From 1st July 2008, as part of the Federal Government's Helping Children with Autism package, a number of new Medicare Benefit Schedule (MBS) items were introduced specifically for children with Autism or any other Pervasive Developmental Disorder such as Asperger's Syndrome. Psychology, Speech Pathology and Occupational Therapy services are eligible for a Medicare rebate if they are provided as part of Diagnosis and/or PDD Treatment plan established only by a consultant Psychiatrist or Paediatrician.
For Diagnosis - the child must be under 13 years old and have been referred by a Paediatrician who has provided any MBS service covering items 110 through to 131, or a Psychiatrist who has provided any MBS service covering items 296 through to 370 (except item 359). The Psychology, Speech or Occupational Therapy services are to be provided as part of the assessment process, and/or for the development of a Treatment Plan - it is limited to a total of four services per child provided by any combination of these therapists.
PDD Treatment Plan - the child must be under 15 years old and have been referred following preparation of a PDD Treatment Plan prior to their 13th birthday. This plan can be prepared by a Paediatrician (MBS item 135) or a Psychiatrist (MBS item 289). A total of 20 services will be eligible for the Medicare rebate - any combination of Psychology, Speech or Occupational Therapy.
Please Note:
Unfortunately some clients have attended a session at our clinic for either counselling or an assessment under the impression that their referral from either a Paediatrician or Psychiatrist was valid for this Medicare service. When you visit your Health Professional please be very clear what you are seeking (see above) and ask them to write a referral letter stating exactly what type of Psychological service is required and to quote the item number so that we are able to bill you accordingly.