Q and A - 1 September

Posted on 01 September 2017

How does the NDIS figure out how much funding you get in your plan?

NDIS plans are tailored to each person’s individual needs so funding will vary, depending on the person’s support needs.

When you meet with an NDIS representative, to develop your plan, you will be asked about your current situation and what supports you receive, and how you manage everyday activities, like taking a shower or cooking your meals. This information helps to form the basis of your plan, working out your supports; how they are reasonable and necessary; how they link to your immediate needs, and how the NDIS can help you to work towards achieving your goals.

Once you complete the planning process you will receive an individualised funding amount, which you have choice and control over the supports you receive.

Visit the “My first plan” page on the NDIS website for more information.

What are the differences between being plan-managed and self-managed?

When we talk about managing a plan, we mean the way you manage the financial transactions involved with accessing supports as part of your plan. There are four ways to manage plan budgets:

  1. Self-managed budgets
    Self-managing your plan means the NDIS will pay you directly for the supports you claim under your plan’s budgets. Being self-managed allows you to choose any provider, whether they are registered with the NDIS or not. Find out more about how self-managing your plan works in the self-managing your plan factsheet.
  2. Agency-managed budgets
    When the NDIA manages your plan, the NDIS will directly pay your support providers for you. You have to choose registered NDIS providers if the NDIA manages your plan.
  3. Plan Management
    If it’s the best option for you, you may have funding for a Plan Management service provider included in your plan. In this situation, the NDIS will pay your Plan Manager, who will directly pay for all supports you have asked them to manage.
  4. Combination of the above three options can be used together. No matter which option you choose, you remain in control of which support providers you ultimately choose and engage.

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.

How common is it to experience a gap between the end of your first plan and the start of the new one?

A small number of NDIS participants may have a gap between their current plan’s start date and the previous plan’s end date.

If a participant is waiting for a plan review and their plan has expired, and if a support is in line with what a person was previously receiving in their plan, the NDIA will cover the expense.

The NDIA will extend the old plan to the day before the start of the next plan.

This will enable providers to receive payment under your old plan for services they may have provided during the gap period.

For more information see the Paying providers when there is a gap in-between plans factsheet (PDF).

I am self-managed. Do I need to pay invoices upfront and then claim for a reimbursement? How long does a reimbursement take?

As a self-managed participant, you can choose how you wish to pay your service provider’s invoices.

Some participants pay their invoice as soon as it comes through, and then request a payment (reimbursement) via the myplace participant portal.

Other participants may choose to request a payment through the myplace participant portal and once the money has been deposited into their nominated bank account, they pay their service provider.

It’s up to you.

It usually takes 24 hours for the payment request to be processed through the myplace participant portal and be deposited into your nominated bank account.

Find out more about self-managed plans in this factsheet (PDF).

Can you explain when a Local Area Coordinator would provide support to help me implement my plan and when the NDIA might fund either support connection or support coordination to help me implement my plan?

NDIS Partners in the Community are organisations who have partnered with the NDIA to deliver the NDIS Early Childhood Early Intervention (ECEI) services for children 0-6 and Local Area Coordination (LAC) for people aged 7 and over.

When a Partner is delivering LAC services is in place in an area, they will:

  • Be your contact for the NDIS
  • Link you to information and support in the community and mainstream services such as health and education
  • Work with their local community to make sure it is more welcoming and inclusive for people with disability.
  • Support to understand the Access process for the NDIS, and
  • For a majority of participants, LACs will work with you to develop your plan, and support you to implement your plan including how to use the portal, connect with funded supports and begin to access services, they will support you throughout your plan to monitor how your plan is going, and review your progress regularly.

Support Coordination is a capacity building support to implement all supports in a participant’s plan, including informal, mainstream, community and funded supports.

Support Coordination is included in a participant’s plan if it is reasonable and necessary for the individual.

Where there is no NDIS Partner LAC services in place, the NDIA may fund additional supports such as Support Coordination in your plan until LAC services come on board in your region. When the LAC services are in place it is expected a majority of participants will transition to work directly with LACs to connect to supports and review their plan.

LACs will provide a single point of contact for a majority of NDIS participants and help you to develop, implement and get the most out of your plan.