NDIS FAQ Guide: Clear Answers to Common Participant Questions

Navigating the complexities of the National Disability Insurance Scheme (NDIS) can be challenging for participants, their families, and caregivers. Koala Care Services’ NDIS FAQ Guide answers common questions about the National Disability Insurance Scheme.

This guide covers key topics like participant rights, available services, and plan management to help you make informed decisions about your NDIS plan.

General NDIS FAQs

What is the National Disability Insurance Scheme (NDIS)?

The NDIS is a government-funded program that provides support to eligible people with a permanent and significant disability.

Who can access the NDIS

Individuals aged under 65 with a permanent and significant disability who meet residency requirements may be eligible.

How do I find out if I’m eligible for the NDIS?

You can check eligibility criteria on the official NDIS website or contact the NDIS for an initial assessment.

Do I need a formal diagnosis to apply for the NDIS?

Yes, you generally need evidence of your disability from healthcare or allied health professionals.

How do I start the NDIS application process?

Contact the NDIS by phone or online, complete an access request form, and provide relevant medical documents.

NDIS Plan Management FAQs

What does plan management mean under the NDIS?

Plan management refers to how you manage your NDIS funding, including paying invoices and tracking expenses.

What is the difference between agency-managed, plan-managed, and self-managed plans?

Agency-managed plans are handled by the NDIS; plan-managed involves a plan manager; self-managed means you handle invoices and payments yourself.

Can I switch how my plan is managed partway through my plan period?

Yes, you can request changes during your plan review or by contacting the NDIS if circumstances change.

How do I choose a plan manager?

Look for registered plan managers who have experience, good communication, and strong organisational skills.

Can plan managers help me stick to my budget?

Yes, plan managers track expenses, alert you if you are overspending, and help ensure that funding lasts the entire plan period.

Choosing NDIS Providers FAQs

What should I look for in an NDIS provider?

Consider their registration status, experience, reputation, and how well they understand your needs.

Can I switch providers if I’m unhappy with their service?

Yes, you can change providers if you feel your needs are not being met, as long as you follow your service agreement terms.

Do I have to choose only NDIS-registered providers?

No, but choosing registered providers may offer more accountability, safeguards, and easier payment processing.

How do I find reputable providers in my area?

Seek support coordinator and peer recommendations, or use the NDIS Provider Finder tool online.

What should a service agreement include?

It should outline the support you’ll receive, costs, cancellation terms, and both your and the provider’s responsibilities.

Participant Rights and Responsibilities FAQs

What rights do I have as an NDIS participant?

You have the right to be treated respectfully, choose your support, access quality services, and make complaints if needed.

How do I ensure my personal information remains private?

NDIS providers must follow strict privacy policies and laws to protect your details.

Can I involve family or advocates when making decisions?

You can include trusted family members, friends, or advocates to help you make informed choices.

What responsibilities do I have under the NDIS?

You must use funding for intended support, keep track of expenses, and communicate changes in circumstances.

How do I report if my rights are not respected?

You can file a complaint with the NDIS Quality and Safeguards Commission or seek advocacy support.

Support Coordination FAQs

What is the role of a support coordinator?

A support coordinator helps you understand your plan, find suitable providers, and connect with community resources.

Is support coordination funded by the NDIS?

If included in your plan, the NDIS covers support coordination to help you manage and use your support.

How do I choose a support coordinator?

Look for someone experienced, knowledgeable about NDIS processes, and responsive to your communication style.

Can a support coordinator make decisions on my behalf?

No, they cannot make decisions for you. They guide you, but you control your plan and choices.

What if I’m not satisfied with my support coordinator?

You can request to change support coordinators by speaking to the NDIS or during your following plan review.

Specialist Disability Accommodation (SDA) FAQs

What is SDA?

SDA refers to housing designed for people with disability who require specialist housing solutions.

Who is eligible for SDA funding?

Participants with high support needs or extreme functional impairment may be eligible, pending an NDIS assessment.

How does SDA differ from standard housing?

SDA includes accessible bathrooms, wider doorways, or assistive technology to enhance daily living.

Do I need to pay rent in SDA housing?

Yes, participants typically pay a reasonable rent contribution, with the NDIS covering additional costs related to disability needs.

How do I find SDA properties?

Search through provider listings, speak with your support coordinator, or check the NDIS website for SDA housing options.

Supported Independent Living FAQs

What is Supported Independent Living (SIL)?

Supported Independent Living provides personal supports in a shared or individual living arrangement to help participants live more independently.

Who can access SIL?

Participants who need regular support with daily tasks, such as cooking, cleaning, or personal care, may access SIL.

How does SIL differ from SDA?

SIL focuses on support services within a home, while Specialist Disability Accommodation (SDA) focuses on the physical home design itself.

Can I choose who I live with in a SIL arrangement?

Yes, you can express preferences and try to find a living arrangement with compatible housemates.

How are SIL supports funded?

SIL supports are funded through a participant’s NDIS plan, usually under the Core Supports category.

Plan Review and Goal-Setting FAQs

When does a plan review occur?

A scheduled review usually occurs before your current plan ends, but you can also request an unscheduled review if needed.

How do I prepare for a plan review?

Gather information on your progress, note changes in your circumstances, and clearly define new or ongoing goals.

What if I need more funding at review time?

Present evidence from professionals, outline why additional supports are required, and show how they align with your goals.

Can I change my goals during a review?

Yes, a plan review is the time to adjust or add new goals based on your changing needs.

What happens if I disagree with the NDIS plan review outcome?

You can request an internal review of the decision or seek external appeals through the Administrative Appeals Tribunal.

Complaints and Feedback FAQs

How do I make a complaint about my NDIS provider?

Start by contacting the provider directly. If unresolved, approach the NDIS Quality and Safeguards Commission.

Can I complain if I’m unhappy with a service or support?

Yes, you have the right to express concerns if services do not meet expected standards.

Will making a complaint affect my supports?

Complaints should not negatively impact your existing supports; they are a tool to improve services.

How do I provide general feedback?

Contact your provider or the NDIS Commission if you have suggestions or commendations.

What is the NDIS Quality and Safeguards Commission?

It is an independent body that regulates NDIS services, handles complaints, and ensures participant safety and quality.

Specific Services (Therapy, Personal Care, Community Participation) FAQs

What types of therapies can the NDIS fund?

The NDIS may fund therapies such as occupational therapy, physiotherapy, speech therapy, and psychological supports if they relate to your disability.

How do personal care supports help me?

Personal care supports can assist with daily tasks like showering, dressing, and eating, promoting independence.

Can the NDIS fund community participation activities?

Yes, if activities help you improve social, communication, or life skills related to your personal goals.

What if I need equipment like wheelchairs or communication devices?

The NDIS can fund assistive technology under the Capital Supports category if it helps improve daily functioning.

How do I request new or different services in my plan?

Contact your support coordinator or the NDIS to discuss changes and provide evidence supporting why you need them.