Mental health Treatment Plans & Psychology Referrals

Understanding Mental Health Care Plans (MHCPs) and Medicare Psychology Sessions

We know Medicare rules can feel confusing, so here’s a simple breakdown of how Mental Health Care Plans and session referrals work.

Mental Health Treatment Plans (MHTPs)

  • Created by your medical professional, commonly your GP will develop this for you, usually no more than every 12 months.

  • A detailed assessment of mental health needs, setting goals, and formulating strategies that might include referral to a psychologist.

Referral for Medicare-Rebated Psychology Sessions

  • You can access up to 10 individual and 10 group Medicare-rebateable psychology sessions per calendar year.

  • Most people are first referred for up to 6 sessions

  • After these sessions, your psychologist sends a brief written report to your GP.

  • Based on this report, your GP can then refer you for the remaining sessions (up to the annual maximum of 10).

  • You do not need to wait 12 months to receive additional session referrals.

  • Referrals can be issued at any time during the calendar year, as long as you haven’t exceeded the 10-session limit.

Important to Know

  • A referral for more sessions is different from getting a new MHCP.

  • You can receive further referrals for sessions without needing a new Mental Health Care Plan.

Why Does This Sometimes Get Confusing?

  • Sometimes the rule about not preparing a new MHTP within 12 months is mistakenly applied to session referrals.

  • These are two separate processes:

    • The 12-month guidelines apply to new MHTP plans

    • Psychology session referrals can occur at any time within the year

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What is a Mental Health Treatment Plan (MHTP)?