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Frequently Asked Questions
Find quick answers to common questions
Supports FAQs
The NDIS is not designed to fund supports more appropriately funded or provided by the health system.
Assessment, diagnosis and treatment of health conditions, along with medications and hospital care, remain the responsibility of the health system.
As a general guide, the following health-related services and supports are not provided or funded through the NDIS:
- Items and services covered by the Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS), nor Medicare gap fees.
- Treatment, services or supports delivered by a doctor or medical specialist, including diagnosis and assessment of a health condition.
- Items and services provided as part of diagnosis, early intervention and treatment of health conditions, including ongoing care of chronic health conditions.
- Medically prescribed care, treatment or surgery for an acute illness or injury including post-acute care, convalescent care and rehabilitation.
- Sub-acute care including palliative care, end of life care and geriatric care.
What is the NDIS?
The National Disability Insurance Scheme (NDIS) helps people with disability get the support they need.
The NDIS is run by the National Disability Insurance Agency (NDIA).
The NDIS is for Australians who:
- Were born with a disability, or
- Developed a disability later in life, and
- Have a permanent and significant disability.
Permanent disability means the disability is likely to last for life.
Significant disability means the disability makes everyday activities harder, such as:
- Moving around
- Communicating
- Learning
- Looking after yourself
What does the NDIS pay for?
The NDIS provides funding for reasonable and necessary supports that are related to your disability.
- Reasonable means the support is best provided through the NDIS
- Necessary means the support is something you need because of your disability
These supports help you work towards your personal goals and live your life your way.
Who can help me understand the NDIS?
The NDIS works with partners in the community across Australia.
These organisations can help you understand the NDIS and find supports in your local area.
There are two types of community partners:
Local Area Coordinators (LACs)
If you are aged 7 to 64, a Local Area Coordinator can help you.
They can:
- Explain how the NDIS works
- Help you find supports in your community
- Help you apply for the NDIS if you may be eligible
You can find your local LAC on the NDIS website.
Early Childhood Partners
If you are a parent or carer of a child under 7 years, an Early Childhood partner can help.
They can:
- Support children with developmental delay or disability
- Help you understand what supports are available
- Help your child get support early
Your child does not need to be an NDIS participant to get help from an Early Childhood partner.
What does it mean to be an NDIS participant?
If you are eligible and become an NDIS participant, you will receive an NDIS plan.
Your plan includes funding to help you work towards your personal goals.
Everyone’s goals are different. Your goals may include:
- Improving communication or speech
- Getting help with daily activities
- Getting equipment to help at home or in the community
- Learning new skills
- Finding or keeping a job
- Becoming more independent
- Making friends and social connections
Who provides my supports?
Once you have your NDIS plan, you choose service providers to support you.
Service providers may include:
- Physiotherapists
- Occupational therapists
- Speech therapists
You can also use your plan to:
- Work with a support worker
- Access a carer
- Buy assistive technology
- Make changes to your home to make everyday life easier
What if I am not eligible for the NDIS?
If you are not eligible for the NDIS, you can still get help.
The NDIS and community partners can:
- Help you find community services
- Help you access other government supports
- Give you information about services in your local area
You can still get support even if you are not an NDIS participant.
How can I get more information?
For more information:
- Visit ndis.gov.au
- Call 1800 800 110
If you need information in another language:
- Call TIS National on 131 450
Ask them to connect you to the NDIS on 1800 800 110
The Disability Support Pension along with other income supports and payments such as the Carer Payment, Carer Supplement, Carer Allowance and Child Disability Assistance Payment are entirely separate to the NDIS.
These payments will not be affected if a patient qualifies for NDIS funding. The exception to this is the Mobility Allowance from Centrelink, which will cease once a patient receives a funded NDIS plan. However, the individual can keep their Health Care Card.
It’s important to note that someone who is receiving the Disability Support Pension is not automatically eligible for NDIS funding and supports.
Not all types of support required by a person living with a disability fall under the responsibility of the NDIS .
Some supports are funded by other areas of government (e.g. state health systems) or existing public/community services.
In general, the NDIS will fund reasonable and necessary supports that help a person living with a disability enjoy an ordinary life.
These supports and services fall into three categories.
Core
A support that assists with activities of daily living.
Capital
A support for an investment, such as assistive technologies; equipment and home or vehicle modifications; or funding for capital costs (e.g. to pay for Specialist Disability Accommodation).
Capacity building
A support that helps build independence and skills.
Common examples of supports provided or funded by the NDIS include:
- Help with personal care activities and/or household tasks
- Home and vehicle modifications
- Assistive technology, aids and mobility equipment, including set up and training by skilled personnel
- Transport to enable participation in community, social, economic and daily life activities, e.g. workplace, gym or places of learning
- Support to find and keep a job
- Therapeutic supports like occupational therapy, speech therapy and behaviour support
- Health-related supports (as long as they are a regular part of your patient’s life and the need for them arises from a disability), e.g. continence, diabetic management, dysphagia, epilepsy, nutrition, podiatry, respiratory and wound and pressure care supports (see the Disability-related health supports page for full details).
If you are uncertain if the supports your patient requires are funded by the NDIS, refer the patient to a Local Area Coordinator for further advice before proceeding with an Access Request, as other public or community services may be more appropriate.