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Medicare Benefit Schemes:

b) Chronic Disease Management (CDM) program – formerly known as Enhanced Primary Care (EPC)

All therapists at Spectrum Speech Pathology are happy to work with your General Practitioner to provide therapy under a CDM plan. The Chronic Disease Management scheme is initiated by your General Practitioner and available to children and adults with Chronic Care needs. People with Autism are automatically eligible for the CDM because an Autism Spectrum Disorder is a chronic condition.

The Medicare rebate is available for 5 sessions of Allied Health therapy, including Speech Pathology,
per calendar year.

Please note that CDM plans are ONLY allowed to be used for Individual Therapy sessions. The CDM Plan does NOT allow for Group Therapy sessions, including Social Skills Groups, to be claimed by Medicare.

For more information about the CDM program you can download the following Information Sheets from Medicare and Speech Pathology Australia or speak to your General Practitioner.

c) Helping Children With Autism Medicare Rebates

In July 2008 the Federal Government introduced the Helping Children With Autism Initiative. Under this initiative, it is now possible for families to claim rebates from Medicare for Assessment and Treatment for Children with Autism Spectrum Disorders, providing a referral has been made by a Paediatrician.
The paediatrician can allocate up to 4 sessions for assessment for which rebates are available up until the child turns 13 years of age.

For children with a diagnosis of Autism Spectrum Disorder, a total of 20 therapy sessions can be allocated, including Speech Pathology, until the child turns 15 years of age.

For further information on these schemes, links to the following website Information Sheets will be helpful:
Speech Pathology Australia
Amaze (Autism Victoria)
Medicare Australia

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