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Erskineville NSW 2043
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02 9519 1519

Rebates

Mental Health Care Plan – Better Access to Mental Health Initiative

  1. You will need to make an appointment with your GP to discuss the option of a Mental Health Care Plan under the Better Access to Mental Health Initiative.  You may need to book a longer session for the assessment and preparation of a plan.
  2. There are certain criteria and presenting problems that your GP will assess to determine your eligibility for a Mental Health Care Plan.    In addition to the plan the GP should provide a referral to the psychologist at Diverse Minds.
  3. Alternatively, if a client is under the care of a paediatrician or psychiatrist, your specialist can provide a referral to access psychological services.  The referral letter indicating treatment under Better Access (Mental Health Care Plan) must be provided to Diverse Minds.
  4. A valid Mental Health Care Plan enables a client to attend sessions with a psychologist and then claim a partial Medicare rebate for the cost of this service.  A Medicare rebate will be available for a maximum of 10 individual services per calendar year.  A copy of the plan and/or a referral requesting treatment under a Mental Health Care Plan must be provided to enable a Medicare rebate to be processed.
  5. It is important to note a MHCP is issued for an authorised number of sessions (maximum 6 sessions).  After the initial 6 sessions, the psychologist will provide a written report back to the referring practitioner.  The client must then make an appointment to review the plan with the doctor or specialist before further sessions can take place.  If required, a further 4 sessions can then be authorised by the referring practitioner.
  6. Group sessions can also be authorised as part of a Mental Health Care Plan.  The GP needs to specify group sessions on the plan.  Up to 10 group therapy services can also be provided per calendar year (in addition to individual sessions).

 

Medicare Rebate as at 1 November 2012

MBS Item No. 80110 50+ Minutes – Psychologist Rebate: $84.80
MBS Item No. 80010 50+ Minutes – Clinical Psychologist Rebate: $124.50
MBS Item No. 80120 60 Mins min (6-10 people) – Psychologist Rebate: $21.65

 

Refer: Better Access To Mental Health Care Fact Sheet for Patients: Click Here to View

Please note: Once you have spent a certain amount on medical expenses you have reached the Medicare safety net and Medicare will pay for 80% of your out of pocket expenses.

For further details refer to http://www.health.gov.au/ or call Medicare Australia on 132 011

 


Autism / PDD Items

The Helping Children with Autism Program commenced on 1 July 2008, providing funding to assist with costs incurred in the early diagnosis and treatment of children with autism or any other pervasive developmental disorder (PDD).

These Medicare items focus on early intervention services:

  • for children undergoing diagnosis and/or assessment services for a child under 13 years
  • up to 20 treatment services for a child under 15 years of age for autism or any other PDD (provided treatment and management plan is in place by child’s 13th birthday).

These services are accessible once per lifetime and must be referred by either a Paediatrician or a Psychiatrist taking into account age restrictions.

Medicare Rebate as at 1 November 2012

MBS Item No. 82000 Assessment (50+Mins) Rebate: $84.80
MBS Item No. 82015 Treatment   (30+Mins) Rebate: $84.80

 

Refer to Helping Children with Autism Fact Sheet for Health Professionals and Parents: Click Here to View

 


Chronic Disease Management Plan

Clients with a chronic/complex medical illness may be referred by a GP to a Psychologist for up to 5 sessions per calendar year.

Medicare Rebate as at 1 November 2012

MBS Item No. 10968 Rebate: $52.95

 

Sources

 

For further information contact the Medicare Helpline: 132 150