Q and A – 21 July 2017

Posted on 21 July 2017

I've heard the paperwork is an ordeal for some to claim NDIS. Can you please offer some helpful tips so we can prepare?

Before you become an NDIS participant, you will need to fill out an access request form and provide relevant supporting documents. It can be a bit of work, but we need to ensure that we have a complete picture of your situation so that you get the right supports.

Once you are an NDIS participant, the amount of paperwork depends on how you want to manage your plan.

There are four ways that plans can be managed.

  • Agency managed: this is where the providers claim directly from the NDIA. This means that most of the paperwork is handled for you.
  • Plan manager: your funding is allocated to a third party to manage your plan’s financial transactions. You have a helping hand for some of the paperwork, but you are still responsible for the administration of your plan.
  • Selfmanaged: This option has the most paperwork, but provides the most flexibility. You directly manage the funds and are responsible for all transactions. You may choose to employ support staff directly and do all the financial transactions or pay an organisation of your choice to do this on your behalf.
  • Combination: a combination of the above three options can be used together. For further information about managing supports in your plan, including making service bookings and using the myplace Participant Portal, visit the participants section of our website.

I am hearing impaired in both ears and wearing a cochlear implant and working full time; am I entitled for exemption from paying NDIS through tax?

All income earners in Australia are required to pay the Medicare levy, no one is exempt.

The Medicare levy provides peace of mind to all Australians that if they or a loved one acquire a disability, they will be supported.

The modest increase in the Medicare levy– will ensure we can deliver and sustainably fund the NDIS.

Why are some people having physiotherapy/occupational therapy/ other treatments included in their plans and others are not? I am not seeing consistency.

Your experience with the NDIS is totally unique to you and your circumstances. Every person living with a disability has very individual needs, and the NDIS is here to support you to achieve your goals. This means that no two plans will include the exact same support, no matter how similar the circumstance may seem. As you achieve your goals, you can expect that your own plan will also change over time.

Each NDIS plan is based on reasonable and necessary supports and choice and control. So your plan is based on your goals and aspirations, now and for the future. It covers your functional support needs for daily living and participation, and how you want to manage your plan over time.

We also have some great explanations on plans, supports and the NDIS on our YouTube channel.

What is the difference between NDIA and NDIS?

The National Disability Insurance Scheme, or NDIS, is run by the independent agency – the National Disability Insurance Agency, or NDIA.

The NDIS is one component of the National Disability Strategy which brings community, government and industry together to address the challenges faced by people with disability, and ensures they are supported by services such as health, education and transport and the wider community.

The aim of the NDIS is simple:
To provide Australians who are born with or acquire a permanent and significant disability with the reasonable and necessary supports they need to live and enjoy an ordinary life.

Watch the video below for more information.

I’m considering self-managing my sons’ NDIS plan. What are the advantages of this?

Self-managing your NDIS plan means you can choose and arrange your own supports, including your own support workers.

You can make sure relevant invoices are paid on time and keep appropriate records and receipts for supports provided (claimed and paid), via the myplace Participant Portal. You may also be asked to report to the NDIA on the amount used and funds spent on the self-managed items in your NDIS plan. Self-managing gives you choice and control over the people you pay to support you.

The advantages of self-managing are that you have more flexibility, choice, control, and freedom to choose any provider, regardless of whether they are NDIS registered or not as long as they relate to the goals outlined in your plan.

To learn more about building your self-management skills, view the Self-Management Capacity Buidling document.

Watch the video below for more information.

Does the NDIS fund registered nurses?

The NDIS is not designed to fund supports for health conditions provided by registered nurses. In some instances however, registered nursing may be funded in an NDIS plan only where it is considered necessary to provide education, training or intermittent monitoring to paid or unpaid carers in a particular task.

The NDIA planning process will explore the extent to which the needs of the person can be safely met by allowing the supports to be provided by a non-clinical person who has been given the appropriate training.
In most cases where the care cannot be delegated, the task would be considered clinical and therefore not the responsibility of the NDIS.

Appropriate assignment of these tasks to the health system or NDIS supports is critical to the ongoing financial sustainability of the NDIS.
Support coordination can also help participants access supports where their needs are complex and being met by both the NDIS and other service systems.

Questions from providers

What is the difference between a Service Agreement and a Service Booking?

A Service Agreement is a formal agreement between a participant and provider. They help to ensure there is a shared understanding of:

  • expectations of what supports will be delivered and how they will be delivered, and
  • each party’s responsibilities and obligations and how to resolve any problems that may arise.

A Service Booking is the way a participant engages with their chosen provider(s) online. The service booking nominates the type of service, dates of support, and funding to be allocated to a given provider.

Further information about Service Agreements can be found in Module 5 of the Provider Toolkit, and about Service Bookings in Module 6 of the Provider Toolkit which is available on the NDIS website.

Is it the participant’s or the provider’s responsibility to create a Service Booking?

Either the participant or the provider can initiate the Service Booking.

If the Service Booking is initiated by the provider, it will need to be accepted by the participant. The provider can indicate the participant’s acceptance in myplace.

If the Service Booking is initiated by a participant, the provider has 21 days to accept it in myplace.

For further information on Service Bookings refer to Module 6 of the Provider Toolkit, which is available on the NDIS website.