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Mental Health Care Plans (MHCP)
General practitioners (GPs) may prepare a ‘Better Access’ Mental Health Care Plan (MHCP) to refer their patients for psychological support. MHCPs can be used by patients to access both individual and group sessions. Eligibility is assessed by your GP, with close monitoring and review by your GP recommended.
A standard ‘Better Access’ Plan will allow for six therapy sessions, then following a GP review you may be eligible for another four sessions, amounting to a maximum of 10 claimable sessions per calendar year. Medicare pays a rebate for the cost of these sessions – this rebate is higher if families have reached their Medicare Safety Net threshold.
Our Registered Psychologists currently attract a minimum $86.15 rebate under the ‘Better Access’ MHCP.
Enhanced Primary Care (EPC) and Chronic Disease Management (CDM) PlanS
GPs can also prepare EPC or CDM Plans for children who require access to a number of different therapy services. These referrals can be used to access psychology, speech therapy, occupational therapy, paediatric physiotherapy and more.
An EPC or CDP referral allows a child to access up to five therapy sessions over a 12-month period. Medicare pays a rebate (current minimum $53.80) for the cost of these sessions, which is higher if families have already reached their Medicare Safety Net threshold.
Helping Children with Autism (HCWA) PACKAGE THROUGH MEDICARE
These referrals are for the assessment, diagnosis and/or treatment of Autism Spectrum Disorders. Medicare pays a rebate for a set number of psychological, speech and occupational therapy services (current minimum $86.15 rebate per session). Families may be eligible to claim a greater rebate if their Medicare Safety Net threshold has been reached.
Under the HWCA Medicare program, a child can be referred by a consultant paediatrician or psychiatrist for the following allied health services:
- up to four diagnostic/assessment services delivered by psychologists, speech pathologists, occupational therapists, audiologists, optometrists, orthoptists or physiotherapists to assist the referring practitioner with diagnosis or to contribute to a treatment and management plan for a child under 13 years of age
- up to 20 treatment services delivered by 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.
Medicare Safety Net Threshold
The Medicare Safety Net Threshold provides financial assistance for individuals and families who accrue high out-of-pocket expenses for out-of-hospital Medicare Benefits Schedule (MBS) services.
Once you have reached your Medicare Safety Net Threshold you may be eligible for additional Medicare rebate assistance for MBS services for the remainder of the calendar year. You can find more information on the Medicare Safety Net Threshold at www.humanservices.gov.au