FUnding schemes

Affirm OT is a non-registered provider

• Self-managed participants: The participant (or their family) manages the NDIS funds directly and pays for the OT services.
• Plan-managed participants: A third party (plan manager) manages the participant’s NDIS funds, but the participant still has the flexibility to choose any service provider.

Affirm OT is registered with Medicare Australia

• Chronic Disease Management (CDM) or Enhanced Primary Care (EPC) plans are one of the most common ways paediatric OTs can bill Medicare. These plans are created by a General Practitioner (GP) and allow patients to access a limited number of allied health services (including OT).
• Eligibility: CDM plans are generally used for children with long-term health conditions or disabilities that require ongoing therapy.
• Medicare for up to 5 sessions per calendar year for an eligible child.

Individual's or families directly pay for the therapy sessions. Depending on your private health cover, you may be eligible for a partial reimbursement of session cost. Families will need to check with their private health fund, under item code 100 and 250