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Medicare (Chronic Disease Management Plan)


Medicare provides a rebate for up to 5 Speech Pathology sessions per calendar year for individuals with chronic conditions and complex needs that require a multi-disciplinary approach (treatment from several health professionals). Eligible conditions are those that are likely to be present for 6 months or longer such as Autism, Dyspraxia, Learning Disorders, Down syndrome, ADHD, Cerebral Palsy, Cleft Lip and Palate, chronic middle ear infections, Intellectual Disability and severe speech or language impairments.

Clients must obtain a CDM referral from their GP who will lodge and complete a GP Management Plan and Team Care Arrangements Plan. Referrals are valid for 12 months and must be in place prior to the commencement of therapy in order to claim. Unused services from the same referral can be used in the following calendar year.

Clients will be charged the full fee for sessions and the Medicare rebate will be processed and deposited into their nominated bank account. Please note that clients cannot claim a Medicare rebate and private health rebate for the same service.