Most assessment services are privately funded, and there are very few Medicare rebates available. 

If you are currently under the care of a paediatrician or psychiatrist, and are under the age of 25 years, then you may be eligible to receive a Medicare rebate under the “Complex neurodevelopmental disorder or eligible disability” scheme.  To receive this rebate, you will need to have a consultation with the paediatrician or psychiatrist, and receive a referral letter which specifically requests an assessment of a complex neurodevelopmental disorder.  If the letter does not specifically state this purpose (or something similar, such as a request for an Autism assessment, or the Helping Children with Autism scheme), then no rebate will be able to be applied.

Rebates can only be processed from the date of the referral letter. If we have your complete Medicare details, and those of the parent claimant, we will usually be able to process these rebates on your behalf.

Please note that a referral from your general practitioner (GP) for an assessment will not normally qualify for this rebate unless you have one of the eligible disabilities listed in the link above. GP mental health treatment plans are not able to be used for assessments.

Private health funds will often provide a rebate for assessment services.  Each fund uses a different item code, and you will need to contact your health fund to ensure that psychology is covered, and to ask which codes your health funds use. The most common codes are

• 10010: Initial consultation 60 min (i.e., intake)
• 20010: Psychological assessment (60 min) x 4-5
• 20010: Subsequent consultation (60 min) (i.e., feedback)

If your health fund uses different codes, please email [email protected] with those details. We are unable to process private health rebates on your behalf, and you will need to lodge these yourself.

If you intend to use NDIS funding, we will need to know whether you are self or plan-managed, and if so the contact details of the plan manager. You will need to make sure that you have psychology as an approved service in your NDIS plan.