Fees and Funding

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Manningham Community Health Service provides health and wellbeing services and programs for the whole community. To enable this we offer a combination of fee-for-service options and publicly funded health care.

We are committed to supporting access to people on all income levels, and our fees are structured on a sliding scale according to income.

Difficulty or inability to pay will not be a barrier to receiving treatment or service. You can call or contact us any time to check eligibility guidelines and our service fees.

We have provided some additional information below regarding the funding streams that you may be eligible to access our services through. Our staff are knowledgeable in the different funding options available. Please call us on 03 8841 3000 to discuss your needs.

 

FEE FOR SERVICE – Full fee paying clients

Most of our services can be accessed by anybody in the community as a full fee paying client.

Click here for the Full Fee Schedule

 

COMMUNITY HEALTH PROGRAM AND HACC PROGRAM (Publicly funded clients)

MCHS receives a percentage of its income from the Victorian Government Department of Health to provide publicly funded community health services.

Community Health Program and Home and Community Care (HACC) activities, give priority to populations with particular health needs; this often includes disadvantaged populations with the poorest health and greatest economic and social needs.

You are eligible for public funded services if you are:

  • a person on a low or medium income
  • a pensioner or healthcare card holder and their dependent/s
  • a school student up to the age of 18
  • of Aboriginal or Torres Strait Islander descent
  • a refugee or asylum seeker
  • Homeless or at risk of homelessness
  • a person with an intellectual disability
  • a person with a serious mental illness

Through this program stream fees are charged for services in line with the Fees Policy for HACC and Primary Health Programs.

Where fees are charged, it is in accordance with a scale of fees appropriate to the consumer’s level of income and amount of service.

Inability to pay is not used as a basis for refusing a service to people who are assessed as requiring a service.

Click here for the Community Health and HACC Program Fee Schedule.

 

CHRONIC DISEASE MANAGEMENT PLAN (Medicare - GP Referral)

The Chronic Diseases Management Plan (CDM) is a Medicare-rebated funding program for people who have chronic medical conditions (classified as a condition that has been present for at least 6 months). Sometimes this plan is also referred to as Enhanced Primary Care (EPC) and Team Care Arrangements (TCA).

It consists of 5 (maximum) rebates per calendar year for Allied Health services (ie. Podiatry, Physiotherapy, Dietetics, Occupational Therapy, Speech Therapy and Psychology). If you are accessing more than one type of therapy you are entitled to share the CDM sessions across the therapists (ie. not 5 rebates per service).

ACCESS TO THIS FUNDING

Adults and children may be eligible for this funding package if they have a chronic medical condition and if this condition is being managed by a GP under a Chronic Diseases Management Plan. This plan is established by your GP and your Allied Health Professional (Podiatrist, Physiotherapist, etc) is invited to participate in your care under this plan.

Your GP can give you the form to you to bring into the clinic or they can fax the form to MCHS. You are then entitled to claim under this program provided your GP has registered your plan with Medicare.

Sessions are paid for at the scheduled fee and you can take your receipt to Medicare for the rebate, or, we can provide a rebate instantly via our Hicaps machine. In some circumstances services can be bulk billed.

You are not able to pay for CDM-funded sessions through your Private Health fund.

OTHER OPTIONS

There may be other funding options available for people who do not meet the criteria for a CDM plan. Please view the other options listed here on our site. Alternatively please call to discuss your options with one of knowledgeable administration or service access staff.

SERVICES PROVIDED

  • Podiatry
  • Physiotherapy
  • Dietetics
  • Child Psychology
  • Occupational Therapy (Children)
  • Speech Pathology (Children)

FEES

Fees and out-of-pocket (gap) payments will vary according to the type of service being used.

Click here for the Chronic Disease Management Plan Fee Schedule.

 

MENTAL HEALTH PLAN (Medicare - GP referral)

The Mental Health Plan (MHP) is a Medicare-rebated funding program for people who have mental health conditions (anxiety, depression etc.) It consists of up to 10 rebates per calendar year for Occupational Therapy and Psychology services. An extension of 4 further sessions can be applied for by your Psychologist or Occupational Therapist in extreme circumstances.

ACCESS TO THIS FUNDING

Adults and children may be eligible for this funding package if you or your child have a mental health condition or a diagnosis of Autism Spectrum, Anxiety Disorder or ADD / ADHD and if this condition is being managed by your GP or Mental Health Provider.

You will need to visit your GP or Mental Health Provider to discuss eligibility. Once deemed eligible, your GP will complete paperwork which they will either give to you to bring into MCHS or they can fax the form to us. (Please note that when visiting your GP to discuss eligibility for the Mental Health Plan or other Medicare initiatives, ask for an extended appointment time as there may be considerable paperwork involved.)

You are then entitled to claim under this program provided your GP has registered your plan with Medicare.

Sessions are paid for at the scheduled fee and you can take your receipt to Medicare for the rebate, or, we can provide a rebate instantly via our Hicaps machine. In some circumstances services can be bulk billed.

You are not able to pay for MHP-funded sessions through your Private Health fund.

OTHER OPTIONS

There may be other funding options available for people who do not meet the criteria for a Mental Health Plan. Please view the other options listed here on our site. Alternatively please call to discuss your options with one of knowledgeable administration or service access staff.

SERVICES PROVIDED

  • Psychology/Counselling (youth and adults)
  • Psychology for Children
  • Occupational Therapy (Children)

FEES

Fees and out-of-pocket (gap) payments will vary according to the type of service being used.

Click here for the Mental Health Plan Fee Schedule.

 

HELPING CHILDREN WITH AUTISM (Medicare - GP Referral)

The Helping Children with Autism initiative is a Medicare-rebated funding scheme that has been put in place to help fund assessment and therapy for children with Autism Spectrum Disorder (ASD) or Pervasive Developmental Delay (PDD).

The funding scheme provides funding for eligible children to access 4 sessions for assessment and 20 sessions for therapy with Speech Pathologists, Occupational Therapists or Psychologists. This funding is eligible to be used for children up to the age of 13 but can be used only once (cannot be claimed again). Children up to the age of 15 may be eligible for treatment funding only if they have a prior diagnosis of ASD or PDD.

More information is available here on the Australian Government website:

ACCESS TO THIS FUNDING

You will need to speak with your GP who will provide you with a referral to a Consultant Paediatrician or Consultant Psychiatrist for a diagnosis. If the Paediatrician or Psychiatrist decides further investigation is required they may then refer you to one or more allied health professionals (psychologists, speech pathologists or occupational therapists)for further assessment and/or treatment.

Once the diagnosis has been confirmed your Paediatrician or Psychiatrist will provide paperwork which you then provide to Manningham Community Health Services. Or they can send the paperwork directly to MCHS.

OTHER OPTIONS

There may be other funding options available for children who do not meet the eligibility criteria

SERVICES PROVIDED

  • Psychology/Counselling (youth and adults)
  • Psychology for Children
  • Occupational Therapy (Children)
  • Speech Pathology (Children)

FEES

Fees and out-of-pocket (gap) payments will vary according to the type of service being used.

Click here for the Helping Children With Autism Medicare Items Fee Schedule.

 

HELPING CHILDREN WITH AUTISM PACKAGES

HCWA is a funding scheme for children who have been diagnosed with Autism Spectrum Disorder (ASD) or Pervasive Developmental Delay (PDD). You are eligible to access a funding package through Autism Victoria if your child is between the ages of 0-6 years. Children must be approved for this funding prior to their 6th birthday and the funding can be accessed until the child’s 7th birthday.

The funding is up to $6000 per financial year (up to a total of $12,000) and is specifically for early intervention for the eligible child. You can use this funding only with registered health providers. MCHSL is registered to provide these services to eligible children.

ACCESS TO THIS FUNDING

Autism Victoria is the overseeing body for the HCWA Funding in Victoria.

If your child already has a formal diagnosis of ASD or PDD you can contact Autism Victoria to apply for this funding. They will discuss with you the requirements (including diagnosis, paperwork etc) that you need to submit with your application. Once your funding has been approved you need to bring your acceptance letter to Manningham Community Health Services to enable your child to start therapy under this funding.

If your child does not  have a formal diagnosis of ASD or PDD you will need to speak with your GP who will provide you with a referral to a Consultant Paediatrician or Consultant Psychiatrist.  If a diagnosis is confirmed your Paediatrician or Psychiatrist will provide paperwork which you then provide to Autism Victoria as part of your application for funding.

Once a funding package has been approved, Autism Victoria will provide paperwork for you to bring to MCHS.

HCWA package funding can be used to access Early Intervention services (i.e. speech pathology) at MCHS. Therapy sessions at MCHS are paid for by your HCWA package funding – this means you have no out of pocket therapy expenses up to the $6000 threshold each year. If you exceed your $6000 threshold you will need to start paying via other means (see other funding options listed here for details).

You are also entitled to use a portion of your funding to purchase approved equipment or tools used as part of your child’s therapy.

Unfortunately HCWA funding cannot be used to pay for cancelled/ missed appointments or for subsiding a gap in a Medicare-funded service.

OTHER OPTIONS

There may be other funding options available for children who do not meet the criteria for this funding package listed here on our site. Alternatively please call to discuss your options with one of knowledgeable service access staff.

SERVICES PROVIDED

  • Speech Pathology (Children)
  • Psychology for Children – available soon
  • Occupational Therapy (Children) – available soon

FEES

For this service, you use the allocated package to pay the fees, so there is no out of pocket cost.

Click here for the Helping Children With Autism Packages Fee Schedule.

Further information is available on this government link