Medicare and other funding

As well as the NDIS, families and individuals with autism have access to a range of support and funding options designed to help some of the challenges associated with autism.

These resources provide financial aid, services, and care that cater to each individual's unique needs. From early childhood education to adulthood, understanding these options can significantly impact the quality of life for those on the spectrum and their families.

NDIS funding and supports for participants are constantly changing. What might have been funded previously may have changed under the new NDIS legislation. It's important to ensure that you are up to date with the current information and updates.

Information on this page is current as of November 2024.

Medicare funding for autism assessment and diagnosis

Under Medicare, autism diagnosis appointments with health professionals for individuals aged under 25 can be covered under the Complex Neurodevelopmental Disorder Services initiative. This typically covers assessments and diagnoses by professionals such as paediatricians, psychiatrists, and clinical psychologists. Medicare rebates are available for these services, but they generally require a referral from a GP and are subject to specific item numbers. While the rebates reduce out-of-pocket costs, some fees may still apply depending on the practitioner. Your GP should be familiar with this initiative and can guide you through the process. If they are unfamiliar with the specifics, you can share this factsheet with them. It provides detailed information about the eligible services and item numbers that apply under Medicare for autism diagnosis and assessment services.

Medicare funded mental health services

Beyond diagnosis, Medicare's Better Access to Mental Health Care and Chronic Disease Management plans provide rebates for ongoing therapy and treatment. These plans help individuals with autism access necessary mental health support and manage chronic conditions effectively, ensuring comprehensive care and support. The first step to access these schemes is to see your GP who will assess whether the plans are appropriate for you.

Financial Support for Carers

Carers play a crucial role in supporting individuals with autism, and the Australian Government recognises this with financial assistance. The Carer Allowance, Carer Payment and various supplements are available to those who provide daily care for individuals with autism. These payments offer a financial cushion, acknowledging the significant contributions and responsibilities of carers.

Assistance for Isolated Children Scheme (AIC)

The Assistance for Isolated Children Scheme (AIC) provides financial support for families whose children, including those with autism, are unable to attend local schools due to distance or special needs. This assistance helps with education-related expenses for students in distance education or boarding schools. For more details and to check eligibility requirements, visit the official AIC page.

Early childhood and education support

Early intervention plays a vital role in the development of young children diagnosed with autism. The Australian Government, through the Department of Education, offers grants and funded programs to support early childhood education services. An important aspect of early education support is The Inclusion Support Program (ISP) which provides additional funding to kindergartens and preschools to support children with additional needs, including autism. The funding helps to cover costs associated with additional staff, specialised training, and necessary modifications to the learning environment, ensuring an inclusive and supportive setting for all children. Enquire with your state education department for similar initiatives. Read more about ISP on our dedicated page here.

Private Health Insurance

Many private health insurance policies offer rebates for therapies such as speech pathology, occupational therapy, and psychology. The extent of coverage varies depending on the policy. Families are encouraged to review their insurance plans.

Additional Supports

Beyond direct financial assistance, several other supports are available to individuals with autism and their families. The Health Care Card provides reduced medical costs and concessions, making healthcare more affordable. The Companion Card allows carers or companions of people with autism free or discounted access to events and venues, ensuring that individuals with autism can participate in community activities without financial barriers. For those with mobility challenges, the Australian Disability Parking Scheme offers accessible parking spaces, making transportation easier for individuals with autism and their families. These additional supports help create a more inclusive society, allowing individuals with autism to engage fully in everyday life.

Understanding and navigating the various funding and support options for autism in Australia is crucial for families and individuals on the spectrum. From early childhood through to adulthood, a wide array of supports are available, all designed to enhance the quality of life for those with autism.