What is the NDIS?
The National Disability Insurance Scheme (NDIS) is a new way of providing support for Australians with disability, as well as to their families and carers. The scheme takes a lifetime approach to ensuring that Australians with disability will have the necessary support they need to live an ordinary life.
Who is eligible to access the NDIS scheme?
The NDIS is accessible to those who:
1. Have a permanent and significant disability
2. Are under the age of 65 when you first enter the scheme
3. People who live in Australia and have Australian residency
If you are eligible, the NDIS will provide funding for reasonable and necessary supports that are required for you to live your life and reach your goals.
How does the NDIS work with Fighting Chance?
Once you receive your NDIS plan, you can select Fighting Chance as your NDIS provider. This means that the support covered in your plan will be provided by Fighting Chance and funded by the NDIS. As a registered NDIS provider, we will support you to achieve your professional and personal goals.
Categories of support that Fighting Chance can assist with through the NDIS include:
- Assistance with daily life
- Social and community participation
- Coordination of supports
- Improved living arrangements
- Increased social and community participation
- Finding and keeping a job
- Improved relationships
- Improved life choices (Plan Management)
- Improved daily living skills
The National Disability Insurance Agency (NDIA) appoints price controls by setting price limits and pricing arrangements that registered providers can charge for those services. As a registered NDIS provider, Fighting Chance has set the price for each support with each participant, subject to the price limits and arrangements imposed by the NDIA.
Fighting Chance is also compliant with the NDIA’s eligibility terms to use the Temporary Transformation Payment (TTP) conditional loading and will use the TTP prices where applicable.
Download a detailed price list by clicking here:
NDIA CHANGES TO GROUP SERVICES PRICING AND BILLING
(updated June 2021)
What changes were proposed by the NDIA last year?
In the 2020/2021 NDIS Price Guide, the NDIA announced a transition away from the historical ratio-based funding system for group supports (where participants receive supports at ratios ranging from 1:1 to 1:5, and are billed at an hourly rate to correspond to that ratio), to a system based on an apportionment of time. In addition to that, and in an effort to increase transparency, the hourly price will be de-constructed to separate out charges for non-face-to-face administration and centre capital costs, which were historically rolled into the hourly price.
Who is impacted?
All Avenue and Jigsaw participants receiving group services – however while these are big structural changes proposed by the NDIA, they are largely administrative and shouldn’t impact our participants and their families too much.
Due to the individualised way we have always operated at Avenue and Jigsaw, these proposed changes will have no impact on our service delivery model, and only a very limited impact on the prices we charge going forward. However, these changes will have an effect on the Service Agreement and Schedule of Supports for all Avenue and Jigsaw participants, as well as changing the way our quotes and invoices look going forward.
Why has the NDIA now delayed the mandatory implementation of apportioned pricing?
Sustained advocacy by the member-based sector body NDS (National Disability Services) resulted in the NDIA announcing on 2 June that the deadline for transitioning to apportioned pricing would be extended by a year. NDS lobbies on behalf of members (a lot are larger, more well established service providers) who believe that the new pricing model does not suit their operations and would not be financially sustainable. These service providers can now hold off on implementing the changes until mid 2022.
What was the original timeframe for implementing the changes, and what is it now?
The NDIA originally gave all service providers until 30 June 2021 to make the full transition to the new pricing system. This has now been delayed for a year, and transition can now occur anytime before 1 July 2022.
Why is FC continuing with apportioned pricing when other service providers are now delaying it?
In short, we think apportioned pricing is the right way forward. The idea behind the changes is putting a pricing model in place that forces more individualised practices amongst day programs/group services. The changes provide increased transparency to participants about what they are being charged. And it gives service providers the opportunity to bill for legitimate non-face-to-face costs of delivering services. For Fighting Chance services it makes sense, and is aligned with the way we already work to deliver individualised supports (personalised ratios, workers allocated based on ratio, individualised programs).
Also, we’re some steps down the path and don’t want to undo the work we’ve already done since April 2021, to communicate and manage the change with our community.
What if these changes increase my overall fees, and either my current funding can’t cover them, or it will run out quicker because of the increase?
We will consider this situation on a case by case basis if there’s a significant impact to an individual’s funding because of these changes. Fighting Chance can provide pro-bono NDIS support through our Support Coordination team to explore either submitting a request for an unscheduled plan review, or a change of circumstances, in order to secure an increased funding outcome.
Under the new pricing model, what is non-face-to-face support?
The NDIA is now recognising the non-face-to-face time that providers undertake to provide personalised support. Non-face-to-face support items can be delivered to individual participants or to groups of participants (subject to the rules set out in the 2021/2022 NDIS Pricing Arrangements and Price Limits – p.65). Refer to Service Agreement letter and Appendix for detail of what is included in Non-face-to-face supports.
Under the new pricing model, why are 1:1 support costs increasing so significantly?
1:1 supports are increasing the most out of any ratio (8% increase) compared to 4% for 1:2 and 0.8% for 1:3. The idea is that charging more for 1:1 supports gives service providers the opportunity to deliver truly individualised programs and services, and should represent the true cost of supports being provided to participants.
Under the new pricing model, what is involved in Centre Capital Costs?
Centre Capital Costs are the overhead costs associated with running Avenue and Jigsaw sites. These costs were previously built into the unit price you were billed under the old pricing model. The NDIS has now calculated this cost to be $2.17 per hour of support.
Specifically for Avenue Social, we have elected to charge only 1 hour ($2.17) per attendance for Centre Capital Costs, to cover the use of the site in the event of unfavorable weather conditions.
If participants and families/carers have further questions, who should they contact?
Reach out to the Community Engagement Lead at your local site during business hours, if you have any questions about the new pricing model, your updated Service Agreement or Schedule of Supports.
Planning Your Support With Us
You know what you want. Our role is to work alongside you to plan your support and help you achieve your goals. As an NDIS participant, we help you to understand your plan and connect you with the people and support that will enable you to live the life you choose
Preparing For Your Plan
If you haven’t received your NDIS funding yet, but have started thinking about your planning meeting with the NDIA, talk to us. We can chat with you about some of the things you might like to think about when working out what supports you need and what goals are important to you. Familiarising yourself with the NDIS language and knowing exactly what to ask in your planning meeting is really important, and we help you prepare for this.
Reviewing Your Plan
Time for your plan to be reviewed? We can help you through this process and assist with preparing for your review meeting. It is important that you are clear about what support you want to continue with, change or add to your plan and your goals.