Medicare Rebates- Guide for GPs

Updated October 2026

Medicare Rebates for Speech Pathology

A Guide for GPs: Stuttering, Cluttering and Voice Disorders

Medicare rebates may be available for speech pathology assessment and treatment of stuttering, cluttering and voice disorders.

Eligibility depends on the patient's age, diagnosis and healthcare needs. There are two main Medicare referral pathways.

1. GP Chronic Condition Management Plan (GPCCMP)

Up to 5 allied health sessions per calendar year

Patients with persistent stuttering, cluttering or voice disorders may be eligible for Medicare-rebated speech pathology under a GP Chronic Condition Management Plan.

To qualify, patients must have a chronic medical condition lasting, or expected to last, at least six months (or a terminal condition), and meet Medicare's requirements for complex care needs.

GPs are responsible for assessing eligibility, preparing or reviewing the management plan and providing a referral for speech pathology where clinically appropriate.

Eligible patients can access up to five allied health appointments per calendar year, shared across eligible allied health professions.

Appointments must be at least 20 minutes.

Medicare Item Numbers

Appointment typeMBS itemIn-person speech pathology10970Video telehealth93000Telephone consultation93013

Further information: Medicare Chronic Condition Management – Referral and Billing Requirements

https://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&q=82020

2. Stuttering and Eligible Disabilities (M10)

For eligible patients under 25 years

From 1 March 2026, stuttering was added to Medicare's list of eligible disabilities under the M10 pathway.

Patients under 25 with suspected or diagnosed stuttering may qualify for Medicare-rebated speech pathology assessment and treatment.

Eligible patients may access:

  • Up to 8 assessment sessions over their lifetime, generally requiring medical review and agreement after the first 4.

  • Up to 20 treatment sessions over their lifetime, with a maximum of 10 per referral.

These limits are shared across participating allied health professions.

What Do GPs Need to Do?

GPs can assess and diagnose eligible disabilities or refer for further specialist or allied health assessment where appropriate.

Before referring for treatment, an eligible medical practitioner must establish a treatment and management plan.

A GP Chronic Condition Management Plan is not required for this pathway.

Medicare Item Numbers – Speech Pathology (M10)

Speech Pathology Assessment (minimum 50 minutes)

  • 82005 – In-person assessment

  • 93033 – Video telehealth assessment

  • 93041 – Telephone assessment

Speech Pathology Treatment (minimum 30 minutes)

  • 82020 – In-person treatment

  • 93036 – Video telehealth treatment

  • 93044 – Telephone treatment

Which Conditions Are Eligible?

The M10 eligible disabilities list includes:

  • Stuttering

  • Speech sound disorders, including:

    • Articulation disorders

    • Phonological disorders

    • Childhood apraxia of speech (also known as developmental verbal dyspraxia)

    • Dysarthria

  • Cleft lip and/or palate

Other conditions are also included under the M10 pathway.

Cluttering and voice disorders are not independently listed as eligible disabilities under M10, although patients may qualify where they have another eligible diagnosis and meet the relevant requirements.

For the complete eligibility criteria, referral requirements and list of eligible disabilities, please refer to the official Australian Government resources below.

Further information:

Medicare M10 – Eligibility, Referral Pathways and Resources

MBS Item 82020 – Speech Pathology Treatment Requirements

Referring to Your Voice Matters

Your Voice Matters – Stuttering & Professional Voice Care Adelaide provides specialised speech pathology assessment and treatment for children, adolescents and adults experiencing stuttering, cluttering and voice disorders.

Appointments are available in Adelaide and via telehealth, where clinically appropriate.

We welcome referrals from GPs, paediatricians, psychiatrists and other healthcare professionals.

Please contact Your Voice Matters to discuss a referral or arrange an appointment.

Information current as at October 2026. Medicare eligibility and rebates are subject to current MBS requirements. Referring practitioners should consult the relevant Medicare guidelines when determining patient eligibility.

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Medicare Rebate information for Clients