Provider Pathway Report released
The NDIS Pathways Review Report describes how participants, their families and carers, and providers will interact with the Scheme in the future. Provider pathway improvements are also underway as a result of the review. An overview and the full report 'Improving the NDIS Participant and Provider Experience' is available on the NDIS website.
Independent Pricing Review released
The Board of the National Disability Insurance Agency (NDIA) have released the Independent Pricing Review Report (IPR) undertaken by McKinsey & Company, giving in principle support to all of the Report's 25 recommendations.
Key recommendations made by the IPR include:
- Adding a third tier to the complexity loading to account for higher level skills or experience of workers and additional training required;
- Allowing providers to charge up to 45 minutes of travel time in rural areas;
- Allowing providers to quote on the delivery of services in isolated regions;
- Changing the cancellation policy to allow providers to recover 90% of their costs if a cancellation is made after 3pm on the day before the service;
- Removing the annual $1000 travel cap for therapy supports and aligning the travel policy with the attendant care travel policy;
- Changing therapy prices to better reflect different therapy types, and introducing a second tier of pricing for therapy assistants;
- Introducing temporary overhead assistance equivalent to 2% to 3% loading on the price for providers delivering attendant care for the next 12 months.
Other recommendations relate to price limits, interventions to address specific market challenges and improvements in market monitoring and engagement.
To support implementation of the recommendations, the NDIA also announced that it will establish a Pricing Committee, which will help provide greater transparency and an active monitoring of pricing decisions as the market evolves and grows to adequately meet the needs of participants.
The NDIA Board commissioned McKinsey & Company to undertake an independent review in June 2017 in response to market feedback that some providers were under pressure during transitions and that the potential existed that the needs of participants would not be met.
During the review, McKinsey & Company consulted with over 1,000 individuals across Australia, in addition to undertaking extensive market benchmarking and detailed analysis of the market for disability supports.
Get ready for the new NDIS Quality and Safeguards Commission
The NDIS Quality and Safeguards Commission starts operating in NSW and SA from 1 July 2018. The NDIS Commission replaces the quality and safeguards that currently operate in each state and territory. The NDIS Commission will be responsible for complaints about providers, oversight of reportable incidents, provider registration and monitoring the use of restrictive practices in the NDIS.
Under the NDIS Commission, a nationally consistent provider registration and quality and safeguards regulatory system will make it easier to operate in multiple states and territories.
The NDIA and the Department of Social Services are working together to ensure a smoot transition for registered providers to the new NDIS Commission. Existing NDIS providers' approved registration will continue to be recognised. The NDIS Commission will initiate renewals progressively and will advise providers directly about what they need to do and when.
Until the NDIS Commission is operational in a jurisdiction, the existing state and territory quality and safeguards requirements will continue to apply to providers and participants.
Providers will continue to interact with the NDIA for a range of functions including service bookings, payment requests and viewing participants' plans in the myplace portal.
A fact sheet for providers about the NDIS Commission is available on the DSS website.
More information is available in the next Hot Topic about applying for registration in New South Wales or South Australia.
Quality and Safeguards - applying for registration in NSW and SA
The NDIS Quality and Safeguards Commission starts operating in NSW and SA from 1 July 2018.
The NDIS will no longer have the authority to approve applications for registration groups in NSW and SA after 30 June 2018.
You may have received an email from the NDIA regarding any incomplete applications for registration. You are encouraged to complete incomplete applications, particularly those where state approval is required, as soon as possible to allow the NDIA enough time to finalise your registration request. Any registration groups that have not been granted approval by the NDIA will not be recognised by the NDIS Commission.
If you are an NDIS registered provider in NSW or SA, your existing registration will automatically be recognised by the NDIS Commission. More information on varying your registration groups (if you are an existing provider) and starting a new application with the NDIS Commission will be available closer to July 2018.
The Provider Toolkit will be updated as more information becomes available.
New Provider Payment Team
Based on feedback from providers, the NDIA has formed a new National Provider Payment team to help manage claim payments for providers.
We know a significant number of providers report experiencing issues in claiming payments through the provider portal and we are committed to working with them to resolve their concerns.
The new National Provider Payment team is a single point of contact for providers who are having difficulty claiming, as well as a dedicated resource for our regional staff to refer issues.
The NDIA is also working on a review and redesign of current provider payment processes.
If you are experiencing difficulty claiming through the portal, or have an outstanding payment, contact the provider.payment [at] ndis.gov.au (National Provider Payment Team).
Protecting your personal details from scammers
Participants and providers are encouraged to be aware of potential scams with people claiming to be from the NDIA attempting to collect personal details via telephone, email or social media. If you are unsure about whether a person calling you is from the NDIA, you can ask for their name and number and call the agency back. More information is available on the NDIS website.
Key registration requirement: Declaration of Suitability
A Declaration of Suitability is to be completed and submitted by all individuals and organisations applying for NDIS provider registration. In order for the NDIS to progress your registration, the Declaration of Suitability must be signed by an authorised person for hte organisation and all three pages of the document uploaded in myplace. If you don't supply this information your application will not be progressed.
An incomplete or missing Declaration of Suitability is a common cause of slowing the registration process. This often requires several calls from our contact centre to organisations and substantially increases the time it takes to process applications.
Information about the Declaration of Suitability and the form can be found in the Provider Toolkit here.
Plan review updates for existing providers
As part of the national roll out of the NDIS the NDIA will implement a nationally consistent plan review approach from 1 July 2017. The NDIA recognises that policies, procedures, systems and structure continue to evolve and this is an important change that will make sure that all NDIS participants have a consistent experience with NDIS and that NDIA is collecting the same information from people, regardless of when they entered the NDIS and where they live.
A small number of NDIS participants have a gap between their current plan’s start date and the previous plan’s end date.
Providers should continue to provide services to a participant during this gap period in a plan. Previously when a provider attempted to claim for these services, their claims got rejected.
To address this problem, old plans will be automatically extended to the day before the start of the next plan. This will enable providers to submit payment requests for services that were provided under the old plan during the gap period.
Both the NDIA and providers have a shared interest in the success of the NDIS and setting goals to increase a participant’s skills and independence will continue to be a key focus of the NDIS.
Equal access is a central goal of the NDIS and having a balance of funding to help participant’s achieve their goals. It is expected that participant’s funding amounts will change and in some circumstances, reduce over time. For some participants who joined the Scheme during trial we may no longer fund some of the activities which we were able to fund as Scheme grows nationally. The funding in a participant’s next plan may look different following their next plan review. A plan review is an opportunity for participants to look at their progress and set new goals to increase their skills and independence.
It is expected that plan funding amounts will change and in some circumstances, reduce over time as the participant achieves increased social and economic participation.
Support coordination is a capacity building support to implement all supports in a participant’s plan, including informal, mainstream, community and funded supports.
Watch this short video to see how support coordinators are helping participants to understand their NDIS plan and exercise their choice and control and achieve outcomes and meet their goals.