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Medicare & Funding Options

We understand that navigating funding options can sometimes feel overwhelming.

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This page is designed to help explain the most common funding pathways available for Occupational Therapy services at Wildflower Kids Therapy.

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At a Glance

  • Plan-managed and self-managed NDIS accepted

  • Medicare funding pathways available

    • GP Chronic Condition Management Plans (CCMP)

    • Complex Neurodevelopmental Disorder (CND) pathway

  • Private Health rebates may apply

  • Services can also be accessed privately without funding

National Disability Insurance Scheme

Do you accept NDIS?

Yes, we accept:

  • plan-managed NDIS participants

  • self-managed NDIS participants
     

Please note that we are not NDIA registered.

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Children may access Occupational Therapy support through their NDIS funding depending on their goals and plan supports.

Medicare Funding Options

What is a GP Chronic Condition Management Plan (CCMP)?

A GP Chronic Condition Management Plan (CCMP) is a Medicare initiative that may allow eligible children to access rebates for allied health services, including Occupational Therapy.
 

This pathway may provide access to:

  • up to 5 rebated allied health sessions per calendar year
     

These sessions are shared across all allied health providers.

What is the Complex Neurodevelopmental Disorder (CND) pathway?

The Complex Neurodevelopmental Disorder (CND) and Eligible Disabilities pathway is a Medicare-funded pathway designed to support children and young people under 25 who may have developmental, behavioural, learning, or neurodevelopmental concerns.

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Depending on eligibility, this pathway may provide access to:

  • assessment sessions with allied health professionals

  • ongoing therapy sessions following diagnosis and treatment planning

  • up to 20 Medicare-subsidised therapy sessions​

Important Information About Medicare Funding

Medicare rebates may be available depending on the funding pathway and eligibility requirements.

Referrals are generally required from your GP, paediatrician, psychiatrist, or specialist before accessing Medicare-funded services.

Please note:

  • Medicare rebates do not cover the full cost of therapy sessions

  • payment is required at the time of your appointment

  • eligible Medicare rebates are processed by Wildflower Kids Therapy on your behalf

 

If you’re unsure what funding pathway may be appropriate for your child, our team is always happy to help guide you through the available options.

Private Health & Private Services

Can I use Private Health Insurance?

If you have Extras Cover with a private health fund, you may be able to claim a rebate for Occupational Therapy services.

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Rebate amounts and annual limits vary depending on your provider and level of cover.

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Can I access services privately without funding?

Absolutey. Families are welcome to access Occupational Therapy services privately without Medicare, NDIS, or private health funding.

Rates & Session Structure

What are your session fees?

All services are billed at an hourly rate of $193.99 excluding travel.

Travel is charged at:

  • $96.99 per hour for travel time

  • $0.99 per kilometre for travel distance

What do standard appointments look like?

All appointments include both:

  • Face-to-Face (F2F) clinical time

  • Non-Face-to-Face (NF2F) clinical time

NF2F time includes activities such as:

  • Clinical planning

  • Documentation

  • Resource preparation

  • Parent communication

  • School communication

  • Collaboration with other professionals​

Standard Appointment Examples

  • NDIS

    • Initial Parent Consultation: 90 minutes F2F

    • Standard Session: 50 minutes F2F + 15 minutes NF2F

  • Medicare & Private

    • Initial Parent Consultation: 60 minutes F2F

    • Standard Session: 50 minutes F2F + 10 minutes NF2F

  • Telehealth

    • Typically 60 minutes F2F

Still Have Questions?

We understand every child and family is different. If you’re unsure where to start or would simply like to talk things through, our team is always happy to help.

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You can contact our team via phone, email, or our website enquiry form and we’ll guide you through the next steps.

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If you’re ready to get started, you can also complete our New Patient Enquiry Form below.

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