South Australia roll out

Provider Information Pack

Provider Information Pack

1. Introduction for providers 2. Factsheet: What is the NDIS? 3. Factsheet: Introduction to the NDIS for Providers 4. Factsheet: Five things you need to know 5. Factsheet: Preparing for the NDIS 6. Factsheet: Frequently asked questions

Introduction for providers Arrangements for transition to the National Disability Insurance Scheme (NDIS) in South Australia have been announced. The National Disability Insurance Agency (NDIA) is working with existing service providers and their peak bodies as well as State and Territory governments to help ensure a smooth transition to the NDIS. The emphasis is on improving your understanding of how you can thrive in a competitive, open market where consumers make individual choices about the supports they require, and suppliers can respond to demand with innovative and high quality supports. The NDIA continues to actively engage with current and potential providers to understand business models, major challenges (including market structure and pricing) and other opportunities in the new NDIS market. A major focus of this engagement is promoting the growth opportunity that the NDIS presents and how providers can adapt or enter the market.

Throughout the transition to full scheme, the NDIA will continue to set maximum prices for a range of key supports and services taking account of market trends, changes in costs and wage rates and balancing the need to optimise the supply of key supports with overall Scheme sustainability. Changes to prices will be published on our website and we encourage you to take this into account when planning. In the longer term, the NDIA intends to deregulate NDIS pricing as the market for disability supports matures.

Existing NDIS providers If you have already registered with the NDIA to provide supports in South Australia you do not need to register for additional areas as the NDIS rolls out across the state.

New providers If you are not currently registered, information about registration is available on the NDIS website. Information and readiness sessions for providers will continue to be delivered by the NDIA and partners in South Australia. The NDIA looks forward to continuing to work with you to ensure the NDIS delivers for Australians with disability. Please see enclosed further information about the South Australian transition to the NDIS or visit www.ndis.gov.au/providers for more information about working with the NDIA.

What is the National Disability Insurance Scheme?

Information about the NDIS, what it does and how to access it

Where is the NDIS?

The NDIS has been trialled in seven locations across the country, because it is a big change to the current system and we want to get it right. The scheme will be rolled out nationally from 2016.

The most up to date information on where the NDIS is available can be found on our website.

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For more information

ndis.gov.au

enquiries@ndis.gov.au

1800 800 110*8am to 5pm (AEST) Monday to Friday

For people with hearing or speech lossTTY 1800 555 677*

Speak and listen1800 555 727*

For people who need help with EnglishTIS 131 450

Follow us on Twitter @NDIS*1800 calls from fixed lines are free. Calls from mobiles may be charged.

CopyrightThis publication, with the exception of logos, trademarks, third party material and other content as specified, is licensed under Creative Commons CC NC licence, version 3.0. Full details of these licence conditions are available at https://creativecommons.org/licenses/by/3.0/au/.

Note that you may not use or reproduce in any way any logos, trademarks, material provided by parties other than the NDIA without prior written approval from the NDIA or the third party owner of other material.

DisclaimerThis document provides general guidance about the operation of the National Disability Insurance Scheme (NDIS) as at the date of publication and is for general purposes only.

The NDIS is not providing professional advice and users should obtain their own advice if proposing to make decisions based on this document. NDIS does not accept any liability caused directly or indirectly by any error or omission in this document or arising from any action taken by any person in reliance upon it.

What is the National Disability Insurance Scheme?

The NDIS supports people with a permanent and significant disability that affects their ability to take part in everyday activities. We will work with you to identify supports you need to live your life. Supports may help you achieve goals in many aspects of your life, including independence, involvement in your community, education, employment and health and wellbeing. The NDIS gives you more choice and control over how, when and where your supports are provided, and gives you certainty you will receive the support you need over your lifetime. It also focuses on early intervention where getting early supports can reduce the impact of disability on you or your child. For people who access the NDIS (participants)

If you are able to access the NDIS as a participant, we will look at the supports you currently receive and how well they are working for you. This may include your family, friends, mainstream or other community services. If required, the NDIS will also fund reasonable and necessary supports that help you achieve your goals such as therapies, equipment, home modifications, mobility equipment, taking part in community activities or assistance with employment. An NDIS plan tailored to your individual needs will be developed to help you achieve your goals. This could include your existing supports if you are happy with your arrangements and if they meet your needs and goals.

For people who need some assistance

Anyone with or affected by disability can ask us for information and referrals, including families and carers of people with disability. This can include better access to information about the most effective support options, links to local support groups, clubs and programs, or referrals to relevant community services and supports. For families and carers

We work with families and carers to make sure the support they give can be sustained. We consider the carer’s role when developing plans with participants including the support they provide, other responsibilities, and their own life plans. We also recognise some people with disability may want the support of family and carers to make informed decisions, and we value their views, knowledge and experience.

Can I access the NDIS?

You need to meet the following requirements:

• have a permanent disability that significantly affects your ability to take part in everyday activities

• be aged less than 65 when you first access the scheme

• be an Australian citizen, live in Australia and hold a permanent visa or hold a Protected Special Category Visa.

The NDIS is being introduced progressively across Australia.

The access checklist on our website provides more information on access requirements. Next steps

Once the NDIS has confirmed you meet the access requirements of the scheme, a planner will arrange to meet with you. Together, you will discuss your needs, goals and aspirations and the supports you currently receive. This may take more than one meeting and you can bring someone with you for support. Using this information, your planner will then develop a plan of supports that best meets your needs and your goals.

Introduction to the NDIS for providers

The National Disability Insurance Scheme (NDIS) is the new way of providing individualised support for people with disability, their families and carers. Key points for providers are:• People with disability choose the providers they work with• Sofar19,700peoplearebenefittingfromtheNDISacrossseventrialsiteswith

over $1.2 billion invested in services and equipment • Roll out of the NDIS in new areas and for new age groups starts in 2016• 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.

Who are providers?Provider is a term used to describe an individual or organisation delivering a support or a product to a participantintheNDIS.Participantshaveanindividualisedplanthatidentifiestheoutcomestheywishtoachieve, the supports funded by the NDIS and other supports the person requires.

Benefits of working with the NDIS

Assisting participants to achieve their goals

Online systems for registered providers

Fast claim processing

Part of a vibrant, innovative and competitive market

New opportunities

How do I become a provider?

Registering as a provider enables you to access our systems and do business online. The registration process is outlined in the Provider Registration Kit and on the NDIS website. You do not need to register with the NDIS until you are ready to do business and the NDIS is about to be rolled out in the area you operate in. Information for providers will be updated on the NDIS website as roll out announcements are made.

Where can I find more information?

The NDIS website is the primary source of information for providers www.ndis.gov.au/providersTo find out when the NDIS rolls out visit the state and territory pageson the NDIS website.

Visit our website atwww.ndis.gov.au

Call us on 1800 800 110

Doing business with the NDIA

Our approach to pricing

The National Disability Insurance Agency (NDIA) is responsible for the sustainability of the NDIS, so the supports we fund must represent value for money.

Until the market matures, the NDIA will set the value for some funded supports in a participant’s plan.

Prices are reviewed and updated regularly. Any changes will be announced on the NDIS website.

Need help with costing and pricing?AnewCostingandPricingLearningProgramoffersasuiteoftrainingandsupportresources aimed at helping providers to make the transition to a competitive market. Check it out at www.cplp.nds.org.au

Quality and safeguards

NDIS participants must have access to high quality services that will support them to achieve their goals.

The NDIA is currently working with State and Territory Governments to develop a national approach to quality and safeguards that will apply to providers registered with the NDIS.

Until the NDIS is rolled out in full, existing Commonwealth, State and Territory quality and safeguard systems will continue to apply to registered providers.

What will the NDIS market look like in the future?Ourvisionisforavibrant,innovativeandcompetitivemarketwithsufficientlevelsof supply and demand for it to be self-sustaining.

After full roll out it is estimated that the market will be worth $22 billion and the NDIS will create thousands of new jobs across the country.

People with disability and their individual choices are at the centre of the NDIS market.

Providersmayneedtomodifytheirserviceofferingtoattractmorebusiness.

What resources and support are available?Registration information, detailed price guides and NDIS roll out schedules can be accessed from www.ndis.gov.au/providers

A range of information sessions, tools and resources are being developed to help providers get ready for the NDIS. More information will be made available as the NDIS rolls out.

Five things you need to know about the NDIS in South Australia

The National Disability Insurance Scheme (NDIS) is the new way of providing individualised support for people with disability, their families and carers. The NDIS is insurance, which gives us all peace of mind. Disability can affect anyone and having the right support makes a big difference.

The NDIS provides eligible people a flexible, whole-of-life approach to the support they need to pursue their goals. It also fosters social inclusion and economic participation.

1. What?

The Commonwealth and South Australian governments have agreed on how the NDIS will be rolled out in South Australia. The NDIS is currently available for children aged 13 years and under.

2. When?

The NDIS is a big change and it will be progressively rolled out in South Australia. People will move to the NDIS at different times depending on age and where they live. The NDIS will be operating state-wide for all age groups by July 2018.

3. Who?

1 February 2016

Children 0–14 years old State-wide

1 January 2017

Young people 15–17 years old State-wide

1 July 2017 – 30 June 2018

Adults 18–64 years oldRoll out will be based on

where you live

4. How?The National Disability Insurance Agency (NDIA) is working closely with relevant Commonwealth and South Australian government departments to ensure a smooth NDIS transition for all existing and new clients, their families and providers.

5. What can I do to prepare?If you currently receive disability services and are eligible to enter the NDIS, you will be contacted before you transition. If you are currently not receiving support, you may be still able to access the NDIS. Information and resources are available at www.ndis.gov.au/sa

Visit our website atwww.ndis.gov.au/sa

Call us on 1800 800 110

Preparing for the NDIS in South AustraliaThe National Disability Insurance Scheme (NDIS) will roll out in South Australia from 1 February 2016.

What is the NDIS?The NDIS is a new way of providing individualised support for people with an impairment or condition likely to be permanent, or a developmental delay which affects their ability to take part in everyday activities. The NDIS is being implemented by the National Disability Insurance Agency (NDIA).

The NDIS is being introduced in stages, because it’s a big change and it is important to get it right and make it sustainable.

So far, the NDIS has been trialled in several sites across the country. On 1 July 2013, the NDIS trial commenced in South Australia and over 5,200 South Australians, aged 0 to 13 years, have accessed the NDIS.

The NDIS will be made available progressively across the state, by age, over the next two years. Once roll out is complete, it is estimated over 32,000 South Australians will transition to the NDIS.

How does the NDIS work?The NDIS takes a flexible, whole-of-life approach to working with participants, their families and carers, to develop individualised plans. The NDIS provides participants with more choice and control over how, when and where their supports are provided. It also provides certainty they will receive the support they need over their lifetime.

The NDIS also works to connect participants with community and mainstream supports. The NDIS funds the additional reasonable and necessary supports to help participants pursue their goals, and participate in daily life.

Helping people to build their social and economic participation requires the NDIS to work closely with community organisations to identify opportunities for people with disability.

In South Australia, there are many well-established community organisations who will be important in helping people with disability prepare for the NDIS.

They will also play a vital role in assisting people with disability to achieve their goals.

ndis.gov.au

The NDIS will roll out in South Australia from 1 February 2016.

How will the roll out work?The details on how people will phase into the NDIS has been negotiated between the Commonwealth and South Australian governments.

From 1 February 2016, children aged between 0 to 14 years of age across South Australia will continue to enter the NDIS.

From 1 January 2017, young people aged between 15 and 17 years of age across South Australia will begin to enter the NDIS.

From 1 July 2017, adults aged 18 to 64 years of age will begin to enter the NDIS based on where they live. The first areas to commence transition to the NDIS from 1 July 2017 will be:

• South Australian Government Region: Barossa, Light and Lower North

• Local Government Areas: Playford, Salisbury and Port Adelaide Enfield (East).

From October 2017 the following areas will transition to the NDIS:

• South Australian Government Regions: Limestone Coast and Murray and Mallee

• Local Government Area: Tea Tree Gully

From January 2018 the following South Australian Government Regions will transition to the NDIS:

• Fleurieu and Kangaroo Island • Southern Adelaide • Eyre and Western• Far North• Yorke and Mid North.

From April 2018 the following South Australian Government Regions will commence transition to the NDIS:

• Adelaide Hills• Eastern Adelaide• Western Adelaide.

Refer to the NDIS website for detailed transition information for your area.

Who can access the NDIS?To access the NDIS in South Australia people must:

• live in a region where the NDIS is available;

• meet the age and residency requirements; and

• meet either the disability or early intervention requirements.

The access checklist on the NDIS website provides access requirements.

What can I do to prepare?If you currently receive disability services and are eligible to enter the NDIS, you will be contacted before you transition. If you are currently not receiving support, you may be still able to access the NDIS. Additional information and resources to help you are available from ndis.gov.au/sa.

More informationndis.gov.au/sa

1800 800 110* 8am to 5pm (AEST) Monday to Friday

For people with hearing or speech loss TTY 1800 555 677

Speak and listen 1800 555 727

For people who need help with English TIS 131 450

Follow up on Twitter @NDIS

Find us on Facebook facebook.com/NDISAUS

*1800 calls from fixed lines are free. Calls from mobiles may be charged.

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ndis.gov.au

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December 2015 ndis.gov.au

Frequently Asked Questions – South Australia When will the National Disability Insurance Scheme (NDIS) be available? The Commonwealth and South Australian governments have announced they have reached agreement to roll out the NDIS in South Australia.

The NDIS will be rolled out progressively across the state, based on your age and where you live, over the next two years. The NDIS is being introduced in stages because it’s a big change and it is important to get it right and make it sustainable.

In South Australia, the NDIS will be operating state-wide for all age groups by July 2018, ultimatelyproviding support to about 32,000 people.

More information on the South Australian transition, visit at www.ndis.gov.au/sa

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Transition start date

Age cohort South Australian Government Region / Local Government Areas

1 February 2016 0 – 14 years old State-wide 1 January 2017 15 – 17 years old State-wide 1 July 2017 18 – 64 years old Barossa, Light and Lower North:

• Barossa Council • Town of Gawler • Light Regional Council • District Council of Mallala

Additional LGAs:

• City of Playford • City of Salisbury • City of Port Adelaide Enfield (East)

1 October 2017 18 – 64 years old Limestone Coast • District Council of Grant • Kingston District Council • Naracoorte Lucindale Council • City of Mt Gambier • District Council of Robe • Tatiara District Council • Wattle Range Council

Murray and Mallee

• Berri Barmera Council • The Coorong District Council • District Council of Loxton Waikerie • Southern Mallee District Council • District Council of Karoonda East

Murray • Mid Murray Council • The Rural City of Murray Bridge • District Council of Renmark Paringa

Additional LGAs:

• City of Tea Tree Gully

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Transition start date

Age cohort South Australian Government Region / Local Government Areas

1 January 2018 18 – 64 years old Fleurieu and Kangaroo Island • Alexandrina Council • Kangaroo Island Council • City of Victor Harbor • District Council of Yankalilla

Southern Adelaide

• City of Holdfast Bay • City of Marion • City of Mitcham • City of Onkaparinga

Eyre and Western

• District Council Ceduna • District Council of Cleve • District Council of Elliston • District Council of Franklin Harbour • District Council of Kimba • District Council of Lower Eyre

Peninsula • City of Pt Lincoln • District Council of Streaky Bay • District Council of Tumby Bay • The Corporation of the City of

Whyalla • Wudinna District Council

Far North

• District Council of Coober Pedy • The Flinders Ranges Council • Port Augusta City Council • Municipal Council of Roxby Downs • Anangu Pitjantjatjara Yankunytjatjara

Yorke and Mid North

• District Council of Barunga West • Clare & Gilbert Valleys Council • District Council of the Copper Coast • Regional Council of Goyder • District Council of Mt Remarkable • District Council of Orroroo Carrieton • Northern Areas Council • District Council of Peterborough • Port Pirie Regional Council • Wakefield Regional Council • Yorke Peninsula Council

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Transition start date

Age cohort South Australian Government Region / Local Government Areas

1 April 2018 18 – 64 years old Adelaide Hills • Adelaide Hills Council • District Council of Mount Barker

Eastern Adelaide

• City of Adelaide • City of Burnside • City of Campbelltown • The City Of Norwood, Payneham & St

Peters • City of Prospect • City of Unley • Corporation of the Town of

Walkerville Western Adelaide

• City of Charles Sturt • City of West Torrens • City of Port Adelaide Enfield (West)

Who can become a participant? You can meet access requirements if you are in an age group moving to the NDIS, live in an area the NDIS is available in, are under age 65 and meet the residency and either the disability or early intervention requirements.

Please use the NDIS Access Checklist to see if you might meet the access requirements.

What are the disability requirements?

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:

o assistance from other people or o you have assistive technology or equipment (other than common items such as

glasses) or o you can’t participate effectively even with assistance or aides 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.

An impairment varying in intensity e.g. because the impairment is of a chronic episodic nature may still be permanent, and you may require support under the NDIS for your lifetime, despite the variation.

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What are the early intervention requirements?

You may meet the early intervention requirements:

• if you have an impairment or condition likely to be permanent and • there is evidence getting supports now (early interventions) will help you by:

o reducing how much help you will need to do things because of your impairment in the future and

o improving or reducing deterioration of your functional capacity or o helping your family and carers to keep helping you and o those supports are most appropriately funded through the NDIS, and not through

another service system. OR

• you are a child aged under six years of age with developmental delay which results in: o substantially reduced functional capacity in one or more of the areas of self-care,

receptive and expressive language, cognitive development or motor development and o results in the need for a combination and sequence of special interdisciplinary or

generic care, treatment or other services which are of extended duration, and are individually planned and coordinated; and

• those supports are most appropriately funded through the NDIS, and not through another service system.

What types of information will I need to provide? So we can determine whether you meet disability or early intervention requirements, you may need to provide the National Disability Insurance Agency (NDIA) with information about your impairment, developmental delay or early intervention requirements.

This may include providing copies of letters, assessments or reports from your doctor or school, explaining your impairment and how it impacts your life.

What are informal supports? Informal supports are arrangements available to you from your family, friends and community. Informal supports are part and parcel of family life. They are the connections you may have with friends and community services to assist you in everyday life.

What can be funded?

The types of supports the NDIS may fund include:

• daily personal supports • transport, for example to help you get to work, school or community activity • help to get or keep a job • therapeutic supports, including behaviour support • help with household tasks, to make sure you can keep and look after your home • help from skilled personnel for aids or equipment • changes to your home • equipment to help you get around, and • changes to your car.

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What will not be funded?

The NDIS Act and the rules made under the NDIS Act tell us which supports the NDIS will not fund.

A support will not be funded if it:

• is not related to your impairment • doubles up on supports already funded in a different way, such as Medicare or Department of

Education • relates to your day-to-day living costs, for example items like groceries or holidays • is likely to cause you or someone else harm

How can funding in plans be managed?

You have choice and control over how you use funded supports in your plan. This includes choice of how the supports are given and which service providers you use.

There are five ways a plan can be managed.

1. Agency Managed – this is where providers claim directly from the NDIA. 2. Plan Manager – funding in your plan is allocated to a third party so they can manage the

financial transactions in your plan. 3. Self Managed – you (or your nominee) directly manage the funds – all transactions are

completed by the participant for services rendered. 4. Automated Payments (transport only) – these funds can be deposited into an NDIS bank

account weekly, fortnightly or monthly. 5. Combination – A combination of the above four options can be used together to meet your

individual needs.

In some cases, the NDIA or others will manage the funding for supports. For example, where there is an unreasonable risk to a participant.

How do I get ready for my first NDIS plan?

The NDIS sees every participant as an individual. As planning is an individual process, it is good to think about what you want to achieve. Knowing what you would like to work towards helps you to think about the supports and services you will need to achieve those goals.

Your first plan may include the same supports and services you currently receive. This will give you time to think about how those supports are working for you and if there are other supports which may help you achieve your goals before you do your next plan.

Until you have a plan in place, you will keep getting the support you currently get.

There is a range of ways the NDIS helps you to prepare for planning. Participant Readiness workshops are a great way to get an understanding of the NDIS and what to expect in the planning process. Visit the events page on our website for workshops running in your area. You can also find more information about preparing for planning on our website.

What will happen to my current supports?

Existing services and supports will continue until you start your NDIS plan.

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When will I know when my program/age group/provider will transition?

The NDIA and the South Australian Department of Communities and Social Inclusion will work in partnership to ensure everyone is informed. You will be contacted about six to three months before it is time for you to transition.

More information

Contact us if you would like more information on managing your supports. Visit: www.ndis.gov.au/sa Call: 1800 800 110*

For people with hearing or speech loss: TTY: 1800 555 677 Speak and Listen (Speech-to-speech relay): 1800 555 727 For people who need help with English Translating and Interpreting Service: 131 450

* The call centre is open Monday to Friday, 8am to 5pm EST * 1800 calls are free from fixed lines. However, calls from mobiles may be charged.