Life Line Solutions > Understanding NDIS

How NDIS works

The term NDIS stands for National Disability Insurance Scheme. It (NDIS) provides support in the form of funding from the Australian government to people with disability, their families as well as their carers. The main element of the NDIS is tailored packages of support to eligible people living with a disability. The National Disability Insurance Agency (NDIA) determines whether a person is eligible to become an NDIS participant, and how much funding they will receive.

How NDIS works

An eligible person is required to go through a planning process with an NDIS representative to develop an NDIS plan. This plan will illustrate the  goals and needs of the participant based on information about the supports they require and will outline the level of funding they will receive.  The eligibility is outlined in the Eligibility section.

Helpful links
https://www.ndis.gov.au/applying-access-ndis/am-i-eligible

Eligibility

To be eligible for the NDIS:

  • Must be aged between 7 and 65
  • Meet residency requirements
  • Meet disability requirements

For full eligibility requirements refer to:
https://www.ndis.gov.au/applying-access-ndis/am-i-eligible

Support Categories

There are mainly three broad support categories which are further divided into categories

A. CORE

1. Assistive technology
This includes assistive equipment for activities, household tasks, personal safety and care. Vehicle modifications and vehicle equipment including the installation or changes to enable a participant to travel safely as a passenger or to drive.

2. Assistance with daily living
This includes overall household decision making with personal care and household tasks, assistance with tasks of daily life in shared living and independent living environment, short term accommodation like Respite care.

3. Assistance with social and community participation
This includes activities that build skills and independence such as sports, art and tuition fees as well as, classes and vacation activities that have capacity building.

4. Consumables
This is a category that will assist participants to purchase everyday items such as interpreting, translating, continence and home enteral nutrition (HEN) products.

5. Transport
This includes specialised transport to school education program, employment or community. As travel allows participants to involve in the community for educational, recreational and occupational purposes. Participants receive funds fortnightly in advance to pay for the services of their choice.

B. CAPITAL

1. Home modifications
This include a wide range of modifications to assist in home such as stair climber, elevator-home, grab rails, modification to toilets and bathroom, kitchen, laundry, or structural work.

C. CAPACITY BUILDING

1. Community and Social participation
This includes, community participation, out of school hours care (OOSH) life choices, active ageing, community access programs, vacation care, weekend programs, recreation, support, flexible respite, centre based respite and group fitness for people with disability.

2. Employment
This includes assistance in employment, transition to employment and employment preparation.

3. Improved relationships
This includes development and monitoring of management plan for individualised social skills development.

4. Improved health and wellbeing
Exercise physiology, personal training, dietician consultation and plan development.

5. Improved living
This includes overall household decision making with personal care and household tasks, assistance with tasks of daily life in shared living and independent living environment, Short term Accommodation like Respite care.

6. Improved learning
Transition through school and to further education.

7. Improved life choices
This includes financial agent setup costs, training in planning and plan management, financial skills, administrative skills and improving the participant’s ability to direct their supports to develop self-management competencies.

8. Improved daily living
Therapy to assist in the development of skills to increase independence and community participation and therapeutic supports.

9. Support Coordination
This is an assistance to strengthen participant’s ability to connect with mainstream and funded supports, and to boost capacity to sustain support connections.

Understanding an NDIS plan

To understand what a National Disability Insurance Scheme (NDIS) plan is to understand how to use funding, arrange supports and services, and work towards your goals.

There are three different ways to manage a plan

1. NDIS Managed: Is where you choose a registered NDIS provider to manage your plan and use the funds according to the goals and funds in the plan. The main benefit of this is that a participant does not have to track spending and manage the finances of your plan and can instead focus on organising and receiving services.

2. Self-Managed: Is where a participant handles his/her own plan. They will have to organise payment of your service providers and manually claim the money back from the NDIS. When a participant self-manages, they are solely responsible for the funding in their plan and will need to manage invoices, receipts and service bookings themselves. However, there are some disadvantages to this. Firstly, a participant is responsible for managing all costs, keeping records and ensuring that they use the funding in their plan appropriately and secondly, a participant may need to organise service agreements with their providers.

3. Plan Managed
Plan management is the method in which the funding in National Disability Insurance Scheme (NDIS) plan is managed. Plan management is the choice a participant makes about who is responsible for tracking their budgets and paying their service providers. The plan managed option provides more advantages of the self-managed option, as it reduces the administrative burden. However, a participant is still partially responsible for the appropriate spending of funds.

A fee to a plan manager is applicable for their services, however it is possible to receive funding in your plan for plan management. For more information Click here.

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