FAQs for Service Providers

 

What are the transition areas for the NDIS in NSW?

Providers delivering services to clients in the following FACS district areas will transition to the NDIS between 1 July 2017 and 30 June 2018:

  • Illawarra Shoalhaven
  • Mid North Coast
  • Murrumbidgee
  • Northern New South Wales
  • South Eastern Sydney
  • Sydney
  • Western New South Wales
  • Far West

The following FACS district areas are finalising their transition to the NDIS in 2016-17: Central Coast; Hunter New England; Nepean Blue Mountains; Northern Sydney; South Western Sydney; Southern New South Wales; and Western Sydney.

Does my organisation need to be registered with the NDIS under the NDIS?

Yes, it is essential that providers are registered with the National Disability Insurance Agency (NDIA). The NDIA cannot pay unregistered providers to deliver NDIS services to participants. ADHC will also have ceased funding the person once they have transitioned to the NDIS. Please refer to the NDIA website for more information on how to become a registered provider under the NDIS at www.ndis.gov.au

Why is my ADHC funding being reduced?

ADHC funding is being reduced in line with the transition of people into the NDIS. The NSW government has a bilateral agreement with the Commonwealth to establish the NDIS by July 2018. The agreement committed NSW to transition responsibility for disability support and funding to the Commonwealth. This means ADHC will no longer provide disability services or fund service providers to deliver disability services in NSW.

Why are my payments changing from quarterly to monthly?

All ADHC payments in 2017-18 will be paid monthly in advance, rather than quarterly. This change will take effect on 1 July 2017. This change aligns with the standard business practice of monthly billing cycles. The same change was made to service providers’ payments for services that transitioned in 2016-17

What will happen to block and individualised funding?

Block funding variations Block funded services will progressively transition to the NDIS in one of three funding cohorts. Funding may not necessarily cease at the exact time a person enters the NDIS if the person accesses ADHC funded services from different cohorts.

Individualised funding variations People with individualised funding packages are not grouped into a funding variation cohort. Funding for a person with individualised ADHC funding will cease when their NDIS support plan is approved.

Will my non-output service funding be varied?

No, ADHC will continue to fund in full all non-output services until 30 June 2018.

What is a Funding Cohort?

Block funded clients have been grouped into funding cohorts according to their service types. Funding variations are based on three separate cohorts of services, which will transition to the NDIS at different rates over the course of the 2017-18 financial year. For more information about cohorts, and which cohorts correspond with MDS service types, please refer to the ADHC Funding Variations 2017-2018 Fact Sheet.

How do I manually calculate my ADHC funding variations for 2017-18?

To calculate your funding variations, you will need to divide your annual payment into monthly payments (by dividing the annual payment by 365 and multiplying by the number of calendar days in the month). You will then need to reduce the monthly payment by the funding variation rates for each cohort as described below:

Cohort 1 Payments are expected to cease from August 2017 onwards. This is because all people in this cohort are expected to have completed their transition by the end of July 2017.

Cohort 2 Payments will be reduced based on two different rates at which people are expected to transition. In the first half of the 2017-18 financial year, 75% of people in this cohort are expected to transition. ADHC will therefore plan to reduce total funding by 75% during that six month period. This means ADHC will make a 12.5% funding variation that accumulates each month for six months. The 12.5% variation is calculated by dividing 75% by six. In the second half of 2017-18, the remaining 25% of people are expected to transition. This translates to a 4.16667% funding variation accumulating per month over a six month period. The percentage is calculated by dividing 25% by six.

Cohort 3 Transition rates are reversed for cohort 3. 25% people are expected to transition in the first six months of 2017-18 and the remaining 75% to transition in the second half of the year. This means the funding variations will also be reversed. Funding is planned to reduce at 4.16667% per month then changes to 12.5% per month.

Can I transfer ADHC funding from one DofS to another?

Yes, funding can be reallocated across services within the same funding cohort. This allows providers the flexibility to continue to deliver services with ADHC funding without being constrained by program based funding restrictions. This does not need to be approved by ADHC.

Can my organisation keep ADHC funding after a block funded person has transitioned?

Yes, but only the balance of that month’s payment. ADHC will reduce the next month’s payment to take into account all of the people that have transitioned.

Why is the NDIA not paying me the same amount of funding as ADHC?

The NDIA will make payments to a provider based on a person’s assessed needs and according to the NDIS pricing schedule. This means that the NDIA will not necessarily provide the same amount of funding that ADHC previously paid. Providers will need to understand and manage the cost of their services under the NDIS.

How does ADHC know people are transitioning as planned?

The NDIA shares information about the transition directly with ADHC. This allows ADHC to monitor transition rates and align as closely as possible the funding variations. ADHC will be continuously monitoring the rates at which people and funding transition throughout 2017-18. ADHC may consider changing the rate funding is varied if people transition significantly more quickly or more slowly than expected.

How do I know when my clients have transitioned to the NDIS?

Under the NDIS it is the right of participants, not ADHC, to determine how and when they will inform providers about the status of their NDIS support plans. It is not appropriate for ADHC to provide this information as the privacy of individual participants is paramount.

However, ADHC will provide de-identified client information, in the form of Statistical Linkage Keys (SLKs), to providers about clients that have transitioned to the NDIS.

SLK data is supplied to ADHC by the NDIA and contains information unique to each client. ADHC will aim to send SLK data to providers on a fortnightly basis within five working days of when we receive it. This will allow providers to plan in advance for the step down of funding, rather than responding to reductions in funding after it has occurred.

How do I read the Statistical Linkage Key?

The SLK is created as follows:

  • First three digits of SLK = 2nd and 3rd and 5th letters from surname
  • Next 2 digits of SLK = 2nd and 3rd letters of first name
  • Next 8 digits of SLK = Date of birth
  • Final digit = ‘1’ for male, ‘2’ for female, ‘9’ for unknown/other

So for example:

  • Name: JOHN SMITH
  • DOB: 01/01/1983
  • Gender: Male
  • Would show as MIHOH010119831
  • Where a birth date is a single digit number as above the SLK still uses a zero displayed as dd/mm/yyyy.

Where a client has a hyphen or symbol in their name, the SLK ignores it.

  • E.g. O’Reilly

The ‘E’ and ‘I’ count as the second and third letters for the SLK. And ‘L’ is the fifth. Where a client does not have a second, third or fifth character in their name the SLK uses the digit ‘2’ instead.

  • e.g. JOHN SMIT – male born 05/01/1975

SLK would show as: MI2OH050119751

  • e.g. SU LI – female born 15/05/2001

SLK would show as: I22U2150520012

Will my organisation continue to receive funding for people aged over 65 years?

People with disability who are 65 years are over are not eligible for the NDIS due to their age. As part of the transition, these people will receive ongoing support through continuity of support arrangements that are funded and administered by the Commonwealth Government Department of Health.

A Commonwealth Continuity of Support (CoS) program is already in place for clients over 65 years in the following FACS district areas: Hunter New England; Nepean and Blue Mountains; Southern New South Wales; Central Coast; Northern Sydney; Western Sydney; and South Western Sydney. People in other FACS district areas will phase into the Commonwealth CoS program in December 2017 and May 2018.

For more information about the Commonwealth Continuity of Support program, please got to: https://agedcare.health.gov.au/programs-services/commonwealth-continuity-of-support-programme or read the NDIS for over 65 Fact Sheet Alternatively, enquiries about the CoS program can be emailed to CommonwealthCoS@health.gov.au

What happens to people under the age of 65 who are ineligible for the NDIS?

People who had been receiving state-funded specialist disability support but are not eligible for the NDIS will maintain the same outcomes they received before the NDIS through arrangements including Information Linkage and Capacity building supports.

Continuity of Support arrangements for this group are expected to be agreed soon and the timing of these arrangements will impact on the timing which clients will be able to transition to alternative supports. FACS will then review how the start of the Continuity of Support arrangements for client under 65 is aligned with the timing of the funding variations for service providers.

Can my organisation appeal against the rate of funding variations?

There is no scope for appeal against the rate and the calculation of funding variations. However, you can submit requests for changes to funding that you believe are listed in the wrong cohort by sending an email to funding.administration@facs.nsw.gov.au.

ADHC will closely monitor the actual rate of people transitioning to the NDIS against expected numbers. We will consider the adjustment of funding variations where there is a significantly slower or faster transition rate than expected.

Who can I contact if I have more questions about my ADHC funding?

For further information about your ADHC funding, email funding.administration@facs.nsw.gov.au or call 1300 136 067. You can also talk to your FACS District contract manager about your funding and how people will transition to the NDIS.

For general information about the NDIS transition process in NSW please go to www.ndis.nsw.gov.au.