What is the NDIS and how does it work?

The National Disability Insurance Scheme (NDIS) is a government program designed to support Australians living with disability. Its purpose is to provide funding for supports and services that help people live more independently, participate in their communities, and work towards personal goals.

The scheme is administered by the National Disability Insurance Agency (NDIA), which is responsible for assessing eligibility, developing participant plans, and overseeing the funding provided through the NDIS.

For many people, understanding how the NDIS works can feel overwhelming at first. This guide explains the basics in simple terms.

What is the NDIS?

The National Disability Insurance Scheme provides funding for reasonable and necessary supports that assist people with disability in their everyday lives.

These supports may help participants:

• build independence

• improve daily living skills

• access therapies and services

• participate in education or employment

• connect with community activities

The NDIS focuses on supporting individuals to achieve their personal goals and improve quality of life.

Who may be eligible for the NDIS?

Eligibility for the NDIS is determined by the National Disability Insurance Agency.

Generally, a person may be eligible if they:

• are under the age of 65 when applying

• live in Australia and meet residency requirements

• have a permanent disability that significantly affects daily activities

Eligibility is assessed by the NDIA based on the information and evidence provided during the application process.

How the NDIS application process works

The application process usually involves several steps.

• Initial enquiry

A person or their representative contacts the NDIA to request access to the NDIS.

• Providing information

Applicants may be asked to provide evidence from doctors or specialists explaining how their condition affects daily life.

• NDIA assessment

The NDIA reviews the information to determine whether the person meets the eligibility criteria.

• NDIS plan meeting

If approved, the participant attends a planning meeting to discuss their goals and support needs.

• NDIS plan approval

Once the plan is finalised, funding is allocated for specific supports and services.

What is an NDIS plan?

An NDIS plan outlines the supports funded for a participant and how those supports may help them achieve their goals.

Plans typically include:

• personal goals

• types of supports funded

• funding budgets for different support categories

Each plan is unique and is designed around the individual needs and circumstances of the participant.

How participants use their NDIS plan

Once a plan is approved, participants can begin accessing services and supports funded through the NDIS.

Participants may choose to:

• manage their plan themselves

• have a plan manager assist with financial administration

• have the NDIA manage payments directly

Participants can also work with different service providers depending on their needs.

What is support coordination?

Some participants receive funding for Support Coordination as part of their NDIS plan.

Support Coordinators help participants:

• understand their NDIS plan

• explore support options available

• connect with service providers

• navigate the NDIS system

Support Coordination can help people feel more confident managing their supports and making informed decisions about their care.

When are NDIS plans reviewed?

NDIS plans are usually reviewed periodically to ensure the supports remain appropriate.

During a review, participants can discuss:

• changes in their circumstances

• new goals

• adjustments to supports

The NDIA will assess whether any updates to the plan are required.

The NDIS can provide important support for people living with disability, but understanding how the system works can sometimes feel complex.

If you or someone you support is exploring the NDIS and would like guidance understanding available options, you are welcome to contact Assist Care Management. Our team can help explain the process and provide information about navigating the NDIS.