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1 National Disability Insurance Scheme (NDIS) Provider Forums February – May 2017 10.00am to 1.00pm

National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

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Page 1: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

1

National Disability Insurance Scheme (NDIS) Provider Forums

February – May 2017

10.00am to 1.00pm

Page 2: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Agenda 1. Welcome 2. National Disability Insurance Agency (NDIA) Update 3. BREAK 4. Family and Community Services(FaCS) NDIS Transition

update 5. Department of Health Continuity of Support for

people over 65 6. Early Childhood Intervention Australia (ECIA)

NSW/ACT Update 7. National Disability Services Update –The NDS NSW

Top 5 8. Dates for the diary and wrap up

Page 3: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

• Affirms that the NDIS is the right reform but that the road to implementing this reform is more difficult than it needs to be.

• NDS proposes 24 pragmatic and practical recommendations to reduce four key areas of pressure and risk for the NDIS.

https://www.nds.org.au/how-to-get-the-ndis-on-track-nds-paper-released

Page 4: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

NDIA Presentation

Page 5: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

NSW NDS Provider Readiness Forums

NDIS Update Achievement and lessons to date

Page 6: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Contents

• The transition so far

• Service delivery matters

• Market stewardship activities

Page 7: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

The transition so far

Page 8: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

The start of transition

Page 9: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Quarter 2, 2016-17 Report • National highlights

– More than 61,000 Australians have NDIS plans

– $5.1 billion committed for participant supports

– More than 2,260 children referred to ECEI in the last quarter

• NSW Highlights

– 28,777 participants

– 86.5% of access requests were eligible (9,583 requests received)

– 89% of people’s experience either good or very good.

– 2,365 registered service providers – 36% are individuals or sole

traders

– $114m payments made in the quarter

• Full report found https://www.ndis.gov.au/about-us/information-

publications-and-reports/quarterly-reports

Page 10: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Where are we at?

SOURCE NDIA Actuary, Projected Growth in NDIS participation

Page 11: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Context Context

Overall Context

Transition in NSW

Page 12: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Service delivery

Page 13: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Establishing the service

approach

• Information, Linkages and Capacity Building (ILC) supports will be delivered through

five streams of activity:

o Information, linkages and referrals

o Capacity building for mainstream services

o Community awareness and capacity building

o Individual capacity building

o Local area coordination

• Early Childhood Early Intervention (ECEI) supports children aged 0-6 years who

have disability or development delay

• Local Area Coordinators (LACs) support some participants and their families to join in

and contribute to the life of their community and assist with the NDIS planning process

and plan implementation.

• Providers can register with the NDIA to deliver supports and services to NDIS

participants

Page 14: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

NSW Partners in the Community

Metro Sydney

Page 15: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Working with our community

• ILC grants open until 2:00pm AEDT on Wednesday 8 March 2017

– ILC Jurisdictional Based Grants - ACT. Up to $3.0 million is available.

– ILC National Readiness Grants. Up to $13.1 million is available.

Page 16: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Driving choice and value through an

emerging intermediaries market

Intermediaries work with participants to build their capacity to achieve greater

independence, self-direction and management of their supports.

Support Coordinators

• Provide options to participant on supports

• Implement and monitor participant’s NDIS plan aligned to their outcomes

• Develop skills in directing and managing supports

Plan managers

• Paying for supports and monitoring budgets

• Develop financial literacy and management skills

Both support participants to maximise the value of their budget

Page 17: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Continuous participant support

and ongoing provider payment

The priority is to ensure that participants continue to get the support they need.

NSW Government maintaining provider payment until plan approval

Once plan approved, timely plan activation will assist provider cash flows

• Providers can claim for supports aligned to a participant’s plan from the date

the plan is approved

• Service bookings can be created that are backdated to plan approval

• Supported Independent Living will be included in plans at benchmark levels

(number of residents and complexity) – service booking generated by NDIA

• If above benchmark pricing sought – need evidence of level of support

required and detailed costing

Page 18: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Providers transitioning existing SDA

1. Apply for SDA registration group

2. Enrol your dwelling/s with the NDIA - the enrolment date will be the date a

successful enrolment form is submitted

3. Respond to the request for quote from a participant resident who has SDA

in their plan – maximum quotable price confirmed during dwelling

enrolment

Provided SDA was included in the participant’s plan at the time, SDA payments

are able to be claimed back to the date of dwelling enrolment

For more information please navigate to: NDIS website > Providers > Specialist

Disability Accommodation

Page 19: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Working towards a Supported

Independent Living (SIL) tool

The SIL tool calculates an efficient

price for SIL, based on the

provider’s proposed care hours for

each participant.

Planners can compare provider

quotes to the calculated efficient

price.

Where quotes are higher than

benchmark, planners are then able

to use the SIL tool information to

negotiate adjustments to quotes

(quickly).

Helps to resolve common issues,

e.g.:

• Inappropriate service bundles

• Over-loaded estimates of service

hours to be delivered

Page 20: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Market

stewardship

activities

Page 21: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Broad investment in getting it

right

Page 22: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Positive signs from existing providers

Demand is growing rapidly

71% reported increased demand

Demand is proving challenging to meet

38% were unable to keep up with demand

Clients are exercising choice

58% operating in the NDIS had clients leave

them for another provider

Providers are diversifying

48% are entering new markets

Merger activity is increasing

41% discussed merger activity

Source Pg. 7, NDS Report

Source: https://www.nds.org.au/news/sods-report-2016

http://aicd.companydirectors.com.au/advocacy/research/2016-nfp-governance-and-performance-study-raising-the-bar

Page 23: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Setting the foundations for growth

NDIA as a ‘market steward’:

• Monitoring, evaluation, oversight and (where necessary) support and intervention, in pursuit of a sustainable and successful NDIS

Building evidence base for market analysis:

• Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability)

• Ongoing consultation with the sector to inform priorities and decision-making

Systematically building national market consistency:

• Assistive Technology strategy that identifies innovation and diverse sourcing approaches across the breadth of assistive technology options

• Working arrangements that draw on market and pricing insights and support from existing funding programs (e.g. state/territory AT supply schemes)

Quality assurance and verification activities:

• Agency undertakes quarterly quality assurance activities

• Next program due to roll out in March with 500 randomly selected providers

Page 24: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

NDIA pricing review

• Regular reviews to determine whether price controls are warranted

• Planning for the 2017 review has commenced

• Consultation is planned for March with the release of a discussion paper

• Price controls in place to make sure participants get value from their support

packages, but price levels must be sustainable for providers

Page 25: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Provider Issues

Common issue Resolution

Community Participation • Ensure service bookings reflect true cost of

service (1-1, 1-2 , 1-3 etc)

• Must link to goals and plan outcomes

• Keep accurate service records

OT and Home Modifications • Must be registered OT provider

• Reasonable & Necessary test

Building service from the plan

budget

• Check what are the goals and services to meet

the plan outcomes

• Don’t build service booking from what provider

wants to deliver

• Don’t add additional services not included in the

plan

• Core (Daily Activity) budgets can be used flexibly

Page 26: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Provider Issues (cont’d)

Common issue Resolution

Problems with Service

Booking

• Service Agreement is first step

• Ensure “agreed with participant” box checked

• Ensure booking current

• Ensure amount claimed is in line with booking

• Dates – use calendar icon to select dates

• No Service bookings for self-managed participants

Quotes not approved • Upload quote onto the participant portal

• Send email to local office advising quote

submitted [email protected]

• Include GST in quote

Payment Requests • Separate requests for successive plans in bulk

uploads

• Check data and formatting for bulk uploads

• Payment requests after services delivered, not as

up-front claim

Page 27: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Provider Issues (cont’d)

Common issue Resolution

Plan Reviews • Service Agreement is first step

• Ensure “agreed with participant” box checked

• Ensure booking current

• Ensure amount claimed is in line with

booking

• Dates – use calendar icon to select dates

Transport Payments • Price guide information

• Social Participation - not a km basis

• Reasonable contribution by participant

Plan Management • Plan Manager service bookings

• Establishment Fee and Monthly processing

Assurance

• They create service bookings for the

providers to deliver services based on plan

Page 28: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Provider Issues (cont’d)

Common issue Resolution

How to use myplace portal • www.ndis.gov.au Provider Page

• Provider Toolkit Module 11

Provider Records • Module 7 – Payment and Assurance

• Payment requests in line with services, not

as up-front claim

• Audits – when, not if

Seeking assistance • NSW Central Regional Finance Team

[email protected]

• Email classifications when NDIA staff send

emails

Page 29: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

NDIS Quality and Safeguarding

Framework

• Details of Framework released by DSS on 3 February 2017

• Framework built on three components:

– Developmental: building capability and support systems

– Preventative: preventing harm and promoting quality

– Corrective: responding if things go wrong

Page 30: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

NDIS ready: It’s not too late to start 1. Understand the big picture

• Understand the scheme: objectives and principles

• Broader environment politically, regulation, socially

2. Understand the customers

• What do (existing) customers say works well and not so well

• The participant pathway

• The scope of things that can be funded in participants’ plans

3. Take stock of your business

• Unbundle the elements of service delivery

• Know your unit costs and model options of service delivery

• Competency and market advantage i.e. quality, price, scale, remote

4. Know the rules and systems

• Operating in a marketplace i.e. ACCC, regulation, quality & safeguards

• Policies relating to Conflict of Interest, Pricing, Specialist Accommodation

• Systems to work with Agency and Participants

5. Build your roadmap

• Having the right infrastructure, governance, workforce

• Take everyone on the journey

Page 31: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Stay informed

• www.ndis.gov.au/ndis-ready

• Webinars

• Social media

• Check state information

www.ndis.gov.au

• Provider portal updates

www.ndis.gov.au/Provider-Portal-

Updates.html

• Sign up to the NDIS Provider

Newsletter

www.ndis.gov.au/provider-

newsletter.html

NDIA resources

• Provider toolkit

– Registration information

– Terms of Business

– Guide to suitability

• Price guide and support lists

• Updated Provider FAQ

• Updated Operational Guidelines

(incl. supports that can be funded)

• Market activities on web: Market

information and useful links

– Incl. Market Approach,

Benchmarking

NDIS ready

Page 32: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

2017 Provider Supported Independent Living (SIL) Process

NDS Provider Info Session

May 2017

Page 33: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Agenda

Today’s Agenda

1. Background and overview of the new process (10 minutes)

2. Provider SIL Pack (overview of templates) (15 minutes)

3. What the process looks like (5 minutes)

4. Questions (10 minutes)

Page 34: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Background and overview

of new process

Page 35: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

• NDIA National Office in partnership with NDS developed a quoting guideline document, including template, for shared or group living arrangements

• On 2 May 2014, the first provider training workshop in how to use this template was held in the NSW Hunter Trial Site

• Providers completed a template that was complicated, did not assist planners to understand and analyse supports provided, lacked evidence for reasonable and necessary decision making

• This resulted in significant administrative burden to providers as well as Agency staff

• Quotes, in some instances, were still unassessed after a 6 month period

• Participants were not at the centre of the support

Background

Page 36: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Introducing the NDIS SIL Pack

The 2017 NDIS Supported Independent Living (SIL) Pack

Due to the current backlog of SIL quotes requiring approval, Market & Providers will be rolling out a Provider SIL Pack along

with the SIL Tool. The information contained within the Provider SIL Pack will provide planners with detailed information

regarding the needs and supports required for individual participants. This will facilitate more meaningful conversations with

providers and will ultimately allow planners to make better informed decisions. As a result, quotes are able to be processed

more efficiently.

Provider SIL Pack:

Brand New SIL Quoting

Template

NDIS Planner SIL Pack:

Roster of Care Template

Support Hourly

Breakdown Template

Guidance and FAQ

Document

NDIA SIL Tool

• New and improved

quoting template that

will be easier to

complete for

providers.

• A simple template

describing the

proposed roster of

care and staff mix.

• A breakdown of

support hours across

the different shift

periods including

staff ratios.

• Guidance on how to

use the new SIL

quoting process.

• Uses information

contained within the

Provider SIL Pack.

• Ensures consistency

in decision making

across regions.

• Allows quotes to be

processed more

efficiently.

• Allows planners to

engage with

providers at an early

stage in the process

and facilitates more

meaningful

discussions. Training and FAQ

Document

Page 37: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

The SIL Tool

The 2017 SIL Tool

The SIL tool allows planners to calculate an estimated market price for SIL from the information provided in the provider SIL

Pack. This price can then be compared to the provider quote and the NDIS benchmark. This allows planners to have better

informed discussions with providers so that the desired outcome can be achieved.

SIL Tool Process:

Improved outcomes

Greater efficiency

Better engagement

Step 2: Planner uses SIL tool to process SIL Pack information

Step 1: Provider complete SIL Pack

Page 38: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Provider SIL Pack

(overview of templates)

Page 39: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

The SIL Quoting Template

Page 40: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

The SIL Roster of Care Template

Page 41: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

The SIL Hourly Breakdown Template

Page 42: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

What the process looks like

Page 43: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

The process

•Provider discusses proposed service offering with participant/guardian

Provider completes NDIS Provider SIL Pack

Provider submits Provider SIL Pack to local NDIS hub / NDIS contact

NDIA Reviews and assesses submitted Provider SIL Pack

Quote is agreed

NDIA approves plan, assigns and creates service booking

Page 44: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Questions?

Page 45: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

BREAK

Page 46: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

NDIS Transition

FaCS

Page 47: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

The rollout of the National Disability Insurance Scheme in NSW

Provider information sessions February - May 2017

Page 48: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

NDIS Transition Highlights

37,200 participants in NSW

with approved NDIS plans

340 Service Providers with

clients transitioned to the NDIS

NDIS – Take Charge of Your

Future information

63,400 client records collected

and provided to the NDIA

Page 49: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Support Available for Providers

NDS Sector Support Consultants

NDS Quality Assessment Workbook

ADHC Unit Costing Toolkit

Career Planner and Capability Framework

Social Impact Measurement Tool

Industry Development Tools www.idfnsw.org.au

Page 50: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Grants

Transition Assistance

for Providers (TAP)

Building Capacity

for Aboriginal

People

• Administered by FACS- ADHC Sector Capacity Unit

• Targeted at increasing the capacity of the Aboriginal

Disability Sector

• Four projects led by Birrang Enterprise Development Co,

First Peoples Disability Network, Carers NSW in

partnership with Mirri Mirri and the New England Sector

Support Team were funded for a total of $485,000

• Administered by Aged and Community Service NSW

• Targeted at providers in regional and remote areas

receiving less than $3 M in total income

• More than 130 providers received grants for capacity

building

Update

Page 51: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Grants

Transition

Assistance for Local

Councils

• Administered by FACS- ADHC Sector Capacity Unit

• Targeted at Local Councils providing direct service

delivery.

• Program offers grants for capacity building and

transition activities in readiness for the NDIS

Aboriginal

Disability Provider

Grants

• Targeted at Aboriginal Disability Support Providers

• Program offers grants accompanied by capacity

building and grant writing support

• Enquires regarding this program can be sent to

[email protected]

Transition Assistance

for Providers (TAP) -

2

• Administered by Aged and Community Service NSW

• Targeted at Providers across NSW receiving less than

$5 M in total income

• Program offers grants for service conversion and

expansion

Current or upcoming :

Page 52: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Continuity of Support (CoS)

Where can I get more information?

Email [email protected] or visit www.health.gov.au

Over 65: Under 65:

Contacted by National Access Team

from NDIA

Existing CCSP clients

Eligible for NDIS Eligible for CoS

The Department of Health receives client data

Department verifies client information with Service Providers

Department issues CoS funding agreements

Page 53: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Ongoing Funding Agreement

Obligations

“…ADHC funded service providers are

required to continue to comply with

the terms of their funding agreement

…even if funding ceases in whole or

part during the Agreement term …”

New South Wales Transitional Quality Assurance and

Safeguards Working Arrangements

(Clause 3.2 page 6)

https://www.ndis.gov.au/providers/nsw-registering-provider.html

Page 54: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Funding Variations

Page 55: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Stepping down block funding

YTD Payments May Payment June Payment YTD Variations May-June Variations

Total payments to

support clients that

have not

transitioned year

to date

Monthly payment

less the 50%

variation for May

Monthly payment

less the 75%

variation for June

Total amount of

funding varied by

ADHC year to date

Sum of variations

planned for May and

June

$XXX,XXX $XXX,XXX $XXX,XXX $XXX,XXX $XXX,XXX

Block funding variations

Page 56: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Individual Adjustments

SP ID Service Provider

Name

DofS

ID

Service

Type

People

Transitione

d

(up to 17

April)

Funding

Cease Date

Annual

Funding

Variation

May

Funding

Variation

XXXX Service Provider

Name

XXXXX

1.06 1 30/04/2017 $XX,XXX $XX,XXX

XXXX Service Provider

Name

XXXXX 3.01 1 30/04/2017 $XX,XXX

$X,XXX

Service Provider (ID: XXXX) Total: $XXX,XXX

$XX,XXX

Individualised Funding Package

Adjustments

Page 57: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

People transitioned to NDIS

SP ID Client Statistical Linkage Key

(SLK)

Post Code Service Type

XXXX ABCDG150220051 XXXX

3.01

XXXX DBCDG160120052 XXXX 10.02

XXXX DQDSDG160119051 XXXX 3.01

XXXX SBARDG150120052 XXXX 3.01

NDIS Transition: De-identified client data SLK

Page 58: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Information and Support

62

For specific funding variation information contact the ADHC funding administration helpdesk:

1300 136 067

[email protected]

For information about the NDIS rollout across NSW visit www.ndis.nsw.gov.au.

Page 59: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •
Page 60: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Continuity of Support

Arrangements 65+ Department of

Health

Page 61: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

COMMONWEALTH CONTINUITY OF

SUPPORT (COS) PROGRAM

Australian Government Department of Health

May 17 2017

Page 62: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

3

Commonwealth Continuity of Support

(CoS) Programme

• The Commonwealth is responsible for full cost of state

specialist disability services (under the 2011 National Health

Reform Agreement)

• The Commonwealth will become responsible for funding and

administering specialised disability services for older people –

alongside the roll out of the NDIS

• Ensure continuing support for older people who are ineligible

for NDIS – COAG agreement

Page 63: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

3

Continuity of Support - Aims

The Continuity of Support Program will support:

• Older people with disability who are aged 65 years and over currently accessing state-administered specialist disability services who do not meet NDIS age access requirements

• Aboriginal and Torres Strait Islander people with disability aged 50 years and over currently accessing State-administered specialist disability services who do not meet other (non-aged related) access requirements of the NDIS

No new entrants to the CoS Programme once implementation has occurred in a region

Page 64: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Key features of current specialist disability services

State government roles:

• Assessments

• Quality and Safeguards

• Behaviour support services

• Managing Individual Support Packages (ISP)

Jurisdictional differences:

• Levels of client fees

• Models of ISP

68

Page 66: National Disability Insurance Scheme (NDIS) Provider Forums · • Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) •

Implementation Timeframes

Implementation of the CoS program will be staged and commenced on

1 December 2016

70

PROPOSED COS PROGRAM TRANSITION SCHEDULE FOR NSW

REGION DATE OF COS TRANSITION

HUNTER NEW ENGLAND 1 – DEC – 16

NEPEAN BLUE MOUNTAINS 1 – DEC – 16

SOUTHERN NSW 1 – DEC – 16

CENTRAL COAST 1 – MAY – 17

NORTHERN SYDNEY 1 – MAY – 17

SOUTH WESTERN SYDNEY 1 – MAY – 17

WESTERN SYDNEY 1 – MAY – 17

ILLAWARRA SHOALHAVEN 1 – DEC – 17

MID NORTH COAST 1 – DEC – 17

MURRUMBIDGEE 1 – DEC – 17

WESTERN NSW 1 – DEC – 17

FAR WEST 1 – MAY – 18

SYDNEY 1 – MAY – 18

NORTHERN NSW 1 – MAY – 18

SOUTH EASTERN SYDNEY 1 – MAY – 18

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Programme Framework

71

Sub-

Programme Block-funded activities Individual Support Packages

(ISP)

Service types funded

• Accommodation

Support

• Community Support

• Community Access

• Respite

Three ISP models

operate:

Service Provider;

Intermediary; and

Direct Funding. Only clients who are already accessing ISP models will be funded through the ISP model.

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Communication to date

• Bilateral meetings between state and Commonwealth

• Joint communication strategies

• Website

• Letters to service providers

• Programme Manual and schedule finalised

• Data validation process for December 2016 and May 17

regions and funding agreements in place

• Data validation process for Dec 2017 regions will

commence shortly

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Where can I get more information?

• CoS Webinar for service providers (20 March) on-demand

page: http://livestream.education.gov.au/health/20march2017/

• You can visit www.health.gov.au and search for ‘Continuity of

Support’ to find regularly updated information.

• If you want more information you can email

[email protected]

• Contact with the NSW office 02 9263 3851 or

[email protected]

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ECIA Update

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Early Childhood Intervention Australia NSW/ACT

NDIS Provider Readiness Sessions Round 1 - 2017

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NDIS ECEI Approach (0-6yrs)

• ECEI - 7 Functions 1. Information Gathering and Profile Development

2. Community Connections

3. Initial Supports & responses

4. NDIS Access Recommendations

5. NDIS Plan development

6. NDIS Plan handover

7. NDIS Plan review

• Some children may only access 1 of the first 3 functions, others will need ongoing NDIS support (functions 4 -7)

• NDIA tender for ECEI community partners in ACT, SA, parts of Qld & Vic – to be in place from March 2017 (depending on area)

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NSW ECEI Approach Update

• Year 1 NDIS location ECEI providers are all in operation (20+ providers)

• Currently Transitioning ‘defined’ children to the NDIS, through development of IFPs

• Year 2 NDIS location ECEI providers currently being appointed by ADHC

• NDIA has released several factsheets for families, including 'Accessing supports for my child', which outlines the ECEI Approach and 'Starting your plan'

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Pathway for Children in NDIS rollout areas

Children aged 0-6 years:

• Referred to local Early Childhood Early Intervention (ECEI) provider

• List available (by location) on the NDIS website at https://www.ndis.gov.au/ecei/eceinsw.html

Children aged 7 years plus:

• Referred to Local Area

Coordination (LAC) service

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Working Together Agreement • Promotes a coordinated approach to early childhood

inclusion for children with disability and/or developmental delay in recognition that effective collaborative practice leads to best outcomes for children participating in ECEC settings

• Has been designed for use by ECI practitioners, ECEC educators and families

• Includes a writable PDF agreement for all involved to individualise and sign, a wall poster, sample letter and meeting templates

• Free to download from www.ecia-nsw.org.au

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ECIA Supports/Projects

• Leap Pad Learning/PD: – NDIS Change Management – ECI Practice & Skills – Does This Child Need Help? – Positive Approaches to managing challenging behaviours

• ECIA NSW/ACT State Conference (Sydney 25/26 May 2017)

• SPRC State-wide NDIS Research – family and service provider experiences of the NDIS roll out and what (if any) issues need to be addressed for full scheme roll out

• Results Based Accountability (RBA) Case Study – recently released

includes An Implementation Process and Toolkit and a Case Study outlining the application of the RBA Framework within an organisation (including a sample scorecard)

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Resources to Support Families

• Raising Children Network (via a project funded by the NDIA):

– Early intervention and the NDIS • What is early intervention?

• The NDIS approach to early intervention

• NDIS early intervention support: children aged 0-6 years & over 7 years

– Choosing NDIS service providers: what to look for - links to ECI Best Practice Guidelines

• New NDIS Ready & NDIS Ready Communications Toolkit – NDIA

• My NDIS Pathway Brochure - now available in: Arabic, Chinese (Simplified), Chinese (Traditional), Filipino, Greek, Hindi, Italian, Macedonian, Samoan and Vietnamese.

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NDS Update

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NDIS Quality and

Safeguarding Framework • An NDIS complaints commissioner to facilitate the resolution of

complaints investigate both serious incident reports and potential breaches of NDIS Code of Conduct.

• An NDIS registrar to register providers, oversee compliance, establish policy settings for nationally-consistent worker screening and take the lead in monitoring the effectiveness of the NDIS market.

• Quality Assurance required for providers of higher intensity or higher risk supports.

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NDIS Quality and

Safeguarding Framework (cont.) • A senior practitioner to oversee approved behaviour support

practitioners and providers, review the use of restrictive practices and follow up on serious incidents.

• States and territories will still oversee and manage worker screening checks and authorise restrictive practice

• Transitional arrangements remain in place.

https://www.dss.gov.au/ndisqualitysafeguards

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NDS NSW

Top 5 Watching Briefs 1. Communication and codesign

2. Pricing

3. Plans and quality of plans

4. Clarity around processes

5. Workforce

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Recent Reports/Papers • NDS 2017 Federal Budget Submission

https://www.nds.org.au/images/news/NDS_Federal_Budget_Submission_2017.pdf (accessible version available)

• NDS State of the Sector Report 2016 https://www.nds.org.au/news/sods-report-2016 • National Disability Insurance Scheme My Place Portal Implementation Review PWC

https://www.dss.gov.au/sites/default/files/documents/09_2016/pwc_review_of_the_ndia_myplace_portal_implementation_-_final_report.pdf

• National Disability Insurance Scheme – Management of the Transition of the

Disability Services Market Australian National Audit Office https://www.anao.gov.au/work/performance-audit/national-disability-insurance-scheme-transition-disability-services

• Feb – Sep 2017 Productivity Commission National Disability Insurance Scheme Cost http://www.pc.gov.au/inquiries/current/ndis-costs

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Future Events

https://www.nds.org.au/learn-and-develop https://www.nds.org.au/events-and-training

Sydney Hilton Date: 14/08/2017

https://www.nds.org.au/events-and-training/conferences/ndis-essential-briefing

Office of Public Guardian Supported Decision Making Workshops [email protected]

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NDS Contacts

NDS Sector Support Consultants

Phone number and e-mail

Where they work

Karen Stace John Carrigan Alan Hough Jenny Klause

0409 948 530 [email protected] 0448 325 356 [email protected] 0407 132 848 [email protected] 0425202643 [email protected]

Hunter, Lower New England, Lower North Coast, Central Coast, Northern Sydney Western NSW, Murrumbidgee, Far West, Nepean Blue Mountains Illawarra Shoalhaven, Southern NSW, South Eastern Sydney Sydney, Northern Sydney, South Western Sydney

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Thank You