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1 NSW Provider Sessions Suzanne Punshon 5 March 2016 NSW Preparing for the NDIS
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2 NDIS in 2016: Trial to Transition
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3 From 1 July 2016 Central Coast Northern Sydney South Western Sydney Southern NSW Western Sydney Remaining populations of Hunter New England and Nepean Blue Mountains From 1 July 2017 Illawarra Shoalhaven Mid North Coast Murrumbidgee Northern NSW South Eastern Sydney Sydney Western NSW Far West NSW rollout 1 July 2018 The NDIS is operating state-wide
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4 To access assistance from the NDIS a person must have permanent disability which has a significant impact on everyday life and on their ability to participate in the community, and will mean they will need ongoing supports. Disability requirements
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5 Early intervention is for both children and adults. To meet the early intervention requirements a person must: Have an impairment that is, or is likely to be, permanent. AND Early intervention requirements There is evidence that receiving supports now (early interventions) will help: Reduce the level of support needed, now and in the future OR Assist their family and carer to keep providing support
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6 Early Childhood Early Intervention Approach Will help children with developmental delay or disability and their families achieve better long-term outcomes through support services in their local community, regardless of diagnosis. Provide timely, comprehensive and well-integrated early intervention support for children and their families. Families will work with existing early childhood intervention service providers, who will act as an NDIS access partner. Currently being implemented in Nepean Blue Mountains for children under six. The approach will be rolled out nationally in line with Bilateral Agreements.
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7 Local Area Coordination Local Area Coordinators (LACs) will support participants and their families to join in and contribute to the life of their community and assist with the planning process, plan implementation and community participation. The NDIA has partnered with Uniting and St Vincent de Paul Society NSW to deliver NSW LAC services during transition from January 2016 – 30 June 2018. LACs will support participants through all steps on the pathway, except access. LACs will assist all NSW participants transition to the NDIS, except participants living in large residential centres. Most participants (60%) will also have an LAC assist with plan implementation, others (30-40%) may need more frequent and funded support coordination.
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8 Participant Pathway
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9 Funded supports must: Assist the participant to pursue the goals objectives and aspirations Assist the participant’s social and economic participation Represent value for money Be, or likely to be, effective and beneficial for the participant Takes into account of what is reasonable to expect families, carers, informal networks and the community to provide Be appropriate for the NDIS to fund or provide What NDIS will not fund supports: Not related to the participant’s disability Related to day to day living costs Likely to cause harm to the participant or others Funded supports
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10 Reasonable and necessary criteria The NDIS Act (s34) sets out criteria for decisions. ‘Supports for Participants’ Rule expands the criteria: (a) Whether there are comparable supports which would achieve the same outcome at a substantially lower cost. (b) Whether there is evidence that the support will substantially improve the life stage outcomes for, and be of long ‑ term benefit to, the participant. (c) Whether funding or provision of the support is likely to reduce the cost of the funding of supports for the participant in the long term (for example, some early intervention supports may be value for money given their potential to avoid or delay reliance on more costly supports).
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11 Provider Registration
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12 Application Form Step 1 Refer to Attachments 1,2 & 3 Go to www.ndis.gov.auwww.ndis.gov.au Complete the application form Within 15 business days -Your nominated employee will be emailed a Provider Portal log in to complete your registration, or -We will contact you for further information if required.
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13 Obtain an AUSkey Step 2 Register at: abr.gov.auabr.gov.au Or Check with your finance staff if you are unsure Once you have received your email: -Download to your PC or memory stick -Contact the service desk for your access codes Each provider should decide how many AUSkey’s they get and who they are assigned to.
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14 Terms of Business The National Disability Insurance Act 2013 provides for the making of Rules and requirements for registered providers of support. Objectives and principles Competence Withdrawal or termination of services Service agreements Business practices –Conflict of interest –Subcontracting –Insurances –Records management –Pricing and payments –Serious incident reporting –Confidentiality, complaints and use of NDIA logo
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15 Provider Portal Once in the portal you can begin the next phase of the registration process. Click on the ‘Manage Registration’ button.
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16 Provider Portal You may work through the process of submitting your evidence over a number of days/weeks. Remember to always save each time you enter new information. When you have completed everything save and hit submit! We will not know that you have completed your evidence until this button is clicked.
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17 Submission of material Once you have submitted your supporting material, NDIA will review for compliance with quality safeguards. If further material is required, you will be notified by email. Once approved, you will be sent an email with the approval letter and registration certificate which will include the approval date and support clusters you are registered for.
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18 Connecting to a Participant You need: Participant’s NDIS number Date of birth Note: Only the participant can give this to you.
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19 Support items, connecting and claiming Provider Portal – next steps Adding a support item Connecting to a participants plan Making a claim (include bulk uploads) –One step and two step claim processes –Maintaining evidence to support claims (service agreements) –What should I do if I make an error in a claim? –Getting paid (24-48 hours processing). Managing your Registration Profile Portal FAQs
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20 Best fit claiming Support items are no longer defined with same granularity Providers see description of participant’s agreed supports and aligned outcome Negotiation between participant and provider Detail of supports is in Service Agreement Provider claims against support item that best fits delivery of support It won’t always be an exact fit Provider retains detail in provider records Provider records are auditable
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21 Part 2: My Goals
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22 Part 3: My Supports
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24 Outcomes framework and support category Support purpose Outcomes framework domainSupport category CoreDaily livingAssistance with daily life at home in the community, education and at work Supported Independent Living Transport to access daily activities Capacity Building Daily living Home Health and wellbeing Lifelong learning Work Social, community participation Relationships Choice and control Improved daily living skills Improved living arrangements Improved health and wellbeing Improved learning Get and keep a job Increased social and community activities Improved relationships Improved life choices CapitalDaily living Assistive technology Vehicle modifications HomeHome modifications
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25 Work in progress Pricing reviews Supported accommodation Group rates
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26 Visit: www.ndis.gov.au/nsw Phone: 1800 800 110 Email: provider.support@ndis.gov.au Questions?
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