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					                  Helping Children with Autism (HCWA) Package
                    Early Intervention Service Provider Panel
                              Fee Schedule Template
The fee schedules published on the FaHCSIA website are intended to be indicative of the eligible
services that your organisation provides as part of the Early Intervention Service Provider Panel under
the Helping Children with Autism (HCWA) package. In order to increase accessibility for families and
carers using the HCWA package, fee schedules are now standardised by using the template provided
below.

Please provide your schedule of fees for services delivered under the HCWA package in the template
below. The template includes free text fields, drop-down boxes and check boxes, each of which can
be selected by clicking. While filling in this template, you can click on any form field (which looks like
a grey box) and receive a brief explanation in the status bar below. More detailed help can be
obtained by clicking on a field and pressing ‘F1’.

Lead Agency                                                List of Consortium Members and/or Delivery
Name:                                                      Locations (if applicable)
Address:                                                   Name:
                                                           Phone:
                                                           Delivery Address:
                                                           Name:
Phone:
                                                           Phone:
Fax:
                                                           Delivery Address:
Email Contact:
Web Address:                                               Name:
                                                           Phone:
The following disclaimer will appear below the web         Delivery Address:
address:
                                                           Name:
This link is for your convenience and does not             Phone:
constitute endorsement of material at this site. Please    Delivery Address:
note that services and/or products detailed at this site
may not be covered by the early intervention funding       Name:
under the Helping Children with Autism package.            Phone:
                                                           Delivery Address:
                                                           Name:
                                                           Phone:
                                                           Delivery Address:

The following disclaimer will appear at the bottom of every fee schedule:

Please note that there may be cancellation and/or other fees associated with some services. For more
information please contact the service provider as these are not covered by the early intervention funding under
the Helping Children with Autism package.

Hints and Tips:

   You do not have to provide a phone number for the delivery locations and/or consortium members.
    Please only provide a phone number if you are happy for families to contact these locations directly.

   If the appropriate unit is not available in the drop-down box, choose either “session” or “program” as
    applicable, and specify the duration in the description field (e.g. “45 minute session”).

   Under the “Provider and Delivery Location” column you can name the organisation or the individual
    therapists. If you do not know who will be delivering the intervention, please name the organisation.

   This fee schedule is only intended to give an overview of the eligible services your organisation
    provides. Families are able to contact your organisation for more detail.

   Please provide your feedback about using this fee schedule template to your contract manager.
                            Provider and
    Eligible Intervention                  Multidisciplinary   Name and Description of
#                             Delivery                                                        Cost
           Type/s                               Team             Intervention/Service
                              Location
                                              Speech
                                           Pathologist                                   $       /
      Behavioural                                                                        Select Unit
                                              Occupational
      Developmental /                      Therapist
                                  at
    Social Learning                           Psychologist                               $       /
1
                                              Child/Special                              Select Unit
      Therapy-based                        Educator
      Family-based                            Teacher                                    $       /
                                              Therapist                                  Select Unit

                                              Speech
                                           Pathologist                                   $       /
      Behavioural                                                                        Select Unit
                                              Occupational
      Developmental /                      Therapist
                                  at
    Social Learning                           Psychologist                               $       /
2
                                              Child/Special                              Select Unit
      Therapy-based                        Educator
      Family-based                            Teacher                                    $       /
                                              Therapist                                  Select Unit

                                              Speech
                                           Pathologist                                   $       /
      Behavioural                                                                        Select Unit
                                              Occupational
      Developmental /                      Therapist
                                  at
    Social Learning                           Psychologist                               $       /
3
                                              Child/Special                              Select Unit
      Therapy-based                        Educator
      Family-based                            Teacher                                    $       /
                                              Therapist                                  Select Unit

                                              Speech
                                           Pathologist                                   $       /
      Behavioural                                                                        Select Unit
                                              Occupational
      Developmental /                      Therapist
                                  at
    Social Learning                           Psychologist                               $       /
4
                                              Child/Special                              Select Unit
      Therapy-based                        Educator
      Family-based                            Teacher                                    $       /
                                              Therapist                                  Select Unit

                                              Speech
                                           Pathologist                                   $       /
      Behavioural                                                                        Select Unit
                                              Occupational
      Developmental /                      Therapist
                                  at
    Social Learning                           Psychologist                               $       /
5
                                              Child/Special                              Select Unit
      Therapy-based                        Educator
      Family-based                            Teacher                                    $       /
                                              Therapist                                  Select Unit

                                              Speech
                                           Pathologist                                   $       /
      Behavioural                                                                        Select Unit
                                              Occupational
      Developmental /                      Therapist
                                  at
    Social Learning                           Psychologist                               $       /
6
                                              Child/Special                              Select Unit
      Therapy-based                        Educator
      Family-based                            Teacher                                    $       /
                                              Therapist                                  Select Unit
                                 Speech
                              Pathologist        $       /
       Behavioural                               Select Unit
                                 Occupational
       Developmental /        Therapist
                         at
     Social Learning             Psychologist    $       /
7
                                 Child/Special   Select Unit
       Therapy-based          Educator
       Family-based              Teacher         $       /
                                 Therapist       Select Unit

                                 Speech
                              Pathologist        $       /
       Behavioural                               Select Unit
                                 Occupational
       Developmental /        Therapist
                         at
     Social Learning             Psychologist    $       /
8
                                 Child/Special   Select Unit
       Therapy-based          Educator
       Family-based              Teacher         $       /
                                 Therapist       Select Unit

                                 Speech
                              Pathologist        $       /
       Behavioural                               Select Unit
                                 Occupational
       Developmental /        Therapist
                         at
     Social Learning             Psychologist    $       /
9
                                 Child/Special   Select Unit
       Therapy-based          Educator
       Family-based              Teacher         $       /
                                 Therapist       Select Unit

                                 Speech
                              Pathologist        $       /
       Behavioural                               Select Unit
                                 Occupational
       Developmental /        Therapist
                         at
     Social Learning             Psychologist    $       /
10
                                 Child/Special   Select Unit
       Therapy-based          Educator
       Family-based              Teacher         $       /
                                 Therapist       Select Unit

                                 Speech
                              Pathologist        $       /
       Behavioural                               Select Unit
                                 Occupational
       Developmental /        Therapist
                         at
     Social Learning             Psychologist    $       /
11
                                 Child/Special   Select Unit
       Therapy-based          Educator
       Family-based              Teacher         $       /
                                 Therapist       Select Unit

                                 Speech
                              Pathologist        $       /
       Behavioural                               Select Unit
                                 Occupational
       Developmental /        Therapist
                         at
     Social Learning             Psychologist    $       /
12
                                 Child/Special   Select Unit
       Therapy-based          Educator
       Family-based              Teacher         $       /
                                 Therapist       Select Unit

				
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