six with with Autism Spectrum Disorder who have not accessed Better Start funding.
Helping Children with Autism

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.

See item numbers 82005 and 82010.

Certification

Central Queensland Rural Health has met the requirements of the ISO 2001:2015 Quality Management Systems Standards.

Contact Us:

PO Box 368, 66 Callide St
BILOELA QLD  4715

(07) 4992 1040

admin@cqrdgp.com.au

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