Flexibility & Choice
Flexibility & Choice
Who decides what is reasonable and necessary?
• ‘The NDIS will provide participants, their families/carers with whatever is necessary to achieve their life goals and aspirations and to participate in the community to the fullest extent possible’ whilst ensuring the support ‘represents value for money in that the costs of the support are reasonable, relative to both the benefits achieved and the cost of alternative support’ eg NDIS will fund a wheelchair for a participant’s mobility needs but will not pay for decorations or special colours’ although the participant may pay for these additional items
• ‘Commonly available disability supports and services the NDIS covers include
• aids and equipment, home care, community care, personal care, domestic assistance, home and vehicle modifications and community access (camps, sport and recreational activities)
• Supports which are already available from other mainstream services including Health, Housing, Education and Aged Care sectors are unlikely to be covered by NDIS’
Is there choice and flexibility?
• A participant’s NDIS funding will be divided into two parts
• fixed supports which will need to be spent on specified supports such as equipment, home modifications, certain types of EI therapy services = those support services deemed necessary to ensure a participant’s goals or desired outcomes can be met + require certain skills or qualifications from the Service Provider’, and
• flexible supports which will be funded in more general terms enabling participants to switch funding from one item to another depending on their personal needs from week to week and which may include funding for recreational, community access and home-based support activities eg episodic mental health services and supports
What types of support will not be funded?
• ‘Supports that will not be funded include those that are
• likely to cause harm to the participant or pose a risk to others
• unrelated to the participant’s disability
• duplicate other supports provided under alternative funding
• part of day-to-day living expenses eg rent, groceries, School Fees
• related in any way to income replacement’
What are Early Childhood Intervention Supports?
• The provision of a mix of therapies with a Key Worker operating in a family-centred service model such as MDEIP is expected to fall into one of three categories
• Level 1 = low needs = $6 000 > $8 397 pa
• Level 2 = medium needs = $8 398 > $12 595 pa
• Level 3 = high needs = $12 596 > $16 794 pa
What about medical and other clinical services?
And… Centrelink will not be responsible for the overall administration of NDIS funds, however new NDIA offices will be situated in Centrelink offices and people will have a range of other ways to access the NDIS including online, face-to-face and by phone
Medicare covers health and medical costs