GP's, Paediatricians & Psychiatrists

Professional referrals - GP's, Paediatricians & Psychiatristsreferrals

There are many schemes availiable to assist your patients to access professional psychology services.

 

 

 

 

Information about funded psychology programs

Program NameBrief DescriptionMedicare Item Numbers and ReferralSession InformationLink to More Details
Medicare Better Access to Mental Health Care Patients being assessed as having an ‘assessed mental disorder’ that is managed by their GP, Pediatrician or psychiatrist GP - 2700, 2701, 2715, 2717, 291
Psychiatrist - 104-109 or 293-370
Pediatrician – 104-109 or 110-133
Along with a letter of referral
Can access up to 10 sessions in 12 months depending on the referral. Requires a review after session 6. Doha program
Medicare Helping Children with Autism - Assessment The Medicare Helping Children with Autism initiative offers assessment for children with autism or any other pervasive developmental disorder (PDD) - aged under 13 years for diagnosis Psychiatrist - 296-370 (except 359)
Peadiatrician - 110-131
Along with a referral letter
4 assessment sessions (in total between all specialists) Doha program
Medicare Helping Children with Autism -Treatment The Medicare Helping Children with Autism initiative offers early intervention treatment for children with a diagnosis of autism or any other pervasive developmental disorder (PDD) - aged under 15 years for treatment Psychiatrist 289
Paediatrician 135
Along with a referral letter
Up to 10 sessions before the child is15 years old Doha program
Medicare Better Start for Children with Disabilities - Assessment Assessment for children under age 13 years old to inform diagnosis and treatment/management plans for:
-Sight impairment that results in vision of less than or equal to 6/18 vision or equivalent field loss in the better eye, with correction
- Hearing impairment that results in a hearing loss of 40 decibels or greater in the better ear, across four frequencies or permanent conductive hearing loss and auditory neuropathy
-Fragile X Syndrome
- Cerebral Palsy
-Down Syndrome

A letter or note signed and dated by the referring medical practitioner.

Specialist physician – 104 to 131 or 296 to 370 (ec 359)

GP – 3 to 51

Rebates on four assessment sessions – shared amongst eligible allied health professional s Doha Program
Medicare Better Start for Children with Disabilities - Assessment Early intervention treatment for children up to 15 years of age with the following disabilities:
Sight impairment, hearing impairment, Cerebral Palsy, Down syndrome, or Fragile X syndrome.

A letter from the medical practitioner stating how many session (up to 10) can be provided by each professional involved in the management plan.

Physician – 137 Disability Treatment Plan

GP – 139 Disability Treatment Plan

Medicare items for up to 20 treatment services for eligible children up to 15 years old (provided their treatment and management plans are in place by age 13).
Treatment for the individual child in person.
Sessions at least 30 minutes duration
Doha Program
FaHCSIA Helping Children with Autism Early intervention services for children diagnosed with an Autism Spectrum Disorder and who have not yet started formal school (aged 0-6). Up to $12 000 per child over 2 years of service to enable families to access approved service providers. Following diagnosis, the medical practitioner will direct the family to their local Autism Advisor.
Families receive a letter of introduction for the Advisor to be presented to approved psychologists.

The funding supports the delivery of multidisciplinary evidence based Early Intervention to facilitate improved cognitive, emotional and social development prior to a child starting school.

Eligible and ineligible interventions are provided on the FaHCSIA website.

Helping children with autism page
FaHCSIA Better Start for Children with Disability

Better Start funding is to assist eligible children with disabilities to the best possible start to their schooling. Eligible children are aged under six years and have been diagnosed with:

  • Down syndrome
  • cerebral palsy
  • Fragile X syndrome, or
  • a moderate or greater vision or hearing impairment, includingdeaf/blindness.

Eligible children can be registered to access early intervention funding of up to $12,000 (up to a maximum of $6,000 in any one financial year).

Registration of eligible children is managed by the dedicated Registration and Information Service (RIS), which is operated by Carers Australia.
To register a child for the Better Start early intervention funding parents and carers must call the RIS on 1800 242 636.
Better start for children with autism
Medicare Pregnancy Support Counselling Pregnancy support counseling to assist females who have any personal concerns related to a current or recent pregnancy within the past 12 months GP prepares a letter or note for the approved psychologist (only psychologists who have completed the mandatory training can provide these sessions) Medicare may rebate three 30 minute + sessions with a psychologist per pregnancy Information for clients
Chronic Disease Management Counselling for people who have chronic medical conditions and complex care needs.
The condition must have been present (or likely to be present) for 6 months or more such as asthma, cancer, cardiovascular disease, diabetes mellitus, musculoskeletal conditions, stroke.

GP Management Plan – 721 (or review 725)

Team Care Arrangements – 723 (or review 727)

GP completes the form at health.gov.au

Rebates on up to 5 sessions (total) per calendar year – shared between allied health professionals Doha Program
Follow up Allied Health Services for People of Aboriginal or Torres Strait Islander Descent Additional to Chronic Disease management counseling, those of Aboriginal and Torres Strait Islander descent can access an additional 5 rebateable sessions. GP – 704, 706, 708, 710
GP completes the form at psychology.org.au
Rebates on up to 5 additional sessions Doha program
Traffic Accident Commission (TAC)

If an individual has been injured in a transport accident or an immediate family member has died in a transport accident in Victoria, the TAC may fund psychology sessions.

. Some of the TAC’s payments are subject to an excess. Families need to check with the TAC to determine whether they have to meet the first amount of costs associated with their counselling

In order for the TAC to consider funding psychology, a client must be initially referred by a medical practitioner. The TAC will fund sessions to treat mental health problems and the number of sessions will vary. A psychologist is required to submit a TAC Mental Health Treatment Plan (MHTP) to have session approved beyond an initial 5 sessions of treatment. If there is a gap in treatment of greater than 6 months or if the TAC client attends a different psychology clinic, the TAC expects that a new MHTP will be completed by the psychologist and submitted to the TAC for approval TAC
Worksafe WorkSafe can cover psychological treatment if the treatment contributes to improving health and the return to work outcomes for injured workers.

To lodge a claim for a WorkSafe claim number, the patient will need to be assessed by a medical practitioner and then complete and lodge a form:

Worksafe

A referral letter
including, date of birth, claim number and name of employer.

The claim will need to be accepted by WorkSafe before psychology sessions will be covered. The first few sessions may be sent to the employer who may be liable to pay up to a given dollar amount before the insurance agent involved begins to cover the sessions. Worksafe
Victims of Crime

A person may apply for financial assistance for counselling if a violent crime was committed against them, they have suffered an injury and the crime occurred in Victoria.

The person is required to complete an application for counseling form Victims of Crime

Victims of Crime do not require a doctor’s referral but we do appreciate any background information that can be provided about the patient and factors that may impact on their treatment or progress The services covered for each patient are determined by the Victims of Crime Assistance Tribunal (VOCAT) VOCAT counselling expenses