National Disability Insurance Scheme (NDIS) Information

What is the NDIS?

The National Disability Insurance Scheme (NDIS) is a once in a generation social and economic reform that will provide individual funding packages for about 460,000 Australians under the age of 65 who have a permanent and significant disability. The NDIS is designed to help people (called participants) to achieve their goals in their communities and workplaces. The Scheme aims to make disability support fairer and provide participants with greater choice and control.

The NDIS is not welfare, it is an insurance-based scheme that invests in participants to improve long-term outcomes.

Second Skin is NDIS Ready

Second Skin is a registered provider of services under the National Disability Insurance Scheme (NDIS) in each state and territory.

What is the NDIA?

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The National Disability Insurance Agency (NDIA) is a legislated, independent agency that implements the National Disability Insurance Scheme (NDIS).

What is the NDIS?

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The National Disability Insurance Scheme (NDIS) is a once in a generation social and economic reform that will provide individual funding packages for about 460,000 Australians under the age of 65 who have a permanent and significant disability. The NDIS is designed to help people (called participants) to achieve their goals in their communities and workplaces. The Scheme aims to make disability support fairer and provide participants with greater choice and control.

The NDIS is not welfare, it is an insurance-based scheme that invests in participants to improve long-term outcomes.

Second Skin is NDIS Ready

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Second Skin is a registered provider of services under the National Disability Insurance Scheme (NDIS) in each state and territory.  

Am I eligible for the NDIS?

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Below is a summary of the criteria to be eligible for the NDIS:

1. You must be under 65 years of age when you apply to join the Scheme.

2. To meet the residency requirements, you must live in Australia and:

  • be an Australian citizen OR
  • hold a Permanent Visa OR
  • hold a Protected Special Category Visa, that is you
    • were in Australia on a Special Category Visa on 26 February 2001 or
    • had been in Australia for at least 12 months in the 2 years immediately before 26 February 2001 and you returned to Australia after that day.

3. You may meet the disability requirements if:

  • you have an impairment or condition that is likely to be permanent (i.e. it is likely to be life-long) and
  • your impairment substantially reduces your ability to participate effectively in activities, or perform tasks or actions unless you have:
    • assistance from other people or
    • you have assistive technology or equipment (other than common items such as glasses) or
    • you can't participate effectively even with the assistance or aids and equipment and
  • your impairment affects your capacity for social and economic participation and
  • you are likely to require support under the NDIS for your lifetime.

4. You must live in an NDIS area on a designated date. Refer to 'When is the NDIS coming to my area?'

You can check your eligibility at www.ndis.gov.au/ndis-access-checklist

How do I apply to the NDIS?

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If you meet the eligibility criteria you can apply to the NDIA by completing an Access Request Form.

www.ndis.gov.au/people-with-disability/access-requirements/completing-your-access-request-form

If you are already receiving services from a provider in your state, the NDIA may contact you directly to begin the application process.

When is the NDIS coming to my area?

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The NDIS will progressively roll out across Australia over a three-year period beginning in July 2016.  Below are the fact sheets for each state and territory that include frequently asked questions and roll out dates.  Click on the links to get more information.

What is my NDIS plan?

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Once you have determined your eligibility, completed your access request form, and been approved by the NDIA, the first important step in accessing services under the NDIS is to develop your plan. 

Your first plan is your entry point to the NDIS and the start of your relationship with the Scheme.  This plan sets out your goals for the year ahead and what reasonable and necessary supports you need to achieve them.  This is where you will identify your providers, ones you may currently be using and new providers. 

Your plan helps to identify the funding that you will need for 12months.

The link below provides a checklist to prepare for your first planning meeting:

https://www.ndis.gov.au/medias/documents/h1e/h67/8800549863454/Checklist-planning-conversation.pdf

Who supports me in developing my plan?

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Once you have been approved for access to the NDIS, a representative from the NDIA will contact you, or someone you have nominated to represent you, to have a planning conversation.  Most people will have their first plan completed over the phone when you or your nominee will be asked about existing supports, needs and your goals. 

Your first plan focuses on what you need now and gives you time to think about your long term needs and goals.  It is good to start talking to your family, friends, carers, and therapist(s) about what your goals might look like now and into the future.

The link below provides information for your family and carers in developing your plan.

https://www.ndis.gov.au/html/sites/default/files/Supporting-families-carers.pdf

What if I already receive supports?

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Many people already receive support from a State or Territory government disability program.  You may be eligible to directly transfer from your existing service to the NDIS.  You will be contacted by an NDIA representative to discuss this transition and develop your first plan.  Your existing services will continue until you have your NDIS plan.

Who can manage my NDIS plan and funding?

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There are three options for managing plans and funding.  A participant may choose one option or a combination of any options for separate areas of their plan.

  1. Self-management - You can choose to manage the financial and administrative aspects of your plan and funding.  You are responsible for engaging providers, paying invoices and staff and be accountable to the NDIA for your funds
  2. Plan management provider - You can engage a business or organisation to manage your funding on your behalf (e.g. paying suppliers, service agreements with providers, hiring and paying staff, funding reports)
  3. Agency management - The NDIA can manage your funding and your providers can claim payment from the NDIA.

What will NDIS fund?

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For you to receive funding from the NDIS, the supports you identify must be linked to a goal you have in your plan.  Supports must:

  • be considered reasonable and necessary
  • provide value for money (If two supports provide the same outcome, the least costly support would be funded)
  • be considered ‘good practice’ (that is, there is evidence in the literature or expert opinion, lived experience or in the learnings of the NDIA that the support is effective)
  • be associated with day-to-day living and activities that increase your social or economic participation
  • be a resource or piece of equipment such as a wheelchair or assistive technology to help you live an ordinary life
  • help you build the skills you need to live the life you want such as opportunities to work, further your education, volunteer or learn something new.

The types of supports that the NDIS may fund for participants include:

  • daily personal activities
  • transport to enable participation in community, social, economic and daily life activities
  • workplace help to allow a participant to successfully get or keep employment in the open or supported labour market
  • therapeutic supports including behaviour support
  • assistive technology
  • help with household tasks to allow the participant to maintain their home environment
  • help to a participant by skilled personnel in aids or equipment assessment, set up and training
  • home modification design and construction
  • mobility equipment, and
  • vehicle modifications.

The NDIS will give you a budget that fits with your individual plan and supports you in achieving your goals.

An NDIS plan has three support budgets: CORE, CAPITAL and CAPACITY BUILDING SUPPORTS

  1. Core budget – includes supports to help you complete activities related to daily living and work towards your longer-term goals
  2. Capacity Building budget – includes supports to enable you to build your independence and skills
  3. Capital budget – includes assistive technologies, equipment and home or vehicle modifications, and funding for capital costs you may need (e.g. Specialist Disability Accommodation).

How do I choose my providers?

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Most of your NDIS supports will be delivered by providers.  Providers are people or businesses of your choice.  You will normally need to make a written agreement with your provider(s).  This is called a Service Agreement.  Service Agreements are different from your NDIS plan.  Your plan lists your NDIS supports, but a Service Agreement is about delivering those supports.

How do I include Second Skin in my plan?

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Second Skin is listed as a provider with the NDIS.  Second Skin products and services are registered under the following categories:

Capital Building Support (Assistive Technology – Support Category 05)

Support Item Support Item Ref No Description

Body orthotic – dynamic lycra

05_060318012_0135_1_2

Orthoses for whole body (excluding head) designed to improve functioning

Hand orthotics – dynamic lycra

05_060606010_0135_1_2

Orthotics to provide support for the hand / wrist for functional activity

Upper limb orthotic – dynamic lycra

05_060688011_0135_1_2

Orthoses for upper limbs (e.g. arms, shoulders) designed to improve functioning

Lower limb orthotic – dynamic lycra

05_061218013_0135_1_2

Orthoses for the lower limbs (e.g. legs) to improve functioning

Capacity Building Supports (Improved Daily Living Skills – Support Category 15)

Support Item Support Item Ref No Description

Individual assessment, therapy and/or training in assistive technology

15_048_0128_1_3

Assessment, therapy, training, fitting in assistive technology.

How does the approval process work?

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After you have received your Plan from the NDIA:

  1. Check your plan to see where the Second Skin splints are mentioned in your budget.
  2. Call Second Skin to advise us of your NDIA plan number, plan dates and where on your plan Second Skin is allocated.  We will then provide you with a compliant quote.
  3. Even though Second Skin Splints are mentioned on your plan this does not mean they have been approved by the NDIA.  Our quote usually requires justification by your referring therapist to show that the splint is considered “reasonable and necessary”.  Your therapist will need to complete the Prosthetics & Orthotics AT template and upload it to the NDIS portal.  Our fully NDIA compliant quote can be attached to Part 6 of the application.  The link to the template is below:

https://www.ndis.gov.au/medias/documents/h5d/h6b/8801931821086/Template-NDIS-P-O-AT-Assessment-Fillable-web.pdf).

  1. The quote approval process may take more than 3 months as the NDIA Assistive Technology Team assess each application to determine whether an item is approved for funding or not.  Complex Level 4 Assistive Technology is reviewed by an external Clinical Advisor to provide advice to the NDIA about safety, risk and value for money.  Therefore, the justification needs to be detailed.
  2. You or your referring therapist will receive an NDIS approval letter advising the details of the approved items.

Can I change my plan?

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The first plan is for 12 months.  During this time your circumstances or needs may change, and your plan needs to be revised.  You can talk to your NDIS representative who will conduct a plan review.

What if I need further assistance from Second Skin?

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To find out more and to talk to one of our staff about your Second Skin splints or garments and the NDIS contact one of our offices.

For NSW and Tasmania clients contact our Sydney office on:

P: 02 9386 0812 or E: sydney@secondskin.com.au

For Queensland, Northern Territory, Victoria, ACT and South Australia clients contact our Brisbane office on:

P: 07 3084 4319 or E: brisbane@secondskin.com.au

For Western Australia clients contact our Perth office on: 

P: 08 9201 9455 or E: perth@secondskin.com.au

 

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