Frequently Asked Questions

National Disability Insurance Scheme (NDIS)

 

1. What is the National Disability Insurance Scheme (NDIS)?

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The National Disability Insurance Scheme (NDIS) is an Australia wide scheme that will support people with a permanent and significant disability that affects their ability to take part in everyday activities. The NDIS will give people with disability more choice and control over how, when and where supports are received, and provide certainty that they will receive the support they need over their lifetime.

2. How will the NDIS work?

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If you are eligible for the NDIS you will receive funding on an annual basis to purchase reasonable and necessary supports that will help people with disability to pursue their goals, achieve increased independence and help them to participate in their community both socially and economically. The support can include education, equipment, health, well-being, employment and social participation.

3. What way will the NDIS help me?

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– By accessing services and supports by the health, education, housing and justice systems. These are referred to as mainstream services.

– Accessing community services and supports such as sporting clubs, community groups, libraries or charities.

– Supporting your informal care arrangements, this is the care and help you get from your family and friends.

– Receiving supports funded by the NDIS.

4. When will the NDIS be available in South East Sydney?

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From July, 2017, the NDIS will be rolled out in South east Sydney and all of NSW by July 2018; all eligible NSW residents will have access to funding.

5. What happens if I or my family member is over 65 years old?

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If you are aged 65 or over you are not eligible to participate in the NDIS. The new Federal Government “Living Longer, Living Better” program of aged care will provide additional care and support for living at home, additional help from carer’s and self directed funding.  For more information go to: www.myagedcare.gov.au

6. Who is the NDIA?

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The National Disability Insurance Agency (NDIA) has been formed to oversee the implementation of the NDIS. The NDIA is responsible for determining eligibility for the NDIS and undertaking planning with people with disability. Staff will assist participants to access the agreed supports identified in their plan and facilitate payment of providers if required.

 

7. Will I be contacted by the NDIA to sign up for the NDIS?

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If you are currently receiving funding through Ageing Disability and Home Care (ADHC) in NSW you may be contacted when the NDIS is available in your area, however it is always important to check, and if you have any concerns contact the NDIS directly. www.ndis.gov.au

 

8. How will the NDIS improve supports for people with disability?

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The NDIS offers people with disability choice and control over what supports are best for them.  The NDIS recognises that every person’s needs and aspirations are unique so a flexible approach is needed to make supports as accessible as possible.

The NDIS will offer various types of support to people with disability.  A range of supports including information and referrals links to services and activities and individual support plans will be available.

Access and Eligibility

 

1. Can I or my family member access the NDIS?

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From July, 2016 the NDIS will be gradually rolled out across NSW. If you or your family member live in an area where the NDIS is available and you meet the eligibility criteria you will be able to access the NDIS.

2. How will I know if I am eligible?

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The NDIS will provide funding to people who are 0-64 years of age, who have a significant or permanent disability and who need help with everyday activities. This includes people whose disability is attributed to intellectual, cognitive, neurological, sensory, or physical impairment, or a psychiatric condition. The NDIS website has a tool called My Access Checker. This application provides a series of questions to help people understand whether they may be able to access assistance under the NDIS.

3. What happens if I’m not eligible?

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People who are not eligible for funding under the NDIS can still get advice and information from the organisation.  For people who apply and are not successful there is a review and appeals process. Go to www.ndis.gov.au for more information on how to appeal a decision by the NDIS.

4. What is the assessment process?

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Your pathway for accessing support depends on your situation, your goals and choices. As a first step, complete the My Access Checker application online  www.ndis.gov.au/my-access-checker. If you are eligible and are in an area where the NDIS is operating, contact the National Disability Insurance Agency (NDIA) and arrange an appointment. You will then work with the NDIA to;

Confirm eligibility – at your first appointment, you will meet with a planner to confirm your eligibility.

Develop an individual plan – once your eligibility is confirmed you will meet with a planner to discuss your goals and aspirations for the life you want to live and the reasonable and necessary support you need to achieve this.

Choose your supports – if you wish, a local area coordinator can help you choose your supports based on your individual plan, or you can manage this yourself. This can include choosing your support providers.  Review your plan – From time-to-time, your planner will contact you to check whether your plan is still helping you work towards your goals.

5. My/My loved ones disability is a permanent one, do I really need to go through another assessment?

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Yes you will, but you will not have to constantly be reassessed for eligibility. The NDIA may also accept a current written assessment of your or your loved one’s disability. The initial assessment will determine eligibility and the level of support you require. The plan will be reassessed annually to ensure maximum benefit for the participant.

6. Will Windgap be able to carry out my eligibility assessment?

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No, the assessment process is managed by the NDIA, but Windgap is able to work with you prior to the assessment to help achieve the best possible outcomes for the person with disability.

Services and Support

 

1. What kinds of services, supports and equipment will the NDIS cover?

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The NDIS will fund “reasonable and necessary” supports that;

– Support people with disability to pursue their goals and maximise their independence, and

– Support people with disability to live independently and to be included in the community as fully participating citizens, and

– Develop and support the capacity of people with disability to undertake activities that enable them to participate in the community and in employment.

– The supports must assist the person with disability to pursue their goals, objectives and aspirations, encourage social and economic participation, represent value for money and be effective and beneficial for the participant.

– The NDIS will take into account existing supports provided through the state or Commonwealth and these existing supports may form the basis of the new plan. It has also been agreed that no person should be disadvantaged by the transition to the NDIS.

– Supports provided can cover areas such as Personal Care, Community Access, Transport, Interpreting and Translating and Employment. The funding covers services, supports and equipment.

Above all the NDIS has been designed to provide significant choice and control to people with disability.

2. Who decides what a “reasonable and necessary” support is?

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NDIA staff will make decisions based on the National Disability Insurance Scheme Act 2013 (NDIS Act) and the rules made under the NDIS Act. When NDIA staff members make decisions about which supports would be reasonable and necessary for a particular participant, they refer to the particular operational guideline that relates to each specific support. In order to be considered reasonable and necessary, a support must:

– Be related to the participant’s disability

– Not include day-to-day living costs that are not related to a participant’s disability support needs

– Be likely to be effective and beneficial to the participant, and

– Take into account informal supports given to participants by families, Carers,
Networks and the community.

3. What types of services and supports WON’T be funded?

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Supports that will not be funded include those:

– Which may cause harm to the person or others

– That is not related to the person’s disability.

– That duplicates supports received through other funding.

– Day-to-day living expenses (rent, food, household bills etc.).

4. What happens to my current supports?

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Under NDIS, you will have an opportunity to make your own decisions about what supports you need and who provides them.  You can choose to personally manage the funding for your supports rather than having it paid directly to a provider, or choose an intermediary to administer a plan on your behalf.

Your current support arrangements will continue until you move to the NDIS.  At that point you can meet with the NDIA to discuss your ongoing support needs and how these can be met through the NDIS.

5. What is continuity of support?

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Under the NDIS no one will be disadvantaged in the transition to the NDIS.  People who had been receiving state funded specialist disability support, but are not eligible for the NDIS, will maintain the same outcomes they received before the NDIS through arrangements including Information Linkage and Capacity building support.  They will transition to alternative arrangements over time.

Didn’t find the information you were looking for? Then ask! Click here and post a question to Ian – our NDIS Change Manager.