Funding & FAQs

Clear answers before you get started.

Find practical information about occupational therapy referrals, funding pathways, costs and what happens next.

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01

NDIS

Occupational Therapy for NDIS Participants

Function-focused assessment and recommendations for everyday life, disability support needs and participation.

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Can I use my NDIS funding for occupational therapy?

We provide occupational therapy services to participants whose relevant NDIS funding is self-managed or plan-managed. Whether a service can be paid from your plan depends on your individual goals, available budget and current NDIS funding criteria.

If you are unsure, ask your Plan Manager or contact us before booking.

What can occupational therapy help with?

Occupational therapy may include functional assessment, daily routines, personal care, mobility, problem-solving, psychosocial functioning, community participation, assistive technology and home modification recommendations, depending on your needs and goals.

Can mental health and psychosocial disability be part of occupational therapy?

Yes. Mental health occupational therapy focuses on the day-to-day functional impact of mental health conditions, including routines, self-care, planning, organisation, work or study, relationships and community participation.

This service is not emergency mental health care, psychiatry, psychology, counselling or psychotherapy.

Does an OT report guarantee NDIS funding?

No. An occupational therapist can provide assessment findings, clinical reasoning and recommendations. The NDIA makes eligibility, planning and funding decisions, and an OT recommendation does not guarantee approval.

02

Support at Home

Supporting safe, independent living at home.

Occupational therapy may support everyday function, home safety, assistive technology and home modification planning.

What is Support at Home?

Support at Home is the Australian Government’s in-home aged care program for eligible older people with assessed ageing-related care needs. It can fund approved services, including occupational therapy, to help people remain safe and independent at home.

Can occupational therapy be funded under Support at Home?

Yes. Occupational therapy is included as a clinical support. Access depends on your aged care assessment, the services approved in your support plan, available funding and the arrangements made with your registered provider.

We accept occupational therapy referrals for Support at Home participants in coordination with their registered provider or care partner.

How can an occupational therapist help?

An occupational therapist can assess everyday function and home safety, recommend practical strategies, prescribe assistive technology where appropriate, and recommend home modifications that support safe and independent living.

Will equipment or a home modification automatically be funded?

No. Funding depends on assessed needs, the approved support plan, current program rules and available allocation. We provide clinical assessment and recommendations. Eligibility and funding are determined through the aged care assessment and government program processes; your registered provider arranges services and purchasing within your approved supports.

Will I have to make a participant contribution?

Under current Support at Home rules, approved clinical supports such as occupational therapy do not attract a participant contribution. Contributions may apply to assistive technology and home modifications. Your registered provider and Services Australia can confirm what applies to your circumstances.

How do I get started?

If you are new to aged care, contact My Aged Care on 1800 200 422 or apply for an aged care assessment online. If you are already approved, ask your registered provider or care partner whether occupational therapy is included in your approved services.

03

Medicare

GP Chronic Condition Management Plans

A GP may refer an eligible patient for Medicare-supported occupational therapy when it is clinically appropriate.

What is a GP Chronic Condition Management Plan?

A GP Chronic Condition Management Plan, or GPCCMP, is prepared by a GP for a person with one or more medical conditions that have lasted, or are likely to last, at least six months, or are terminal. Your GP decides whether a plan and allied health referral are clinically appropriate.

Can Medicare help with occupational therapy costs?

If you are eligible, your GP may include occupational therapy in your GPCCMP and provide a written referral. The plan must have been prepared or reviewed within the previous 18 months, and the occupational therapy service must be consistent with the plan.

How many Medicare-rebated allied health visits can I receive?

Eligible patients may receive Medicare rebates for up to five individual allied health services per calendar year. These visits are shared across all eligible allied health professions; they are not five visits for each profession.

Eligible Aboriginal and Torres Strait Islander patients may access up to ten individual services. Your GP can confirm the pathway that applies to you.

Do I need a referral?

Yes. A written referral from your GP or prescribed medical practitioner is required. It is valid for the period stated on the referral or, if no period is stated, for 18 months from the date of the first service. Send it to us before your first appointment so we can confirm that the service can be arranged correctly.

Will Medicare cover the full appointment fee?

Medicare provides a rebate and may not cover the full appointment fee. Unless bulk billing has been confirmed, an out-of-pocket gap may apply. Contact us before your appointment for the current fee, rebate and estimated gap.

Medicare and private health insurance cannot both be claimed for the same service.

04

SWEP · Victoria

Assistive technology and equipment applications.

Clinical assessment and application support from a SWEP-registered occupational therapist.

What is SWEP?

Victoria’s State-wide Equipment Program provides subsidised funding towards approved assistive technology, equipment and related products for eligible Victorians with a long-term disability or ongoing health or ageing-related need.

How can a SWEP-registered occupational therapist help?

A SWEP-registered occupational therapist can assess your functional needs and safety, discuss suitable options, consider available equipment, obtain the required clinical information and quote, and submit an application to SWEP within the categories they are credentialed to prescribe.

Am I eligible for SWEP?

Eligibility is assessed for the specific item or modification. Where you live, how long the item is expected to be needed, other available funding and the relevant program criteria can all affect eligibility. SWEP makes the final decision.

Does SWEP cover the full cost, and how long will it take?

Not always. SWEP provides subsidies up to current program limits, so a gap payment may be required. The Victorian Aids and Equipment Program does not fund the assessment needed for an application. We confirm assessment fees before booking.

A suitable refurbished item may be offered, and waiting times depend on clinical priority, available funding and equipment availability.

Your occupational therapist cannot guarantee eligibility, approval, subsidy amount, a new item or a delivery date.

Should I buy the item before SWEP decides?

No. SWEP does not provide retrospective funding. Do not purchase, order or commit to equipment or modifications until SWEP has approved the application and the appropriate order has been issued.

Start a conversation

Still not sure which pathway applies?

Send us the everyday concern and the funding information you already have. We can help clarify an appropriate occupational therapy next step before an appointment is booked.

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