Funding & Rebates

Inner West Paediatrics is a registered NDIS provider. We are also registered with Medicare Australia for the Chronic Disease Management plan (formerly the Enhanced Primary Care plan), FaHCSIA funding including the Helping Children with Autism (HCWA) package and the Better Access to Mental Health Care Plan.

NDIS
National Disability Insurance Scheme – NDIS
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We are a registered NDIS provider. IWP is registered to provide supports for NDIS participants who are agency managed, self-managed and/or plan managed.

Under NDIS we are approved to provide:

Early Intervention services for children under 6 years
Therapeutic supports (Speech Pathology, Occupational Therapy and Allied Health Assistant)
Communication and Social Skills development to build capacity and access to your community
Activities of daily living

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Medicare Plans
Chronic Disease Management (CDM) plan (formerly Enhance Primary Care plan)
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Is a Medicare plan issued by a General Practitioner or Paediatrician for clients with a chronic medical condition and complex care needs. Eligible clients are able to claim a rebate for up to five sessions per calendar year for allied health services including speech pathology and occupational therapy. Please check your eligibility with your GP or Paediatrician.

Better Access to Mental Health Care Plan
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Is a Medicare plan issued by a General Practitioner or Paediatrician and is an initiative aimed at providing funding to clients with a mental health disorder to allow them better access to focused psychological services including occupational therapy and psychology services. This includes children diagnosed with deficits in social functioning, ADHD/ADD, behavioural problems, attention and regulation issues, anxiety, ODD, OCD and trauma. Please check your eligibility with your GP or Paediatrician. This plan can only be accessed through a BAMH registered Occupational Therapist, with some members of the IWP team currently registered.

Medicare items under Helping Children with Autism
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Children with an Autism Spectrum Disorder or pervasive developmental disorder (PDD) are able to claim rebates for up to four allied health assessment sessions (in total per child) and up to 20 allied health treatment sessions (in total per child); this includes use with a speech pathologist or occupational therapist. Assessment sessions may only be provided before the age of 13 years, and treatment sessions before the age of 15 years (diagnosis must have occurred before the age of 13 years). A referral letter from a Paediatrician or Psychiatrist is required. Please check your eligibility with your Paediatrician or Psychiatrist.

Medicare items under Better Start Initiative
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Children eligible under the Better Start for Children with Disability initiative are able to claim rebates for up to four allied health assessment sessions (in total per child) and up to 20 allied health treatment sessions (in total per child); this includes use with a speech pathologist or occupational therapist. Assessment sessions may only be provided before the age of 13 years, and treatment sessions before the age of 15 years (diagnosis must have occurred before the age of 13 years). A referral letter from a general, consultant or specialist physician is required. Please talk to your doctor to check eligibility.

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Private Health Funds

The therapists at Inner West Paediatrics are registered providers with health funds for speech pathology and occupational therapy services. Please check with your individual health fund regarding rebates and eligibility under your level of cover. As we have a HICAPS terminal on site, we are able to process claims immediately.

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