Managing your NDIS plan
Options for managing the funded supports in your plan
There are 4 ways to manage the funding in your plan:
- Self Management
- Plan Management
- NDIA Agency Management
Self Management gives you maximum control over, and responsibility for, your NDIS funds. It allows you to use your preferred service providers, including both registered and non-registered providers of support. You can make decisions in line with your plan goals, including paying above the NDIS price guide limits or bargaining for a better deal from providers.
Plan Management gives you increased control over how your plan is used. The financial intermediary helps you to pay your NDIS support providers by processing claims and paying invoices on your behalf. Using a plan manager allows you to use registered and non-registered providers of supports, however you need to stick to the price limits determined by the NDIS price guide.
NDIA Agency Management gives access only to registered providers of NDIS supports. Registered providers claim for services provided directly from the NDIA provider portal. You can access the MyPlace participant portal to see what claims providers are making against your NDIS funds and monitor expenditure. Registered providers are only able to charge in accordance with the NDIS Price Guide.
A Combination of any of the methods of management might suit you. For example, NDIA agency management of Improved Daily Living will allow your Allied Health professionals (speech, OT, Psych) to claim directly for therapy services, while self-managing Core supports could give you the choice and control to directly engage a team of support workers to help around the home and in the community and stretch your budget further.
The NDIS Price Guide
The NDIS Price guide sets out the maximum amount that a Registered Provider of Supports can charge an agency-managed participant. The Price Guide also applies to the supports engaged by Plan Managed participants. Self-Managed participants are not bound by the price guide.
The Price Guide is updated effective 1 July 2017 and changes in price controls take into account market trends, changes in costs and wage rates.
There are separate Price Guides for:
- Very Remote
- Specialist Disability Accommodation
- Assistive Technology
What to do if you are unhappy with an NDIA decision
If you think a decision made by the National Disability Insurance Agency (NDIA) is wrong, you can submit an application for a review of a reviewable decision.
Many decisions made by the NDIA are reviewable, including things like being accepted as a participant, the provision of reasonable and necessary supports, and becoming a registered provider of supports.
A request for internal review of a decision must be made within three months of receiving notice of the decision from the NDIA. The staff member who works on the internal review will not have been involved in the earlier decision.
What if you are still unhappy after an internal review by NDIA
If you are still not happy after an internal review of the decision, you can apply for a review by the Administrative Appeals Tribunal (AAT). You cannot ask the AAT to review a decision by the NDIA until the decision has been internally reviewed by the NDIA.
For information about applying for a review by the AAT, see AAT: National Disability Insurance Scheme applicants or call 1800 228 333