NSPOT is registered with most private health funds and can process rebates through HICAPS. If you have ‘Extras’ cover, you may be able to claim a portion of your therapy fees back.

We recommend that you contact your private health fund to confirm your individual level of cover.

The National Disability Insurance Scheme (NDIS) provides funding support to children who have a disability, to help them access services that will improve their ability to participate in everyday activities and reach their goals. For more information, please visit the NDIS website.

NSPOT provides services to plan managed and self-managed NDIS participants.

Your child may be eligible for NDIS support if:

• They have a diagnosed disability
• They have ongoing difficulties
• They have difficulties across multiple areas of development

For further information, please refer to the NDIS website or contact us.

Chronic Disease Management Plan (CDM)
For children with a long-term or complex condition (6+ months).

What it offers:

• Up to 5 Medicare-subsidised therapy sessions per year
• Can be used for Speech, OT, or a mix of both
• Medicare rebate: $61.80 per session (2025)
• A gap fee will still apply

How to access:
Chat with your GP about eligibility. Once the plan and referral are completed, send a copy to us before your first session.

Aboriginal & Torres Strait Islander Chronic Care Plan
For children of Aboriginal or Torres Strait Islander descent with a chronic condition.

What it offers:

• Up to 5 extra Medicare-rebated sessions per year
• Can be added on top of a CDM plan (meaning up to 10 sessions total)
• Rebate of $61.80 per session
• A gap fee will still apply

How to access:
Speak with your GP and make sure your child is identified as Aboriginal or Torres Strait Islander on the referral.

Medicare Item 135 (Previously ‘Helping Children with Autism’)
Supports children and young people under 25 with a diagnosed neurodevelopmental condition (e.g. ASD, GDD, intellectual disability, ADHD with functional impact, etc.).

What it offers:

• Up to 20 therapy sessions in total (lifetime limit)
• Rebate of approx. $87 per session
• A gap fee will apply

Requirements:

• Assessment must start before age 18
• Therapy can continue until age 25

How to access:
Ask your GP for a referral to a paediatrician or psychiatrist, who will create the plan under Item 135.

A fortnightly payment to help families with the extra costs of caring for a child with additional needs.

What it offers:

• $159.30 per fortnight (2025 rate)
• Not means-tested (income cap $250,000 combined)
• Children under 16 also receive a Health Care Card

Who can apply:
Parents/carers of a child with a diagnosed condition lasting 12+ months (e.g. autism, Down syndrome, hearing loss, intellectual disability, etc.)

How to apply:
Apply through Centrelink online or in person. Your therapist can help complete the medical form if required.