Sensational Kids is a private clinic and fees are applicable for all assessments and treatments. Many of our clients are eligible for rebates under Medicare rebate programs or Private Health.  We are also registered for the Helping Children with Autism, Better Start and National Disability Insurance Scheme (NDIS) and well as VOCAT and Workcover.  Our experienced team are here to help you manage your funds in the most efficient way so that you can make the most of your treatment.

We are able to claim on the spot for Medicare (you just need to bring your card with you) and Private Health rebates. We unfortunately are not in the position to offer bulk billing services.

For information, advice or our current rates please contact us.

The Helping Children with Autism (HCWA) Initiative

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 this funding 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. Sensational Kids is registered to provide these services to eligible children.

How can I access 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 bring your acceptance letter to Sensational Kids and our friendly administration staff will explain the process once your child starts therapy under this funding.

If your child does not yet 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 the Paediatrician or Psychiatrist decides further investigation is required they will then refer you to one or more allied health professionals (psychologists, speech pathologists and/or occupational therapists) to assist their diagnosis. Sensational Kids offers a comprehensive assessment service for this purpose. Once the diagnosis has been confirmed your Paediatrician or Psychiatrist will provide paperwork which you then provide to Autism Victoria as part of your application for funding.

Once your funding has been approved, Autism Victoria will provide paperwork which you bring to Sensational Kids.

How do I use the funding?
HCWA funding can be used to access Occupational Therapy, Speech Therapy and Psychology services at Sensational Kids. All services utilised at Sensational Kids are paid for by your HCWA 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.  

What if my child is not eligible for this funding?
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 administration staff.
Is there further information available?
Our staff are knowledgeable in the different funding options available. Further information is available on our site or through the Department of Social Services: Helping Children with Autism site.
Autism Initiative – Pervasive Developmental Delay (PDD)

The Autism Initiative (PDD) 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.

How can I access this funding?
You will need to speak with your GP who will provide you with a referral to a Consultant Paediatrician or Consultant Psychiatrist. 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) to assist their diagnosis. Sensational Kids offers a comprehensive assessment service for this purpose.

Once the diagnosis has been confirmed your Paediatrician or Psychiatrist will provide paperwork which you then bring with you to Sensational Kids. Alternately they can send the paperwork directly to Sensational Kids.

Can I access this funding if I'm using Private Health funding?
You are eligible to apply for this funding and you can choose which type of funding you would like to use each time you attend. You cannot use both options in the same session. Sensational Kids administration are very knowledgeable and assist our clients in optimally utilising their funding options.
What if my child is not eligible for this funding?
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 administration staff.
The Better Start for Children with Disability (Better Start) Initiative

Better Start is a funding scheme that allows children with developmental disabilities to access funding for early intervention services.

Eligible children diagnosed with Down syndrome, Cerebral Palsy, Fragile X syndrome, or a moderate or greater vision or hearing impairment, including deaf-blindness, Prader Willi syndrome, Williams syndrome, Angelman syndrome, Kabuki syndrome, Smith-Magenis syndrome, CHARGE syndrome, Cornelia de Lange syndrome, Cri du Chat syndrome, Microcephaly or Rett’s Disorder will have access to funding and new Medicare items under the Better Start for Children with Disability initiative.

The initiative includes the following components:

  • Funding for early intervention services and treatments for eligible children under the age of six
  • Medicare items for the development of a treatment and management plan for eligible children under the age of 13
  • Medicare items for up to four allied health diagnostic services and for 20 relevant allied health services (in total) for eligible children up to the age of 15 (provided the treatment and management plan is in place before the age of 13).

Parents or carers of eligible children will need to register their child for the Better Start initiative before they turn six in order to access the early intervention funding.

How can I access this funding?
Carers Victoria is the overseeing body for the Better Start program in Victoria.

Once the diagnosis has been confirmed your Paediatrician will provide paperwork which you then provide to Carers Victoria as part of your application for funding. Once your funding has been approved, Carers Victoria will provide paperwork which you bring to Sensational Kids.

Contact the Better Start Registration and Information Service (RIS) on 1800 242 636 or email betterstart@carersvictoria.org.au and ask about the Better Start program.

How do I use the funding?
Better Start funding can be used to access Occupational Therapy, Speech Therapy and Psychology services at Sensational Kids. All services utilised at Sensational Kids are paid for by your Better Start funding – this means you have no out of pocket therapy expenses up to the $6000 threshold each financial year. If you reach your $6000 threshold you will need to pay 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.

Better Start funding unfortunately cannot be used to pay for late cancellations or missed appointments or for subsidising a gap in a Medicare-funded service.

What if my child is not eligible for this funding?
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 administration staff.
Is there further information available?
Our staff are knowledgeable in the different funding options available. Further information is available on our site. For more information on the Better Start initiative, see the Department of Social Services: Better Start website
Mental Health Plan

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.

How can I access this funding?
You or your child 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 Sensational Kids 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 as usual but you take your receipt to Medicare for the rebate. You are not able to pay for MHP-funded sessions through your Private Health fund.

What if my child is not eligible for this funding?
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 administration staff.
Chronic Diseases Management Plan

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).

It consists of 5 (maximum) rebates per calendar year for Allied Health services (ie. 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).

How can I access this funding?
You or your child may be eligible for this funding package if you or your child have a chronic medical condition and if this condition is being managed by your GP under a Chronic Diseases Management Plan. This plan is established by your GP and your therapist (Occupational Therapist, Speech Pathologist and/or Psychologist) is invited to participate in your care under this plan.

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

Sessions are paid for as usual but you take your receipt to Medicare for the rebate. You are not able to pay for CDM-funded sessions through your Private Health fund.

What if my child is not eligible for this funding?
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 administration staff.
Private Health Insurance
How can I access this funding?
Sensational Kids therapists are registered with most of the leading Private Health Care insurers. Generally, allied health services will need to be listed as an option on your policy for you to be covered for them and coverage varies between providers.

HiCaps is available for you to electronically claim on the spot. If your provider is not registered with HiCaps you will need to utilise other payment options and then follow up your rebate with your provider.

What my child is not eligible for this funding?
There may be other funding options available for children who do not meet the criteria for this type of payment listed here on our site. Alternatively please call to discuss your options with one of knowledgeable administration staff.

Payments are also accepted via EFTPOS and Visa/Mastercard.

The National Disability Insurance Scheme (NDIS)

NDIS is a national funding scheme being rolled out across the disability sector in Australia over the next few years. NDIS offers an information and referral service to any Australian with any level of disability, including access to specialist disability support services.

If eligible for NDIS, your child will receive funding on an annual basis to buy the services and aids your child needs to achieve your goals and achieve optimal independence.

You can decide whether to manage the funds yourself (“self-managed”) or you can ask a Plan Manager ot the NDIS to manage these funds for you.

NDIS has partially rolled out in Melbourne. Please check this link for  NDIS Melbourne Metro roll-out details.

Sensational Kids is a fully registered provider and can see children under the funding categories of Capacity Building:  Daily Living.  For those who choose to self manage you are able to access all of our current services as provided for in your individualised plan. Please note we are registered as “Dragonfly Arts (Australia) Pty Ltd trading as Sensational Kids”. 

How can I access this funding?
You can access this funding currently if you live in the roll-out zones and meet the approval criteria.  Please see the NDIS website for further details on the criteria.  Once you are sure you meet the criteria or even if you are a bit uncertain, call NDIS on 1800 800 110 and ask for an Access Request Form. Once you receive the form, please speak with your therapist as they can assist you with completing some of the sections in this form. Generally you can contact NDIS and request this form 6 months before the NDIS is due to roll out in your area.

If you live in the roll-out zones and are travelling to our clinics you can use your NDIS funding with us. Just speak with our admin team at the time of booking and they will provide further information.

Please check the NDIS website for the most current information on roll-out dates and registration for NDIS in your region.

We have further written information in clinic. Please ask our admin team if you require further assistance.

I'm currently using DSS funding: Will this change?
DSS funding (Helping Children with Autism and Better Start for Children with Disabilities) will continue until your funding is utilised or the NDIS rolls out in your area. If you are still receiving DSS funding at the time of the roll out, you will receive information to assist with the transition to NDIS.

Is there further information available?
Please see the NDIS website for further information: NDIS Information for Families or call 1800 800 100 and speak with a representative of NDIS.

Workcover and TAC

Workcover and TAC may provide funding for you to access our services. Please let us know when you call if you are planning on using this funding to pay for therapy services as there may be a gap payment required.

Victims of Crime (VOCAT)

If you have been the victim of a crime you and/or your child may be eligible for financial assistance for your therapy when assistance from another program is not available. To find out more, visit the Victims of Crime website to apply (www.vocat.vic.gov.au), or speak with one of our Psychologists for further details.