1. National Disability Insurance Scheme (NDIS)
MAV Human Services Directors Forum
Barny Lee
Director, Market Stewardship and Analytics
27 July 2017

2. Agenda First year progress Focus for improvement
Update on key policy and resources for providers

3. What the first year looked like in Victoria
Timing of rollout z z
Participants
2016
2017
2018
2019
11,823 participants with plans
124% increase in 9 months
Represents 16% of participants nationally z
Providers
1,935 providers registered
116% increase in 9 months
Represents 28% of providers nationally
86% of bilateral estimate in VIC1
Note: All figures as at 31 March 2017
1 Calculated by dividing the number of participants with plans as at 31 March 2017 by the cumulative intake estimate for Q from the bilateral agreement
SOURCE: NDIA Scheme Actuary, VIC Bilateral Agreement

4. What the first year looked like nationally
Timing of rollout
2016
2017
2018
2019 NT
291 Participants
336 Providers
QLD WA
5,053 Participants
1,046 Providers
3,440 Participants
632 Providers
NSW SA
36,035 Participants
3,322 Providers
11,052 Participants
947 Providers
ACT
VIC
5,988 Participants
687 Providers
11,823 Participants
1,935 Providers
TAS
1,877 Participants
616 Providers
National totals
Participants
75,567 participants with plans
150% increase in 9 months
Providers
6,814 providers registered
94% increase in 9 months
Note: All figures as at 31 March 2017
SOURCE: NDIA Scheme Actuary

5. The NDIA has a clear focus on responding to review activities
Productivity Commission Position Paper
The NDIA is considering the draft PC findings, and we will continue to work cooperatively with the PC in the lead up to its final report.
NDIA commissioned McKinsey & Company to undertake an Independent Pricing Review
The Independent Pricing Review has commenced and McKinsey will shortly engage with the sector directly as part of the review.
Participant and Provider Pathway review
Since early April 2017, the NDIA has been undertaking a review to improve the way it interacts with participants and providers.

6. Participants and Provider Pathway Review
Providers
Improving the participant pathway will also assist in provider experience.

7. Pricing Changes for 2017/18
Price amendments to price limits for registered providers for FY 2017/18 were announced by the NDIA in June. Key changes included:
4.5% increase for daily activity and community participation supports
1.9% increase for capacity building supports
2.1% increase for capital-related supports including SDA
No change for therapy services
The changes are applicable for services delivered on and after 1 July 2017 and remaining funds in plans will be adjusted accordingly.
Separate claims are necessary when applying pre and post 1 July prices
Current agreements/ service bookings remain valid until completed or varied.
Existing service bookings can accommodate 2017/18 pricing where this has been explicitly agreed with the participant.

8. Market stewardship activities in action
Growing the Specialist Disability Accommodation market: SDA rules are in effect, and provide certainty for investment
Supported Independent Living pack ensures a more efficient and nationally consistent process
Intermediaries project Feedback from range of intermediaries including 1:1 interviews with 30+ providers
COMMISSIONING
PRICE REVIEW
ENGAGEMENT
SIGNALLING
EDUCATION
INTERVENTION

9. Growing the Specialist Disability Accommodation market
Specialist Disability Accommodation (SDA) rules are in effect, and provide certainty to providers about investment in the model.
The NDIA’s pricing approach has two objectives
to accommodate past disability related supported accommodation models
set the direction for the future of innovation in SDA housing- to increase smaller forms of accommodation and move away from large congregate care models.
The SDA amount included in a plan depends on the housing type and location, and any additional features as outlined in the SDA price guide.
More information is available on the provider section of NDIS website:

10. A better Supported Independent Living (SIL) process
As of 1 July 2017, all providers must use the new SIL pack and quoting tool when they submit quotes for these services.
The SIL pack ensures a more efficient and nationally consistent process, which will enable provider quotes to be assessed in a more timely and responsive manner.
The SIL tool calculates an appropriate cost range, based on the Provider’s proposed care hours for each participant.
Planners can then compare proposed care hours and pricing with information provided by the tool.
Planners are able to use the SIL tool information to assess reasonable and necessary supports more quickly.

11. A shared vision on improving intermediary supports
PROPOSED CHANGES AND IMPROVEMENTS
Simple self direction
Providing improved data sharing to enable scalability and better participant supports.
Participant choice
Simplifying administrative and system arrangements to support market growth and participant choice.
Focus
on design
Focus on assisting participants to continuously improve their outcomes over time and connecting to providers and community supports
Clear expectations of outcomes
Improve definition of intermediaries roles (within NDIA and externally)
Independence
Ongoing review of independence and conflict of interest requirements and how best to manage this for intermediary functions.

12. NDIS ready NDIA resources available at: www.ndis.gov.au/providers
• Provider toolkit:
– Registration information
– Terms of Business
– Guide to suitability
• Price Guide and CSV support lists
• Specialist Disability Accommodation Resources
• Updated Operational Guidelines (incl. supports that can be funded)
• Market information incl. provider and participant dashboards; quarterly reports
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