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Since 1 October 2019, additional disability-related health supports have been available to purchase using NDIS funding. The need for these supports must directly relate to an NDIS participant’s functional impairment, where the support need is ongoing and is and most appropriately funded or provided by the NDIS.
The inclusion of disability-related health supports into NDIS funding packages provides an opportunity for providers to consider registering as an NDIS provider.
In many situations, participants may be able to select their existing provider to deliver these supports.
A participant or their nominee will be able to work with the provider and explain what supports are funded and at what level. The provider should then create a service agreement and service booking in the NDIS myplace portal so they can start delivering services.
The number of participants funded for disability-related health supports is expected to grow significantly in the next 12 months. There are market opportunities for providers who are already registered or are considering registering to provide these types of supports.
The health system will continue to be responsible for the diagnosis, early intervention and clinical treatment of health conditions, ongoing and chronic health conditions not related to a participant’s disability, time limited (non-ongoing) and palliative conditions, rehabilitation, convalescent care or acute/post-acute care (e.g. hospital and Hospital in the Home).
NDIS participants will be able to pay for disability-related health supports through their plan budget. This means they can choose how their supports are provided.
The NDIS Pricing Arrangements and Price Limits is a key reference to help participants, providers, plan managers and support coordinators discuss and prepare to include disability-related health supports in eligible NDIS plans.
The additional disability-related health supports pricing structure and support levels are included in the NDIS Pricing Arrangements and Price Limits.
As we roll out the new funding approach for disability-related health supports, some supports may continue to be delivered by the state and territory health services until a participant has a plan reassessment.
Prior to a plan reassessment, participants will be able to purchase most disability-health related supports flexibly within their existing NDIS budget, including nursing and allied health services. For Assistive Technology valued over $1500, this will need to be specifically included in a participant’s plan at their reassessment.
Find out more about specific disability-related health supports in our guideline.