The NDIS can be really confusing, especially for people who haven’t had an NDIS plan yet. Once you break through the NDIS jargon and technical terms you will start to understand your plan, how to use your allocated budget and can unlock the potential of your plan to achieve your goals. Of course, your plan manager can also help you with this.
- National Disability Insurance Scheme
- National Disability Insurance Agency, the government department that delivers the NDIS
- Local Area Coordinators work for the NDIA to generate and authorise your plan.
Agency, Self or Plan Managed
- Types of ways you can choose to manage your NDIS funding. Here is more detail about each type of money management.
- Administrative Appeal Tribunal is where participants can go to appeal a decision made by the NDIA.
- Funded Supports are goods and services that the NDIS will pay for through your NDIS plan.
- An informal support is one that you receive from your family or a friend and or from other mainstream supports such as the education, mental health or health system. These are not paid for by the NDIS. For example, the NDIS in most circumstances won’t pay your grandmother to care for you or pay for medicine that should be paid for by the health system.
- Registered providers have gone through the NDIS registration process and can be used by all NDIS participants.
- Unregistered providers are those who have not gone through the NDIS registration process but can still be used by participants whose plans are self or plan managed.
Reasonable and Necessary Supports
- NDIS pays for supports that are ‘reasonable and necessary’ which means that they need to meet the NDIS’s criteria and be related to your disability and not an everyday expense.
- The NDIS price guide contains line item price limits that providers can charge NDIS participants and tells you what services you may be able to claim under support budget categories.
Budget Support Category
- In your plan you will have different budget support categories to claim different services from. There are three types of budget support categories: core supports, capital supports and capacity building supports. Within these three types of supports there are 15 budget support categories.
- A line item has a unique code, name/description of service and a unit/price. Your provider will pick a line item that reflects the service they are delivering to you. For example, if you’re using a cleaner they will claim using the House Cleaning and Other Household Activities line item.
- The core budget is funding to support all your assistance with day-to-day tasks that relate to your plan and life goals.
- Capital supports is a budget that funds products and technology to reduce the impact your disability.
- This budget pays for services to increase your capacity to undertake day-to-day tasks in all areas of your life.
Improved Life Choices
- This is the support category that your plan manager is paid from. The NDIS will add this budget on top of your care needs to pay your plan manager, meaning plan management is free for any NDIS participant.