08/05/2026
MEDICARE FUNDING OPTIONS
(HCWA / CDM / Better Mental Health)
Did you know there are three different Medicare pathways that may help fund Occupational Therapy for children and teens?
Here’s a simple breakdown to help you understand what’s available:
1️⃣ Autism Assessment & Treatment Items (HCWA-style / Neurodevelopmental Medicare items)
For children with autism or developmental concerns.
Referred by a pediatrician or psychiatrist.
Up to 4 assessment sessions
Up to 20 treatment sessions (lifetime)
Supports OT, speech and psychology
Provides a Medicare rebate (gap fees usually apply)
2️⃣ Chronic Disease Management (CDM) Plan
Created by your GP for children with ongoing developmental, behavioral or health needs.
Up to 5 allied health sessions per calendar year
Can be used for OT, speech or physio
Great option for children not yet diagnosed
Rebate applies per session
3️⃣ Better Access / Better Mental Health
A Mental Health Treatment Plan from your GP can help children, teens and adults access mental-health allied health supports under Medicare.
Up to 10 sessions per year (psychology or mental-health OT)
For anxiety, emotional regulation, behavior, stress, trauma & more
Review required after first 6 sessions
How OT can help across all pathways:
Emotional regulation
Sensory processing
School participation
Daily routines & independence
Behavioural support
Social + play skills
Executive functioning
Confidence in everyday life
Need help choosing the right funding option?
We can guide you through the process, help you understand eligibility and make the steps simple for your family.
Call us to book or ask questions, we’re here to help. 13007244 66 or make a referral: www.therapy4life.com.au
