NDIS

Sensory SMART is a registered National Disability Insurance Scheme (NDIS) Provider and our team is already providing services for some of our clients using their NDIS funding, via self-management of their funding.

As the NDIS has rolled out in Port Macquarie as of 1 July 2017, we are continuing to learn about this new funding scheme to ensure we can support our families with our range of services using their NDIS funding. We will continue to keep our families informed as further information is released.

For more information visit the NDIS website at ndis.gov.au/families-carers or call the NDIS Hotline on 1800 800 110.

Self-Managing

Allows people to choose (almost) any provider of care they see fit. In this way, self-managing your NDIS funds maximises your choice and control in accessing the care that is right for you.

Agency Managed

Those who do not manage their own funds still have a choice in their care providers. However, they are limited to those providers who have gone through the NDIA’s registration process and met minimum criteria.

Plan Management

is a third option that is mid-way between Self-Managing and NDIA management. A NDIA approved plan manager can manage part or all of your NDIS funds. Plan managers are then responsible for ensuring that the providers who support you are right for your needs and sound providers of care.




DSS

Families are required to present their "Letter of Introduction" to Sensory Smart prior to being able to receive services or access to products through DSS funding.

Families are required to sign a form indicating a session has been attended and we then apply for the funds for that service from DSS.

Families will receive quarterly statements from DSS regarding funding balances.

Families who have previously accessed these services may be eligible for NDIS Funding

There are two types of funding streams under the Department of Social Services (DSS), previously known as FaHCSIA funding:

HCWA/ FAHCSIA – Helping Children with Autism Package

BETTER START - The Better Start for Children with Disability initiative

  • $12,000 available funding for early intervention services and treatments
  • Up to a maximum of $6,000 in any one financial year
  • $2,100 can be used for resources per financial year



Medicare

Your child will be eligible for a Medicare rebate if they are accessing Occupational Therapy, Psychology or Speech Pathology services. You need to get a Medicare Plan from your GP or Paediatrician prior to your first appointment in order to claim the rebate. Please note that we charge a gap fee, so you will have some out of pocket expenses. The following is an outline of the Medicare rebates available when receiving either Speech Therapy or Occupational Therapy services:

Occupational Therapy (Medicare)

  • EPC/CDMP – Enhanced Primary Care/Chronic Disease Management Plan
    1-5 sessions per the calendar year
  • ASD – Autism Spectrum Disorder Plan
    20 sessions (one-time use)
  • MHCP – Better access to Mental Health Care Plan
    10 individual, 10 group sessions per year
    Individual clinic
    Individual offsite
    Group sessions

Rules: You cannot pay the gap fee with your private health insurance. ASD and CDMP plans needs to be shared across allied health providers. i.e. 5 sessions equal 5 in total across OT, Psych and Speech Therapy if your child is accessing more than one service at a time.



Private Health Insurance

Sensory SMART allows you to claim through your private health extras cover (where appropriate)

Depending on your private health fund, you may be eligible for a private health rebate from your OT or Speech Pathology sessions. In order to claim a rebate, this can be completed at our clinic at the time of payment, using our HICAPS machine. Alternatively, you can present your receipt to your private health fund and they will organise the rebate to your nominated account.

Your eligibility for a rebate and amount will depend on your specific health coverage. Private health rebates do alter and coverage may be different depending on when you purchased your private health insurance. Coverage also has annual limits that you will need to check with your private health fund.



Get in touch

Fill out the form below with your enquiry and a member of Sensory Smart will be in contact with you.

We encourage you to give us any feedback you feel you would like to share, be it complimentary or not so complimentary. For more details on the kind of feedback you can give, please view the "Compliments & Complaints" section on our FAQs page.

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