Medicare M10 Speech Pathology Services
What Is M10?
Previously known as: 82020 plan or Autism plan.
Includes:
- Assessment: up to 8 services per lifetime to assist with diagnosis and/or contribute to treatment planning.
- Treatment: up to 20 services per lifetime.
Eligibility: patients under 25 with neurodevelopmental conditions
Medical Item Prerequisite: Item 139 (GP) or 137 (Specialist)
Changes to M10 Eligibility
As of 1st March 2026, Medicare M10 has expanded to include those diagnosed with:
- Speech Sound Disorders
- Cleft Palate
- Stuttering
Session Length Requirements
- Assessment Sessions – must be a minimum of 50 minutes
- Therapy Sessions – must be a minimum of 30 mins
Rebate
Rebate is $87.25
Not Eligible
- Language difficulties.
- Social skills difficulties.
- Swallowing disorders.
- Feeding disorders.
- Developmental Language disorder.
M10 Referrals
- GP can decide on eligibility – don’t need to wait for a referral from a Speech Pathologist. If in doubt, refer to the Speech Pathologist and request an M10 assessment to confirm diagnosis.
- M10 does not require a GP management plan – it’s just a referral letter.
- A separate referral from the eligible medical practitioner is required for each allied health practitioner providing the service.
- A new referral is needed for each course of assessment (4x sessions) or course of therapy (10x sessions).
- Allied health practitioner need to send GP a report or letter after each course to request another course.