GUIDE: Service provider guide

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This guide will help you find out when you will start providing supports under the National Disability Insurance Scheme.

There are four steps for service providers to prepare for the NDIS. This guide explains what they are.

Step 1. Providers prepare for the NDIS

The New South Wales Government, the Commonwealth Government and the National Disability Insurance Agency are committed to supporting you to prepare for the NDIS.

In preparation for the transition, you should:

  • Ensure your client data is up-to-date and respond to any information requests from the NDIA
  • Adjust your business systems to reflect NDIS arrangements
  • Support your clients during the pre-planning process
  • Brief and train your staff on the changes

There are already a range of tools and supports available to assist you to operate under the NDIS. These are available through the Industry Development Fund, and can be accessed at idfnsw.org.au/

You can also talk to your Ageing Disability and Home Care contract manager about supports that are relevant to your organisation.

Step 2. Providers register with the National Disability Insurance Agency

Registration with the NDIA is essential if you want to provide support to people with disability under the NDIS. After registering, you will receive an NDIS Registration Certificate which allows you to provide services in the support categories listed.

To register: For more information on registering as a provider with the NDIA refer to www.ndis.gov.au/providers/nsw-registering-provider.html

Step 3: The NDIS rollout across New South Wales

From 1 July 2016, participants are able to access the NDIS if they live in the following areas:

From 1 July 2017, participants will be able to access the NDIS if they live in the following areas:

People who currently receive specialist disability supports through the NSW Government or a service provider funded by the NSW Government will move to the NDIS as it rolls out. How and when people with disability access the NDIS will depend on the type of support they receive now and where they live.

Current supports will continue until a person has moved to the Scheme and their NDIS plan is in place.

People living in large and small residential centres and group homes and people accessing hostels, attendant care, in-home support or alternative family placement:

People who currently access these supports living in year 1 districts will move to the NDIS first, between 1 July and September 2016.

These people do not need to apply for access to the NDIS. They will be contacted by the National Disability Insurance Agency (NDIA) when it is their turn to access the NDIS.

People who attend day, recreation and life skills programs as well as people who receive support from therapy, early or behaviour intervention programs or use case management services:   

Most people who currently access these supports living in year 1 districts are likely to move to the NDIS between 1 July and December 2016.

These people do not need to apply for access to the NDIS. They will be contacted by the NDIA when it is their turn to access the NDIS.

People accessing centre-based and flexible respite services:

Most people who currently access these supports living in year 1 districts are likely to move to the NDIS from 1 January 2017.

These people do not need to apply for access to the NDIS. They will be contacted by the NDIA when it is their turn to access the NDIS.

People accessing domestic or personal care assistance, personal care, meal services, home modifications and transport services:

People who currently access these supports need to apply for access to the NDIS. They will need to provide evidence of their disability as part of their NDIS access request. Information about providing evidence of disability can be found on the national NDIS website: https://www.ndis.gov.au/people-disability/access-requirements.html

If deemed eligible for the NDIS, most of these people living in year 1 areas will move to the NDIS from January 2017.

These people will be contacted throughout the year by the NDIA to apply, so they do not need to contact the NDIA directly.

From 1 July 2018, all eligible people living in NSW will be able to access the NDIS.

Step 4: Providers receive funding from participant individualised support packages

As your clients enter the NDIS, your ADHC contract manager will work with you to reduce your ADHC funding. This will be done through the development of a funding transition schedule based on anticipated transition timing for your clients.

Your clients then apply for the NDIS and if determined eligible, receive an individual funding package.

Participants can then choose to purchase supports from you, as set out in their NDIS Plan. The maximum prices for services will be determined by the NDIA based on ‘value for money’ and a reasonable cost of delivery.

The funding transition will be done by area in line with the transition schedule – for example, if you have contracts in the Central Coast (Year 1) and the Murrumbidgee (Year 2), only your contracts in the Central Coast will be varied in Year 1.

Not all participants will access the NDIS at the same time.

There may be a period during the rollout where you will receive a mix of New South Wales Government funding and NDIS funding – reconciliations will be done to ensure there is no duplication of funding.

The New South Wales Government and the NDIA are working together to create an adjustment process that is simple and ensures providers have a seamless change to the new payment arrangements.

Case Study: Registering for the NDIS for one service provider

This domestic assistance service provider is in Western Sydney.

Early 2016 – Registering as a provider

  • They apply to the NDIA to be a registered provider of ‘household tasks’ support under the NDIS.
  • They receive their NDIS registration certificate to provide household tasks.

July 2016 – Preparing for the rollout

  • They use Industry Development Fund resources to prepare their staff, systems and processes for the NDIS.
  • They decide what supports they will offer under the NDIS and the prices of these supports (following the maximum prices set by the NDIA).

July 2016 – June 2017 – Rollout of the NDIS commences

  • The provider claims payments from NDIA participants, and receives NSW Government funding for clients that haven’t entered the NDIS.

30 June 2017 – NDIS

  • The provider receives funding to provide services to NDIS participants through individual funding packages. Previous funding arrangements cease.

Why do they transition in January – July 2017?

This service provider is located in the Western Sydney area which has access to the NDIS from 1 July 2016.

Participants can access the NDIS anytime between July 2016 and June 2017. However, as they provide community care services most of the people currently receiving supports from this provider will likely access the NDIS between January to June 2017.