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10B Washington Street, Port Lincoln, SA 5606 (by appointment only)
On October 3rd, a major milestone for the National Disability Insurance Scheme (NDIS) arrived with the release of the new NDIS Act. This update marks a significant moment for participants, carers, and service providers across Australia. The new Act introduces key changes aimed at improving the accessibility, flexibility, and efficiency of the scheme, particularly through the introduction of NDIS Support.
In this blog, we'll explain what the new NDIS Act is about and how the NDIS Supports List will help improve the support available to participants.
The NDIS Act is designed to make sure individuals with disabilities receive the necessary support to live fulfilling and independent lives. The new legislation reflects the Australian Government's commitment to eliminate funding confusion, prevent misuse, and ensure accountability.
The new funding rules override "choice and control" and "reasonable and necessary" considerations. Both participants and providers must comply with these new regulations, as failing to do so could lead to funding denials, plan changes, or other consequences.
If providers are plan managers or support coordinators, they should actively engage with their clients to explain the implications of these changes. Providers are urged to assist participants, families, and carers in understanding the changes. To aid these discussions, they should familiarise themselves with specific resources:
The new funding rules mean stricter eligibility enforcement—only supports directly related to a participant’s impairment will be covered. This means you cannot justify expenses by linking them broadly to your disability.
Additionally, plan reviews and compliance checks will be more frequent. If you do not provide the required information when asked, you risk losing funding or facing other penalties.
Make sure to check ‘What does NDIS fund?’ to understand what services and supports are funded by the NDIS.
From 3 October 2024, the NDIS will no longer cover the following expenses under any circumstances:
These exclusions are now law and override choice and control principles. Make sure your support aligns with the new guidelines.
For more details on what was not covered, you could refer to:
The NDIS will continue to cover reasonable and necessary supports that help participants live independently, engage in the community, and achieve their goals. These include:
These supports are assessed case-by-case and must be directly related to the participant’s disability. View the Fully Funded Supports List:
In some cases, the NDIS may allow replacement support if they:
These supports are only funded if approved by the NDIS and must meet specific criteria. For more information on replacement supports, you could refer to:
Since October 3, 2024, several major updates have been implemented under the new NDIS Act. Here are some of the key things to take note:
Individuals can only meet the access criteria if they are able to prove that the support they seek qualifies as an NDIS support. This applies to both the disability and early intervention sectors of the NDIS. Furthermore, when individuals apply for the NDIS, the agency will let them know if they qualify for early intervention services, disability support, or both.
The National Disability Insurance Agency (NDIA) has the authority to ask participants for information or assessments to determine if they still qualify for the NDIS. Under this reassessment:
If an individual loses their status as an NDIS participant, they have the right to ask for a review of that decision. However, they will not be able to submit a new application to access the NDIS again until the review process is finished.
The NDIS will only provide funding for supports related to impairments that the National Disability Insurance Agency (NDIA) believes meet the access criteria at the time of planning. The types of impairments considered include:
Currently, participants in the NDIS do not have access to information about the specific impairments the NDIA has attributed to them or how accurate that information is. But in the future, the NDIA intends to send out notices to participants, detailing the categories of impairments they recognise for each individual. This will then help participants understand what impairments the NDIA has recorded for them.
All plans will have 12-month funding periods, which means participants will receive their funding in portions. In 2025, some participants may have shorter funding periods. These plans are referred to as "old framework plans" until further changes are introduced.
When a plan is reassessed, it will now include:
As discussed, the new NDIS Act will specify supports that are not typically funded by the NDIS, and participants should review this list to understand the exclusions. However, if a participant believes that a restricted support is essential for their care, they have the option to request a substitution, known as a replacement support.
To get a replacement support approved, participants must demonstrate that it will lead to the same or better outcomes and provide the same or better value for money compared to the current NDIS support. The NDIA will evaluate these requests based on specific criteria to check if the proposed replacement aligns with the goals of the NDIS.
Nonetheless, even if the criteria are met, the NDIA still has the authority to deny the substitution, and that decision cannot be appealed. Specific details about how to apply for a substitution of an unfunded NDIS has not yet been provided or clarified.
The NDIA will have new procedures to take action if they believe a participant is not using their NDIS funding according to their plan or for approved support. These actions may include changing how the participant's plan is managed or adjusting the funding periods.
Additionally, they could raise a debt if funds are misused. Participants can appeal changes to plan management and funding periods, and they can also request the NDIA to waive any debt. If the NDIA denies the debt waiver, that decision can also be appealed.
NDIS providers are now required to submit claims for support within two years of the services being rendered. This change takes effect on October 3. However, the NDIA will still honour claims submitted for support provided prior to this date for a duration of 12 months.
The NDIS is set to introduce several important updates in 2025 that will impact both new and existing participants.
Starting 1 January 2025, all new participants will receive an impairment notice explaining whether they qualify through the disability or early intervention pathway. Existing participants will receive notices when transitioning to new plans.
A new system will provide early intervention packages and extra support for children under nine with developmental delays or disabilities.
By July 2025, an independent review will examine how much the NDIS pays for art and music therapy and whether these supports provide good value.
The NDIA will work with the disability community to create more personalised, transparent, responsive assessment and budgeting processes.
All participants will transition to new framework plans over the next five years, starting within 12–18 months. These plans will be developed through standardised needs assessments to tailor support better.
For more information, visit the official NDIS website:
NDIS Legislation Changes Summary
The new NDIS Act, which was released on October 3rd, along with the NDIS supports list, is a big step forward in improving support for Australians with disabilities. Due to these changes, participants can easily understand their options and make better choices about their care.
As the NDIS continues to evolve, participants, families, and caregivers can look forward to a system that is more responsive to their needs, so that everyone has the opportunity to lead a fulfilling life.
At Empowrd, we are here to make your life easier. Based in Port Lincoln on the Eyre Peninsula, we offer a personal, accessible and holistic approach to NDIS Plan Management and Support Coordination.
We provide Plan Management services across Australia, assisting with financial administration, and offer Support Coordination to participants in Port Lincoln and Eyre Peninsula, connecting them with the right supports and providers. Our goal is to ensure your NDIS plan works for you, so you can focus on achieving your goals and doing what you love.
Our Independent Support Workers Education Portal provides everything you need to navigate the NDIS, find work, and confidently offer services as an Independent Support Worker. For just $65, you will gain access to comprehensive guides, essential resources, and ready-to-use templates to streamline your work.
Inside, you will find:
Need just the templates? You can also purchase them separately as standalone resources.
If you are ready to be Empowrd to live your life to the fullest, let us steer you on the right path.
If you are ready to be Empowrd to live your life to the fullest, let us steer you on the right path. To get started, all you have to do is sign up using our online enquiry form and we’ll get back to you shortly.
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