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19 days ago

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NDIS & mental health care plan query

Hi, my son's LAC told me that before we could start using his NDIS funds to cover psychologist therapy sessions we first have to have exhausted the 20 x sessions available for Medicare rebate under the Mental Health Care Plan. Fair enough. My question is, once the Medicare rebate has been applied to the psychologists invoice, am I able to claim for outstanding (not already rebated) amount remaining on the invoice under NDIS? (ie submit a NDIS claim for partial invoice amount, so that between Medicare and NDIS, I'm not out of pocket). Thanks
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19 days ago

Interesting. I’m not sure, I would say you could 🤔. We just used funding for our daughters psychologist appointments straight away.

19 days ago

that's what I did last year as well - this year I got told I need to use MHCP first 🤷🏼‍♀️

19 days ago

Our LAC told me the same thing however if the need for the psychologist is needed due to the child's disability it becomes the responsibility of NDIS to cover. And it isn't the responsibility of the mental health care plan.

19 days ago

I figured it might be a new tactic by the NDIA to justify less funding in our plan this year!

19 days ago

I never used a Medicare health care plan when we started taking my son to psychology. So you don’t have to have exhausted those Medicare rebated sessions. I would be interested to know if you could use both Medicare rebate and at the same time? I’m not sure on that one.

19 days ago

I didn't use one last year and claimed on NDIS (mainly as we changed psych early in the year and the MHCP we had was in the name of our old psych). But this year our LAC was adamant we had to get one and use it first. I might just submit an invoice for the partial payment and see if they pay??

19 days ago

You Definitely CANNOT claim the gap fees if Medicare or Private Health on NDIS. There is then much to interpretation, as many services such as psychology, OT, speech are all claimable under Medicare. We have always claimed the full cost under our NDIS and not used a Mental health care plan since having NDIS funding and I would say many would.

18 days ago

I agree, if you were to pay the gap via an NDIS claim, it would be seen as ‘double-dipping’. However, I have never heard of anyone ever insisting on using up the MHCP before starting to claim using NDIS funds. I would double check with someone else at your LAC (ask for a second opinion or to speak to the team leader) to clarify. I would personally go straight to NDIS as you can claim the whole amount and not be out of pocket. I know I’m late to this thread so you’ve probably already got it sorted!

19 days ago

NDIS & mental health care plan query
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