NDIS Provider UpdateOctober and November 2016
Contents
Contents
Slide 1: Introduction to the NDIS
Slide 2: The NDIS path ahead
Slide 3: How does the NDIS market compare with other comparable markets?
Slide 4: Types of services funded under the NDIS
Slide 5: What doesn’t the NDIS fund?
Slide 6: Establishing the service approach
Slide 7: Local Area Coordination (LAC)
Slide 8: Support Coordination
Slide 9: Differences between LAC, Planner & Support Coordinator
Slide 10: Early Childhood Early Intervention (ECEI) Approach
Slide 11: ECEI Transition Approach
Slide 12: Providers: a key partner in the NDIS
Slide 13: The Provider Pathway
Slide 14: Get ready checklist
Slide 15: Quality and Safeguards
Slide 16: Quality and Safeguards continued
Slide 17: Checklist for Registering as a provider in myplace
Slide 18: Portal Home Page
Slide 19: NDIS ready
Slide 20: Questions?
Slide 1: Introduction to the NDIS
•The National Disability Insurance Scheme (NDIS) is the new way of providing individualised support for people with disability, their families and carers.
•The National Disability Insurance Agency (NDIA) administers the NDIS.
•People with disability choose the providers they work with.
•Over 460,000 Australians with disability will enter the NDIS in coming years.
•There are growth opportunities for providers who respond to this new demand.
•Resources and tools will be available to help providers adjust to the new market environment.
Slide 2: The NDIS path ahead
•During the NDIS trial phase, from July 2014 to July 2016, approximately 30,000 people with disability entered the NDIS.
•This financial year, around 117,000 people with disability across Australia will gain access to the NDIS.
•It is estimated that there will be more than 460,000 participants in the NDIS at Full Scheme, by 2019-20.
•As people with disability on existing services transition into the NDIS, there will be need for an expansion in the total supply.
Slide 3: How does the NDIS market compare with other comparable markets?
•The cost of the NDIS will increase substantially over the next four years while it is progressively introduced: from around $4.2billion in 2016–17 to $21.6billion in 2019–20.
•However, the Commonwealth Government will only be responsible for just over half ($11.2 billion) of the annual cost of the scheme. State and territory governments will contribute the remaining costs.
•The estimated annual cost will not be much more than the amount projected to be spent by the Australian Government on Aged Care or the Disability Support Pension (DSP), more than the current annual cost of the Pharmaceutical Benefits Scheme (PBS), and not substantially less than the current annual cost of Medicare.
Slide 4: Types of services funded under the NDIS
•For a support to be funded it needs to be reasonable and necessary and be linked to an outcome in a participant’s plan.
•Supports must be related to the participant’s disability and help them to reach their goals.
•They must help a participant to build the skills they need to live the life they want, including opportunities to work, further their education, volunteer or learn something new.
•This may include undertaking activities or funding equipment aimed at increasing their independence, inclusion, and social and economic participation.
•The funding model that underpins the NDIS is designed to be flexible and to allow service innovation. Importantly, the supports delivered will be chosen, and paid for out of an individually allocated budget to each participant.
Slide 5: What doesn’t the NDIS fund?
•The NDIS Act and the associated rules tell us which supports will not be funded by the NDIS.
•The NDIS will not fund:
–Supports that are not related to a person’s disability
–Supports that are funded by a different mechanism or system, such as Medicare, Education or the Health system
–Day-to-day living costs that everyone pays for such as food, electricity and water
–Things that may cause harm or pose a risk to others
Slide 6: Establishing the service approach
•The NDIS is not just about funded supports but it’s also about helping people with disability become included in the community and gain independence.
•Information, Linkages and Capacity Building (ILC) supports will be delivered to build community awareness, inclusion and accessibility by harnessing the skills of the disability sector to develop diverse and innovative solutions.
•Organisations across Australia will be able to compete for grant funding to deliver ILC activities across five priority areas:
•Information, linkages and referrals
•Capacity building for mainstream services
•Community awareness and capacity building
•Individual capacity building
•Local area coordination
•Partners in the community will become a critical feature of the NDIS. Agency partners will be an important connector for participants and other people with disability to access information/referrals and supports/services they need.
•Local Area Coordinators (LAC) are key partners who will focus on participant capacity building, including NDIS plan development, implementation and review.
Slide 7: Local Area Coordination (LAC)
- NSW LACs will support participants and their families to join in and contribute to the life of their community, participant plan readiness and plan implementation. LACs will support participants through all steps on the pathway, except access.
- LACs will assist all NSW participants transition to the NDIS, except participants living in large residential centres.
- Most participants (60%) will also have an LAC assist with plan implementation, others (30-40%) may need more frequent and funded support coordination.
- The NDIA has already partnered with Uniting and St Vincent de Paul Society NSW to deliver NSW LAC services during transition from January 2016 – 30 June 2018.
- For the first year, Uniting LAC’s will be in the districts of Nepean Blue Mountains, Northern Sydney, Western Sydney and Southern NSW from February 2016. Illawarra Shoalhaven district will commence in 2017. St Vincent de Paul LAC’s will be in the districts of South Western Sydney, Central Coast and Hunter New England. Sydney and South Eastern Sydney districts will commence in 2017.
Slide 8: Support Coordination
The roles of Support Coordinators are to:
- Support implementation and identify options for all supports in the plan, including informal, mainstream and community, as well as funded supports.
- Strengthen and enhance the participant’s abilities to coordinate supports and participate in the community, reach decisions and develop agreements with support providers.
- Ensure mainstream services meet their obligations (i.e. housing, education, justice, health).
- Build capacity of the participant to achieve greater independence, self-direct supports in the longer term and understand funding flexibility.
- Be available to ensure new support arrangements endure and in times of ‘crisis’.
- Provide NDIA with reports on outcomes and success indicators within agreed reporting frequency.
Slide 9: Differences between LAC, Planner & Support Coordinator
Local Area Coordinators
- Are from Uniting and St Vincent de Paul Society NSW until 30 June 2018.
- Conduct the planning process for participants streamed as general, supported and intensive.
- Do not make reasonable and necessary decisions or approve plans.
- Support participants streamed as general or supported to implement and review their plans.
Planners
- Are NDIA Staff
- Conduct the planning conversation with participants in large residential centres and those who are streamed as super-intensive.
- Make reasonable and necessary decisions in accordance with the NDIS Act 2013, approve plans.
- Do not support participants to implement their plans.
Support Coordinators
- Are NDIA Registered Service Providers
- Do not conduct the planning conversation with participants
- Do not come into contact with NDIS participants until they have an approved plan.
- Support participants streamed as intensive and super-intensive to implement and review their plans.
Slide 10: Early Childhood Early Intervention (ECEI) Approach
- The ECEI approach is the process of providing specialised support and services for children aged 0-6 years with a disability or developmental delay, and their families, in order to promote development, well-being and community participation.
- It focuses on family centred practices to build on the strengths and capacity of the family to help their child develop and use new skills.
- It supports greater inclusion in a child’s everyday environments such as at home, childcare, playgroup, sporting and community activities.
- It also builds on family strengths and growing the capacity of mainstream and community services to support children with developmental delay or disability, leading to greater inclusion for children.
Slide 11: ECEI Transition Approach
•In NSW the ECEI approach will be delivered by a Transition Provider.
•Children and their families can access supports and services through an ECEI transition provider through the following pathway:
1)Meet with your local Transition Provider to discuss concerns
2)Be supported by the Transition Provider to set goals for your child and family
3)Be assisted to understand which supports will help achieve those goals.
•The supports and services will look different for every child because they are based on the individual child and family needs but may include:
- Information, guidance and connection to services in the community
- Initial Early Childhood interventions & strategies, e.g. therapy sessions
- Help accessing individual supports under an NDIS plan
•The child’s progress will be tracked against their goals, and the support team will work towards improving the child’s functional outcomes, so they can achieve greater independence and participation in their everyday activities.
Slide 12: Providers: a key partner in the NDIS
•Provider is a term used to describe an individual or organisation that delivers a support or a product to a participant in the NDIS.
•Providers are key to delivering high quality supports to help participants realise their goals.
•The NDIS requires providers to change their business and service models; this creates both challenges but great opportunities for new products, innovations to support NDIS participants.
•The NDIS provides the opportunity for the development of a strong, diverse, mixed market providing lots of choice for people with disability.
Slide 13: The Provider Pathway
•The provider pathway is a new resource that has been developed to support providers understand the key processes and systems for registration and once registered, how to interact with the participant (for example creating service agreements and service bookings) and the Agency (such as claiming and the need to track outcomes).
•There are a number of steps to becoming an NDIS registered provider. The Provider Toolkit contains modules to guide providers through these steps.
•Once a provider is registered they can start marketing their services and engaging with NDIS participants to understand their goals, preferences andobjectives.
Slide 14: Get ready checklist
Some of the questions to consider if you are thinking about becoming an NDIS registered provider include:
•Do I have a basic understanding of the goals of the NDIS and the role of a provider?
•Do I provide services and supports that are covered under the NDIS?
•Do I understand what NDIS participants want and need from me/my organisation?
•Do I have the right qualifications and/or experience to deliver services?
•Am I registered with a relevant national professional body?
•Do I meet the other criteria in the NDIS ‘Declaration of Suitability’?
•Do state or territory accreditation requirements apply to the services I wish to deliver and do I know what documents I need to supply to the NDIA as evidence?
•Can I comply with the NDIS Terms of Business?
•Do I have any potential conflicts of interest to declare or manage?
•How much will I get paid, and how do I get paid, for the services I want to provide?
•Do I need to become a Registered Provider?
•What is involved in becoming a Registered Provider?
Slide 15: Quality and Safeguards
•Quality and safeguarding of disability supports remains the responsibility of States and Territories in transition, some of these requirements may differ between States and Territories to align with existing systems and requirements.
•The NDIA has worked with the New South Wales Government to ensure that the existing quality assurance standards and safeguards in New South Wales are available to NDIS participants in transition.
•In order to become a registered provider under the Scheme NDIS, a provider must submit an application for registration to the NDIA.
•Where you are applying to provide NDIS services in NSW that are classed as ‘specialist disability supports’, you will need to meet the NSW Disability Services Standards.
•All providers will need to also ensure they read the New South Wales Transitional Quality Assurance and Safeguards Working Arrangements
Slide 16: Quality and Safeguards continued
•Compliance with the Transitional Working Arrangements will be a condition of your ongoing registration to provide NDIS services
•Registration of new providers that are not currently operating under a funded service agreement, but wish to provide specialist disability supports in NSW, will need to provide evidence of third party verification (TPV) against the NSW Disability Services Standards (or comparable standards).
•The NSW Government and the NDIA take quality assurance and safeguards very seriously, and regard compliance with the NSW Disability Service Standards as essential to protect and promote the interests of NDIS participants.
•The NDIA will not register specialist disability support providers until evidence that TPV has been undertaken is uploaded to the NDIS Provider Portal.
Slide 17: Checklist for Registering as a provider in myplace
•Register for a PRODA (Provider Digital Account) through the myplace provider portal on the NDIS website
•Create a myplace account
•Submit an ‘intent to register’ through myplace
•Select the registration groups to register for (types of services or supports you will offer)
•Read and sign the ‘Declaration of Suitability’ and upload to myplace
•Provide supporting evidence and documentation (as required) and upload to myplace
Slide 18: Portal Home Page
•The myplace Provider Portal is a secure website developed for Providers to register, view and manage their services with a Participant.
•Providers accessing myplace can:
- Register as a provider
- Create and manage Service Bookings
- Create and view payment requests (previously known as claims)
- View their contact details
- View messages received from NDIS
- View and edit NDIS registration details including updates to Registration Groups and Professions
- View and respond to quotes received from NDIS
- View referrals made to your organisation
- Instant messages with your linked Participants
- Link other registered provider organisations (if applicable)
- Upload required documents
Slide 19: NDIS ready
NDIA resources
•New provider toolkit
•Price guide and support lists
•Specialist Disability Accommodation Decision Paper
•Updated Operational Guidelines (including supports that can be funded)
Stay informed
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•Social media (#ndisready)
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Slide 20: Questions?
•Visit:
•Phone: 1800 800 110
•8am-8pm eastern standard time weekdays
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NDIS Provider Update_October 20161