What is the NDIS? (National Disability Insurance Scheme)

The NDIS is an insurance scheme that has now been rolled out all over Australia. It provides substantial funds to those with disabilities and is part of a broader system of support for Australians with disabilities. Out of 23.5 million Australians there are 4.3 million diagnosed with some form of disability an of these 475,000 are likely to be eligible for NDIS support. So 89% of people diagnosed with a disability will not be eligible. The good news is that I can try and ensure that your child can get access to the scheme. You need to carefully complete all the application forms and have as much supporting documentation as possible. Documents need to be concise, relevant and describe as best as possible the whole life picture of the person applying for NDIS. If you are successful in your application for NDIS you’ll get the money divided in three parts. They are called:

  • Core – This is the most flexible and includes consumables, daily activities, assistance with social participation and transport.
  • Capacity building – to improve your day to day life and social interactions.
  • Capital – for things such as alterations to your house or “hard” items for example a hoist.
  • How the application has been done will effect how much you get in each part I cannot help with any capital cost. Things such stair lift, a hoist, building alterations and general accessibility issues. This is not an area I work in. I can help in the other two areas.

    Who do I work with? How can I help you apply? What happens after I get NDIS funding and how can I help? What plans are there?

Who do I work with?

Whilst I’m happy to work with most ages I usually work with the 7- 25 age group.

How well funded are these age groups with regards to NDIS?
In the 7- 14 group 59% of current recipients of NDIS list Autism Spectrum disorder (ASD) as their primary disability. That means in the 7-14 age group just shy of 73k recipients of NDIS list ASD as their primary disability. The average support package for this age group is approximately $20000 In the 15 – 25 age group 41% of current recipients of NDIS list ASD) as their primary disability. That’s 35k people supported by the NDIS in its current form and they usually receive around $40-70000 (this higher reflects independent living allowances). In total nearly a quarter of all recipients of NDIS funding are between 7 and 25 and list ASD as their primary disability. So with appropriate reports it’s likely you can get access to these funds. Each case is of course individual.

  • How can I help you apply?
  • What happens after I get NDIS funding and how can I help?
  • What plans are there?

If you’d like to find out more please get in touch.

These stats are from the Disability Services Council presentation.

How can I help you apply?

I can help take you through the process and try to maximise your chances of a successful application for NDIS funding. To this end I can evaluate your NDIS Access Required Form. This is the key document you will need to complete to start the process of applying for NDIS funds. You also need any supporting documents you might have and they need to be concise and relevant. I am also able to complete an observation of the person applying for NDIS, create a report, then use this report to add weight to your application. Once you start to move through the process to the planning phase I can work with you to focus on your NDIS “goals”. I can attend planning meeting with you to support your family through this process and provide support co-ordination of your plan once approved.

  • Who do I work with?
  • What happens after I get NDIS funding and how can I help?
  • What plans are there?

What happens after I get NDIS funding and how can I help?

There are 15 support categories in each of the three areas. I’m going to talk about core and capacity building as I can help with these two areas. I can’t help with any capital spending.

Your Core budget is the most flexible, and includes four categories of support:

  • Consumables (e.g. purchasing everyday use items such as continence aids)
  • Daily Activities (e.g. assistance with self-care activities during the day or evening)
  • Assistance with Social and Community Participation (e.g. supports to enable you to engage in social or recreational activities)
  • Transport (e.g. if you are unable to use public transport because of your disability).

The good news is you can generally use Core budget funds allocated against one support category to purchase supports under another support category. I can help with areas 2 and 3


The Capacity Building funding is allocated across eight support sub-categories, each matched with the goals you’ve come up with in your plan. You can choose how to spend these funds to purchase any approved individual support within its category, but won’t be able to move funding from one category to another. The Capacity Building support categories include:

  • Choice and Control e.g. training in planning and plan management
  • Daily Activity e.g. therapy aimed at building your capacity to participate
  • Employment e.g. employment related assessment and counselling
  • Health and Well being e.g. exercise advice required due to impact of disability
  • Home Living e.g. support to obtain/retain appropriate accommodation
  • Lifelong Learning e.g. assistance moving from school to further education
  • Relationships e.g. positive behavioral support strategies to reduce behaviors of concern
  • Social and Community Participation e.g. Individual life skills development and training including public transport training and support, developing skills for community, social and recreational participation. Support Coordination (if required) is included in the Capacity Building budget. This is a fixed amount for strengthening participant’s abilities to coordinate and implement supports in their plans and to participate more fully in the community.
  • If you’re on a self-managed fund or a plan managed fund you can use your money as long as you can prove it’s reasonable and necessary. The good news is all the things above I can help with and you can use your money to pay for my services.

What plans are there?

Once you’ve been allocated your funds you can decide one of three ways to use them.

  • Agency Managed – strictly stick to price guide, will choose your practitioners for you, registered practitioners only. Can be limiting
  • Plan managers – A plan manager is a third-party intermediary, they will process invoices and can process payments for registered or un-registered providers. This is a great way to start so a provider can take you through the various options and you can become confident with the process. Once you’re more confident you move to Self-managed participants.
  • Self-managed participants - There are no price caps on your treatment, either registered or un registered providers. You run your own programme and make your own claims – remember it’s got to be “reasonable and necessary”