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 can also see clients who are self and plan managed under the National Disability Insurance Scheme (NDIS) and well as Workcover. Our experienced team are here to provide information 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 which means that if you use a Medicare Plan or Private Health Insurance with us you will need to pay the fee gap.
For information, advice or our current rates please contact us.
The National Disability Insurance Scheme (NDIS)
NDIS is a national funding scheme for the disability sector in Australia. NDIS offers an information and referral service to any Australian (aged 0-65 years) with any level of disability, including access to specialist disability support services.
If eligible and approved for NDIS funding, your child will receive funding to access the services and aids your child needs to achieve their goals and achieve optimal independence.
You can decide whether to manage the funds yourself (Self-Managed) or you can ask a Plan Manager or the NDIS to manage these funds for you.
Sensational Kids is able to see children self and plan-managed under the funding categories of Capacity Building: Daily Living. 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 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 the NDIS for further details.
We have further written information in clinic. Please ask our admin team if you require further assistance.
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.
Complex Neurodevelopmental Disorders and Eligible Disabilites (Medicare M10 Item Group)
The Complex Neurodevelopmental Disorders and Eligible Disabilities (Medicare M10 Item Group) is a Medicare-rebated funding scheme that has been put in place to help fund assessment and therapy for children with potential eligible disabilities. This replaces the Better Start for Children with Disabilities and Helping Children with Autism Medicare Plans. The list of eligible disabilities is listed below:
• Deafblindness
• Cerebral palsy
• Down syndrome
• Fragile X syndrome
• Prader-Willi syndrome
• Williams syndrome
• Angelman syndrome
• Kabuki syndrome
• Smith-Magenis syndrome
• CHARGE syndrome
• Cri du Chat syndrome
• Cornelia de Lange syndrome
• Microcephaly if a child has:
– a head circumference less than the third percentile for age and sex; and
– a functional level at or below 2 standard deviations below the mean for age on a standard developmental test, or an IQ score of less than 70 on a standardised test of intelligence*
• Rett’s disorder
• Fetal Alcohol Spectrum Disorder (FASD)
• Lesch-Nyhan syndrome
• 22q deletion syndrome
- 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 4 frequencies; or
- permanent conductive hearing loss and auditory neuropathy
- Autism
From 1 March 2026, the following conditions will be added to the eligible disabilities list:
• Stuttering
• Speech sound disorders, including:
- childhood apraxia of speech (also known as dyspraxia, developmental verbal dyspraxia, or speech apraxia);
- dysarthria
- cleft lip and/or palate
- articulation disorder
- phonological disorder
The funding scheme provides funding for eligible children to access 8 sessions (not all of these sessions may be required) for assessment and 20 sessions for therapy with Speech Pathologists, Occupational Therapists or Psychologists. This funding is eligible to be used for children and adults, up to the age of 25 but can be used only once (cannot be claimed again).
How can I access this funding?
There are two pathways to access the new M10 referral:
- If your child does not have a current confirmed diagnosis listed above in the eligible disabilites list, you can either speak with your GP who will provide you with a referral to a Consultant Paediatrician or Consultant Psychiatrist, or you can directly speak with your child’s Paedatrician or Psychiatrist if you already have one. 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, dietitians 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.
- If your child already has a confirmed diagnosis listed above in the eligible disabilites list, then the GP is able to provide the M10 referral.
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. You can use this funding in conjunction with the Chronic Conditions Management Plan (CCM) listed below.
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.
Note: Not all Occupational Therapists are registered to provide services under the Better Access to Mental Health Initiative. Senstional Kids does not currently have any OTs providing this service (current, 2026).
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, 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 email 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 receive a refund from Medicare. 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 Conditions Management Plan
The Chronic Conditions Management Plan (CCM) 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, Dietetics and Psychology). If you are accessing more than one type of therapy you are entitled to share the CCM sessions across the therapists (ie. not 5 rebates per service). Please note, CCM plans cannot be used for assessments as they are a treatment plan.
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 Conditions Management Plan. This plan is established by your GP and your therapist (Occupational Therapist, Speech Pathologist, Dietitian 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 but you receive a refund from Medicare. You are not able to pay for CCM-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 and counselling 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 for all services other than Music Therapy, Art Therapy and Counselling. If your provider is not registered with HiCaps you will need to utilise other payment options and then submit your claim directly to your insurer for the rebate if eligible.
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.
