1 What is the NDIS? Working with the NDIS Provider Forum NSW October-November
1 What is the NDIS?
Working with the
NDIS
Provider Forum
NSW
October-November
2 What is the NDIS?
Introduction to the NDIS
• The National Disability Insurance Scheme (NDIS) is the new way of
providing individualised support for people with disability, their families and
carers.
• The National Disability Insurance Agency (NDIA) administers the NDIS.
• People with disability choose the providers they work with.
• Over 460,000 Australians with disability will enter the NDIS in coming
years.
• There are growth opportunities for providers who respond to this new
demand.
• Resources and tools will be available to help providers adjust to the new
market environment.
3 What is the NDIS?
The NDIS path ahead
Projected Growth in NDIS participation - Source: NDIA Actuary
4 What is the NDIS?
Context Context
Overall Context
Sourced from: Parliamentary Library The National Disability Insurance Scheme: a quick guide
How does the NDIS market compare
with other comparable markets?
5 What is the NDIS?
Types of services funded under
the NDIS
• For a support to be funded it needs to be reasonable and necessary and be
linked to an outcome in a participant’s plan.
• Supports must be related to the participant’s disability and help them to
reach their goals.
• They must help a participant to build the skills they need to live the life they
want, including opportunities to work, further their education, volunteer or
learn something new.
• This may include undertaking activities or funding equipment aimed at
increasing their independence, inclusion, and social and economic
participation.
• The funding model that underpins the NDIS is designed to be flexible and to
allow service innovation. Importantly, the supports delivered will be chosen,
and paid for out of an individually allocated budget to each participant.
6 What is the NDIS?
What doesn’t the NDIS fund?
• There are rules for the NDIS that mean some supports cannot be
funded in an NDIS plan
• The NDIS will not fund:
– Supports that are not related to a person’s disability
– Supports that are funded by a different mechanism or system,
such as Medicare or the Health system
– Day-to-day living costs that everyone pays for such as food,
electricity and water
– Things that may cause harm
7 What is the NDIS?
Establishing the service
approach
Information and Community Linkages (ILC) supports will be delivered
through five streams of activity:
• Information, linkages and referrals
• Capacity building for mainstream services
• Community awareness and capacity building
• Individual capacity building
• Local area coordination
Partners in the community:
Local Area Coordinators (LACs) and Early Childhood Early Intervention
(ECEI) partners will support some participants and their families to join in and
contribute to the life of their community and assist with the planning process,
plan implementation and community participation.
8 What is the NDIS?
Local Area Coordination
• Local Area Coordinators (LACs) will support participants and their families to join
in and contribute to the life of their community and assist with the planning
process, plan implementation and community participation.
• The NDIA has already partnered with Uniting and St Vincent de Paul Society
NSW to deliver NSW LAC services during transition from January 2016 – 30
June 2018.
• LACs will support participants through all steps on the pathway, except access.
• LACs will assist all NSW participants transition to the NDIS, except participants
living in large residential centres.
• Most participants (60%) will also have an LAC assist with plan implementation,
others (30-40%) may need more frequent and funded support coordination.
• The LAC partner for the Murrumbidgee Area will be announced in the coming
months
9 What is the NDIS?
Support Coordination
Primary roles of Support Coordinator are:
• Support implementation and identify options for all supports in the plan, including
informal, mainstream and community, as well as funded supports.
• Strengthen and enhance the participant’s abilities to coordinate supports and
participate in the community, reach decisions and develop agreements with support
providers.
• Ensure mainstream services meet their obligations (i.e. housing, education, justice,
health).
• Build capacity of the participant to achieve greater independence, self-direct supports
in the longer term and understand funding flexibility.
• Be available – to ensure new support arrangements endure and in times of ‘crisis’.
• Provide NDIA with reports on outcomes and success indicators within agreed reporting
frequency.
10 What is the NDIS?
Differences between LAC, Planner &
Support Coordinator
LAC Planner Support Coordinator
Uniting and St Vincent de Paul Society NSW until 30 June 2018.
NDIA Staff NDIA Registered Service Providers
Conduct information gathering process for participants streamed as general, supported and intensive.
Conduct information gathering for participants in large residential centres and those who are streamed as super-intensive.
X Do not conduct information gathering
X Do not make reasonable and necessary decisions or approve plans.
Make reasonable and necessary decisions in accordance with the NDIS Act 2013, approve plans.
X Do not come into contact with NDIS participants until they have an approved plan.
Support participants streamed as general or supported to implement and review their plans.
X Do not support participants to implement their plans.
Support participants streamed as intensive and super-intensive to implement and review their plans.
11 What is the NDIS?
Early Childhood Early Intervention
(ECEI) Approach
• The process of providing specialised support and services for
children aged 0-6 years with a disability or developmental delay,
and their families, in order to promote development, well-being
and community participation.
• Focuses on family centred practices delivered in a child’s natural
settings.
• Builds on family strengths and growing the capacity of mainstream
and community services to support children with developmental
delay or disability, leading to greater inclusion for children.
12 What is the NDIS?
ECEI pathways
Meet with your local Transition Provider to discuss concerns
Be supported by the Transition Provider to set goals for your child and family
Be assisted to understand which supports will help achieve those goals
The supports and services will look different for every child because they are
based on the individual child and family needs but may include
Help accessing individual
supports under an NDIS Plan
Initial Early Childhood
interventions & strategies eg:
therapy sessions
Information, guidance and connection to services in the
community
Your child’s progress will be tracked against your goals, and the support team
will work towards improving your child’s functional outcomes, so they can
achieve greater independence and participation in their everyday activities.
13 What is the NDIS?
Providers: a key partner in the NDIS
• Provider is a term used to describe an individual or organisation that delivers a support or a product to a participant in the NDIS. Participants have an individualised plan that identifies the outcomes they wish to achieve, the supports that will be funded by the NDIS and other supports the person requires.
• Providers are key to delivering high quality supports to help participants realise their goals.
• The NDIS requires providers to change their business and service models; this creates both challenges but great opportunities for new products, innovations to support NDIS participants.
• The NDIS provides the opportunity for the development of a strong, diverse, mixed market providing lots of choice for people with disability.
14 What is the NDIS?
The Provider Pathway
15 What is the NDIS?
Get ready checklist
• Do I have a basic understanding of the goals of the NDIS and the role of a provider?
• Do I provide services and supports that are covered under the NDIS?
• Do I understand what NDIS participants want and need from me/my organisation?
• Do I have the right qualifications and/or experience to deliver services?
• Am I registered with a relevant national professional body?
• Do I meet the other criteria in the NDIS ‘Declaration of Suitability’?
• Do state or territory accreditation requirements apply to the services I wish to deliver and do I know what documents I need to supply to the NDIA as evidence?
• Can I comply with the NDIS Terms of Business?
• Do I have any potential conflicts of interest to declare or manage?
• How much will I get paid, and how do I get paid, for the services I want to provide?
• Do I need to become a Registered Provider?
• What is involved in becoming a Registered Provider?
16 What is the NDIS?
Quality and Safeguards
17 What is the NDIS?
Quality and Safeguards cont.
• Compliance with the Transitional Working Arrangements will be a condition of your ongoing registration to provide NDIS services
• Registration of new providers that are not currently operating under a funded service agreement, but wish to provide specialist disability supports in NSW, will need to provide evidence of third party verification (TPV) against the NSW Disability Services Standards (or comparable standards).
• The NSW Government and the NDIA take quality assurance and safeguards very seriously, and regard compliance with the NSW Disability Service Standards as essential to protect and promote the interests of NDIS participants.
• The NDIA will not register specialist disability support providers until evidence that TPV has been undertaken is uploaded to the NDIS Provider Portal.
18 What is the NDIS?
Registering as a provider in
myplace checklist
• Register for a PRODA (Provider Digital Account) through the myplace provider portal NDIS website
• Create a myplace account
• Submit an ‘intent to register’ through myplace
• Select the registration groups to register for (types of services or supports you will offer)
• Read and sign the ‘Declaration of Suitability’ and upload to myplace
• Provide supporting evidence and documentation (as required) and upload to myplace
19 What is the NDIS?
Portal Home Page
20 What is the NDIS?
Stay informed
• www.ndis.gov.au/ndis-ready
• Sign up for newsletters
• Webinars
• Social media
• Check state information
www.ndis.gov.au
• Sign up to the NDIS Provider
Newsletter
NDIA resources
• New provider toolkit
– Registration information
– Terms of Business
– Guide to suitability
• Price guide and support lists
• Specialist Disability
Accommodation Decision Paper
• Updated Operational Guidelines
(incl. supports that can be funded)
• Information market activities on
web: Market information and
useful links
NDIS ready
21 What is the NDIS?
Questions?
Visit: www.ndis.gov.au
Phone: 1800 800 110
8am-8pm eastern standard time weekdays
Email: [email protected]