FAQs

This article explains the expectations the NDIA has of registered providers such as Enabled4Life NDIS Plan Management, and how providers and participants we service are required to abide by these standards and expectations.

The NDIA is responsible for delivering the NDIS.

One of the goals of the NDIA is to safeguard NDIS funds for participants so that the NDIS is there for Australians with disability when they need it. The NDIA wants to ensure participants get the maximum benefit from their NDIS funds so they can pursue their goals and access the services and supports they need.

Fraud and non-compliance

The NDIA protects the NDIS from fraud and non-compliance that result in the misuse of NDIS funds. The NDIA is committed to preventing, detecting, and responding to fraud and non-compliance and, importantly, protecting the sustainability of the NDIS.

The NDIA often receives reports of suspected non-compliant or fraudulent behaviours conducted by NDIS Providers. They take all reports seriously and monitor and assess every allegation made. The NDIA undertakes a range of compliance activities and takes appropriate action where required.

Obligations and Guidance for All NDIS Stakeholders

All NDIS stakeholders, including participants, service providers, plan managers, and support coordinators, should be aware of the legislation, policies, and guidance in place to support the delivery of services with integrity and accountability.

By understanding and following these frameworks, we can ensure that all claims, supports, and interactions are in line with the NDIS Act, participant plans, and your respective responsibilities.

These important resources are available on the NDIS website under the Providers section and are relevant to all parties involved in the delivery and coordination of supports.

We request that your organisation reviews the following information and documents to strengthen your compliance in the delivery of NDIS supports.

NDIS Code of Conduct

NDIS Practice Standards

What you need to know about non-compliance | NDIS

What you need to know about fraud | NDIS

Changes to the Legislation

Next step

If you have any questions about how to deliver compliant services, make compliant claims or wish to discuss any claims you have previously made, particularly those which may be non-compliant, the NDIS is here to help.  They have a dedicated team to help correct errors and provide guidance about claims. For more information visit the Provider Compliance page of the NDIS website or call the National Contact Centre on 1800 800 110.  

Reporting non-compliance

If you have concerns about the practices of NDIS participants, providers, nominees or partners, you are encouraged to report suspicious behaviour by filling in the NDIA Fraud Reporting Form, or calling the Report a Fraud and Scams Helpline on 1800 650 717.

Further information  

Further information on what the NDIS does and does not fund can be found here: What does NDIS fund? | NDIS

Enabled4Life is a nationally registered NDIS Plan Management provider.

Our services are delivered non-face-to-face i.e., via phone, email and online. Whilst our Head Office is located at Southbank, Melbourne, we can assist participants across all Australian states and territories. 

We are committed to always providing a responsive and exceptional level of service.

A lot of people believe plan managers hold cash and release funds directly to providers and participants, however this is not correct.

The NDIA holds Participant plan funds, these funds are only released to a Plan Manager once a payment request has been reviewed and approved by the NDIA.

Once approved, the NDIA will transfer funding to the Plan Manager who will distribute the funding to the Service Provider within 2 business days. 

Enabled4Life takes all feedback seriously and strives to provide excellent service to our clients.

All feedback should be submitted in writing to engagement@enabled4life.com.au or via our online contact form here: Enabled4Life Contact Form

 
Understanding Enabled4Life’s Exit Process: Supporting Participant Choice and Control
At Enabled4Life, we are committed to upholding the principles of Choice and Control under the National Disability Insurance Scheme (NDIS). This means participants are always empowered to make decisions about who delivers their supports, including the choice to cease services with us.

We believe the exit process should be clear, respectful, and participant-focused. Below is an outline of what participants and their support teams can expect when they decide to end their service agreement with Enabled4Life.

Notice Period and Immediate Exit Options
Enabled4Life’s service agreement includes a 14-day notice period for ending services. However, we understand that circumstances can change quickly. If a participant wishes to exit immediately, we respect that decision and will accommodate it without delay.

We will not enforce the full notice period if the participant expresses a clear desire to cease services sooner.
 
Confirming the Exit in Writing
When a participant or nominee indicates, they would like to exit our services, we request written confirmation (email is sufficient) to ensure clarity and accurate record-keeping.

Once received, we will formally acknowledge the exit, outline the end date of support, and confirm that our systems have been updated accordingly.

All exit requests should be sent to: engagement@enabled4life.com.au

Summary
At Enabled4Life, our exit process is built on respect, responsiveness, and compliance. Whether a participant is transitioning to a new provider or reassessing their support needs, we ensure they remain in control every step of the way.

For any enquiries related to ending services with Enabled4Life, please contact us at: engagement@enabled4life.com.au

Voluntary Exit from the NDIS: Process

1. Participant Notification
   The participant (or their nominee/guardian) must notify the NDIA in writing or by calling 1800 800 110 that they wish to exit the scheme. This can also be done through a Local Area Coordinator (LAC) or NDIS partner in the community.
2. NDIA Discussion
   The NDIA may arrange a discussion with the participant to:
• Confirm that the request is voluntary and informed,
• Ensure the participant understands the implications of exiting the scheme,
• Provide information about alternative support options (if applicable).
3. Formal Confirmation
   The NDIA will then confirm the request in writing, and once accepted, the participant’s plan and funding will be formally ceased.

Important Considerations Before Exiting

• Loss of NDIS Support: Once exited, you will no longer receive funding for any disability supports under the NDIS.
• Reapplying Later: You can reapply to the scheme in the future if you meet the eligibility criteria again, but you will be subject to a new access request and reassessment.
• Alternative Supports: It’s important to consider what other government or community supports may be available before deciding to exit.

Supporting Documents (Optional but Helpful)

To assist the NDIA in processing the request, you may include:

• A written statement of intent to exit,
• Confirmation that the participant understands the consequences,
• Any supporting documentation if a legal representative or guardian is involved.

 Where to Get Help

• NDIA Phone: 1800 800 110
• Your Plan Manager or Support Coordinator (they can help you explore whether exiting is the best option and assist with the process)
• Local Area Coordinator (LAC): For help connecting with community supports outside the NDIS.

Effective 19 May 2025, all new NDIS plans approved are subject to legislative changes under Section 33 of the National Disability Insurance Scheme Act 2013. These changes introduce the concept of funding periods into participant plans.

What Has Changed

Previously, funding was allocated as a single lump sum for the entire plan duration. Under the new rules:

• Funding is now released in scheduled periods (e.g., every 3 months).
• Each period contains a portion of the total plan budget and is intended to last for a specific time.
• Participants and their providers must manage budgets within each defined period, rather than over the entire plan.

What Is a Funding Period?

A funding period refers to:

• The window of time during which a portion of a participant’s NDIS funding is made available for use.
• A period that may apply to the entire plan, a specific support category, or even an individual support item.

Funding periods help:

• Prevent early overspending
• Encourage consistent budgeting
• Enable the NDIA to monitor spending and support needs more effectively

Key Rules for Funding Periods

Rollover Within the Same Plan:
Unused funds from one funding period can roll over to the next within the same plan. However, funds do not roll over across different plans.

Claims Across Funding Periods:
Providers may submit claims for supports delivered in a previous funding period, provided:

• The dates of the invoice fall within the current plan duration, and
• The current funding period has sufficient remaining or rolled-over funds to cover the claim.

No Access to Future Periods:
Funding from future periods cannot be brought forward. Participants must not exceed the amount available in their current funding period.

Strict Enforcement:
The NDIA will not pay claims that exceed the funding allocated to the current period or component. If this occurs, the participant or their nominee may become personally liable for any overspend.

Responsibility to Monitor:
Participants and providers must:

• Track expenditure regularly
• Ensure they understand available funding
• Avoid making bookings or agreements that exceed the current available budget

Total Funding and Components

The total funding amount in a plan is the full amount allocated for all reasonable and necessary supports over the plan’s duration. For example:

Each category is referred to as a funding component and may contain specific support line items that are each subject to the rules of funding periods.

Application to Plan Management – Choice and Control

For the Capacity Building – Improved Life Choices (Plan Management) category, funding may be allocated to cover:

• A one-off setup fee (support item: 14_033_0127_8_3)
• Monthly financial administration fees (support item: 14_034_0127_8_3)

These supports are also governed by Section 33 rules. Claims for Plan Management services may only be made when:

• The support category is funded for the current period
• There is available funding within the period to cover the relevant fee

If the plan is auto-extended without new CB Choice and Control funding, or if the support item is not included in the renewed plan period, monthly Plan Management fees cannot be claimed until reinstated.

Why Are Funding Periods Important?

• Prevents early overspending
• Supports long-term and sustainable budgeting
• Enables the NDIA to assess support needs over time
• Ensures consistent and fair access to funded supports
• Now a legislative requirement for all new plans from 19 May 2025

NDIS Quality and Safeguards Commission – Compliance and enforcement actions search:

Use this tool to make informed decisions about the providers or workers supporting you. Search compliance records for providers and individuals to check if they have any current or past compliance or enforcement actions.

1. Compliance and enforcement actions search
2. Actions included in the compliance search

What is an NDIS Delegate?

An NDIS Delegate, sometimes referred to as an NDIS Planner, is a staff member of the NDIA who has the authority to make decisions under the NDIS Act 2013. Delegates assess whether supports are considered reasonable and necessary, determine the amount of funding allocated to each plan, and approve plan reviews and replacement supports.

How are NDIS Delegates different from LACs or Early Childhood Partners?

Local Area Coordinators (LACs) and Early Childhood Partners (ECPs) are not employed by the NDIA, they work for partner organisations contracted to deliver support in communities.

While LACs and ECPs help participants identify their needs, connect with providers, and navigate the NDIS, they do not have authority to approve funding or make final decisions about a plan.

In complex or high-needs situations, participants may work directly with an NDIS Delegate instead of an LAC or ECP.

When would I interact with an NDIS Delegate?

You may interact with an NDIS Delegate during:

• Plan approval: When your plan is being developed or reviewed, the Delegate assesses and approves the supports and funding.
• Plan variations: If there are significant changes in your circumstances requiring adjustments to your plan.
• Complex situations: In cases where decisions about supports are not straightforward, a Delegate may be involved to ensure appropriate determinations are made.

Why is it important to understand a Delegate’s role?

Recent updates to the NDIS have placed more focus on ensuring funding is used only for NDIS-approved supports. While general guidance exists, some items fall into grey areas, especially if it’s unclear whether a support is considered reasonable and necessary.

In those situations, only a Delegate can provide written confirmation about whether something is an eligible NDIS support. Without this confirmation, participants may risk having to repay funds for items later deemed ineligible.

Can I ask to speak with an NDIS Delegate?

Yes, if you need a clear decision about a specific support or your plan, you can request a Planner callback by contacting the NDIS National Contact Centre on 1800 800 110.

The Delegate assigned to your plan is the person authorised to make funding decisions and can offer clarity when things are uncertain.

What is Enabled4Life’s role in this process?

As your Plan Manager, our role is to:

• Ensure your invoices are processed accurately and in line with NDIS rules
• Help you understand the funding categories within your plan
• Protect your funding by alerting you if a support may not meet eligibility criteria

However, we do not have the authority to decide what is reasonable and necessary , that responsibility lies solely with your NDIS Delegate.

To avoid unnecessary costs or complications, we recommend seeking written approval from a Delegate before purchasing items you’re unsure about.

NDIS support item 15_037_0117_1_3—Skill Development and Training, including Public Transport Training—is designed to build a participant’s life skills, fostering independence and enhancing their ability to manage everyday activities. Below are some examples of supports that could be delivered under this line item:

1. Public Transport Training: Teaching participants how to navigate public transport safely and independently, including reading timetables, buying tickets, and understanding bus, train, or tram routes.
2. Budgeting and Money Management Skills: Assisting participants with budgeting, handling money, and using banking services to help them manage personal finances and make informed financial decisions.
3. Household Management Training: Training on tasks such as cleaning, laundry, cooking, grocery shopping, and home maintenance to support participants in managing their households independently.
4. Personal Care and Hygiene: Educating participants on personal hygiene routines, dressing appropriately for different occasions, and grooming to increase their confidence and independence in personal care.
5. Social Skills Training: Supporting participants in developing effective communication, social interaction, and conflict resolution skills to engage with others in various settings, such as school, work, or social gatherings.
6. Travel Safety Skills: Training participants on road safety, pedestrian rules, and general travel safety to ensure they are prepared for independent travel, particularly if they frequently walk or bike to destinations.
7. Meal Planning and Nutrition Education: Teaching participants how to plan nutritious meals, read food labels, and make healthy choices when grocery shopping, promoting independence in dietary management.
8. Time Management and Scheduling: Helping participants with skills like creating schedules, managing appointments, and prioritising tasks to support them in staying organised and efficient.
9. Using Technology and Communication Tools: Training participants on the use of devices like smartphones, tablets, or computers, as well as applications for communication, navigation, and managing daily routines, enhancing their digital literacy.
10. Emergency Preparedness and Safety Skills: Educating participants on basic safety protocols, such as what to do in case of an emergency, how to contact emergency services, and essential first aid skills, helping them feel more secure in daily life.

These supports are time limited and aim to empower participants by equipping them with the skills necessary to perform daily activities independently, fostering self-reliance, and enhancing their quality of life.

Important Note: Please be aware that this line item cannot be utilised for personal care services or for social civic and community participation services, whether delivered individually or in a group setting, in the community or in a centre. Additionally, it cannot be used to fund costs associated with recreational sports and activities, including membership fees.

What is the NDIS Parent/Carer Training line item?

The NDIS provides a specific funding line item under the Capacity Building – Improved Daily Living support category for training to help parents and carers support a person with a disability. The relevant code is 15_038_0117_1_3 – Training for Carers/Parents, with a maximum NDIS contribution of $77.00 per hour of support.

Ways Parents Can Use This Funding:

1. Supporting Communication Needs

• Training in augmentative and alternative communication (AAC) systems, such as Proloquo2Go, LAMP, or PODD.
• Learning Auslan or key word sign to support a child with hearing or communication challenges.
• Speech therapy training for parents to reinforce strategies at home.

2. Managing Behaviours and Emotional Wellbeing

• Positive Behaviour Support (PBS) training to manage behaviours of concern.
• Workshops on anxiety management, emotional regulation (e.g., Zones of Regulation).
• Parent-led strategies for social skills and emotional development.

3. Daily Living and Independence Skills

• Training to support personal care routines like toileting, dressing, and eating.
• Strategies for developing independence in household tasks and self-care.
• Sleep management strategies from occupational therapists or sleep specialists.

4. Sensory Processing and Regulation

• Parent workshops on sensory integration therapy and how to create a sensory-friendly environment.
• Occupational therapy-based training on recognising and responding to sensory needs.

5. Assistive Technology (AT) and Equipment Use

• Training on how to use assistive technology, including mobility aids, communication devices, or specialised software.
• Learning how to set up and adjust equipment at home to support their child’s daily needs.

6. Social and Community Participation

• Parent coaching on how to support their child in engaging in social activities and the community.
• Training on fostering friendships, peer interactions, and inclusion strategies.
• Understanding how to advocate for reasonable adjustments at school, community events, or sports programs.

7. Health and Wellbeing

• Training in administering medication or managing specific medical conditions related to disability.
• Learning safe manual handling techniques to prevent injury when assisting a child with mobility needs.
• Nutrition and mealtime support for children with feeding difficulties or restricted diets.

Can this funding be used for online self-paced courses?

No, NDIS does not allow this funding to be used for online self-paced education courses. However, training can be provided through:

• Face-to-face sessions with the provider.
• Telehealth sessions where a provider offers the training remotely.

How is the funding accessed and invoiced?

After the training session has been delivered, the service provider should submit a compliant invoice to our National Claims Team at paymyinvoice@enabled4life.com.au

Is this funding automatically included in a participant’s plan?

Not necessarily. For example, a plan may not specifically allocate funding for this line item. If funding is used for this training, it may reduce the budget available allocated Capacity Building – Improved Daily Living supports, such as therapy sessions for Occupational Therapists, Speech Pathologists, Social Workers, Early Childhood Teachers or Educators, etc.

Who can provide training under this line item?

Qualified therapists, allied health professionals, and specialists in disability-related support areas can deliver training under this line item. The provider must be able to invoice according to NDIS guidelines.

How do I decide whether to use this funding?

If you are considering using this funding, it’s important to:

• Assess the impact on other therapy supports.
• Consult with your service providers to determine the best training options.
• Ensure the training aligns with the participant’s goals in their NDIS plan.

The NDIA is continuing to implement measures to strengthen the NDIS by reducing instances of fraud and non-compliant behaviour.

As a result, the NDIA may require additional time to review claims before they are paid to the Plan Manager.

Once Enabled4Life has received a compliant invoice from the service provider, we will submit a payment request to the NDIA.

Effective March 2024, valid payment requests will generally be processed and paid to the Plan Manager within 2 to 3 business days, though some payment requests may take up to 10 days to be paid to the Plan Manager. 

Enabled4Life will facilitate payments to service providers via Electronic Funds Transfer (EFT) on the same business day upon receipt of payment from the NDIA. However, providers should anticipate that payment timeframes may not align with historical patterns due to the updated NDIA payment terms.

Service providers are encouraged to review and adjust their business processes to align with these updated payment terms.

Further information can be found here, Claims and Payments

All concerns regarding these updated NDIA Payment Terms, please contact:

NDIA National Contact Centre (Enquiries)
Phone: 1800 800 110
Email: enquiries@ndis.gov.au

NDIA Feedback (Complaints)
Email: feedback@ndis.gov.au

An NDIS plan is a comprehensive document tailored specifically to you and your unique life goals. It is meticulously crafted based on the detailed information you provide during your initial planning meeting with your dedicated Local Area Coordinator (LAC). This plan serves as a roadmap, outlining the various supports required to assist you in achieving your aspirations. It also specifies the funding allocation for each support category and details how your funding will be managed – whether it’s through the Agency, Self-management, or Plan Management. Rest assured that your NDIS plan is designed to empower you and help you make meaningful progress towards your goals.

Fraud Strategy Statement

The NDIA expects everyone who engages with the NDIA and NDIS to act with honesty and integrity.

Participants, nominees and providers who use NDIS funds to pay for supports in line with an NDIS plan must comply with relevant Australian laws, rules and regulations.

NDIA staff, partners and contractors must also make sure that Commonwealth money is used in accordance with the law.

If you think someone is doing the wrong thing with NDIS funds, you should report it to the NDIA.

Your report will be kept confidential, and your rights are protected by law.

! Emergencies – A serious and dangerous situation requiring immediate action.

If you or someone you know is experiencing an emergency, call Triple Zero 000.

In an emergency if you have a hearing or speech impairment, call 106 to make a text emergency call.

If you need translation or interpreting services, call 131 450.

! Crisis – A period of intense difficulty, anger or danger which results in a traumatic change in your situation. 

If you find yourself in a crisis and need support, please call one of the below organisations.

1. Domestic Violence (24/7): 1800 737 732
2. Lifeline (24/7)): 131 114
3. Kids Helpline: 1800 551 800
4. Mental Health Access: 1300 642 255
5. Suicide Call Back Service: 1300 659 467
6. Beyond Blue: 1300 224 636
7. Headspace: 1800 650 890
8. Concerns about a person with a disability who is in receipt of NDIS funding, please call the NDIS Quality & Safeguards Commission on 1800 035 544
9. Concerns about anyone with a disability, please call The National Disability Abuse and Neglect Hotline on 1800 880 052

The NDIS Code of Conduct is an important part of the NDIS Quality and Safeguarding Framework. It promotes the health, safety and wellbeing of persons with disability, by setting out acceptable, appropriate and ethical conduct for NDIS providers and workers delivering supports or services in the NDIS sector. The obligations in the Code are fundamental to the rights of people with disability set out in the UN Convention on the Rights of Persons with Disabilities.

The Code applies to:

• registered NDIS providers and their employees
• unregistered NDIS providers and their employees
• providers delivering information, linkages, and capacity building (ILC) activities
• providers delivering Commonwealth Continuity of Support Programme services for people over the age of 65.

The Code also applies to NDIS Commission employees in addition to the Australian Public Service Code of Conduct.

The Code requires workers and providers who deliver NDIS supports to:

• act with respect for individual rights to freedom of expression, self-determination, and decision-making in accordance with relevant laws and conventions
• respect the privacy of people with disability
• provide supports and services in a safe and competent manner with care and skill
• act with integrity, honesty, and transparency
• promptly take steps to raise and act on concerns about matters that might have an impact on the quality and safety of supports provided to people with disability
• take all reasonable steps to prevent and respond to all forms of violence, exploitation, neglect, and abuse of people with disability
• take all reasonable steps to prevent and respond to sexual misconduct
• Do not charge or represent higher prices for the supply of goods for NDIS participants without a reasonable justification.

To fully understand the Code and access additional resources, please click here.

The National Disability Insurance Scheme (NDIS) is an Australia-wide scheme funded by the Australian Government for eligible people under the age of 65 who have a permanent and significant disability, it was legislated in 2013 and was fully operational by 2020.

The scheme provides support to eligible people with intellectual, physical sensory, cognitive, and psychosocial disability. It is designed to help Participants to get the support they need so their skills and independence can improve over time.

NDIS Guidelines: How decisions are made

The NDIS covers the cost of supports across a wide range of areas, from education, employment, and community participation through to living arrangements, independence, health, and wellbeing. What’s covered in your plan will really depend on your individual situation and life goals. The NDIS uses the “reasonable and necessary” framework and NDIS legislation and rules to determine what support you can be funded for.

Further information about what the NDIS will fund can be found on the NDIS website “Would we fund it” page.

Further information about NDIS operation guidelines can be found here.

The National Disability Insurance Agency (NDIA) is an independent statutory agency, the agency is responsible for implementing the NDIS in every state and territory.

The NDIA works closely with relevant Commonwealth and State Government departments to manage and support the National Disability Insurance Scheme (NDIS) to ensure people living with a disability continue to receive the support they require. 

The NDIS Commission, formally known as the NDIS Quality and Safeguards Commission, is an independent agency established by the Australian Government to improve the quality and safety of NDIS (National Disability Insurance Scheme) supports and services. It oversees the following key areas:

1. Regulation of Providers: The NDIS Commission registers NDIS providers and monitors their compliance with the NDIS Practice Standards.
2. Code of Conduct: It enforces the NDIS Code of Conduct, which sets out expectations for ethical and professional behaviour for providers and workers.
3. Complaints Handling: The Commission handles complaints about the quality and safety of NDIS services, ensuring that participants’ concerns are addressed effectively.
4. Incident Management: It requires providers to report certain incidents, such as abuse or neglect, and ensures these incidents are managed appropriately.
5. Worker Screening: The Commission oversees the NDIS Worker Screening Check, which helps ensure that people working with NDIS participants are suitable for their roles.
6. Capacity Building: The Commission works to build the capability of providers and participants, promoting better service delivery and greater participant choice and control.

For more detailed information, you can visit the NDIS Commission’s official website.

NDIS Provider Finder is a service directory, use the tool to find a registered provider in your area.

Provider Finder will display critical information about the registered service provider such as the business website, phone number, email and address. 

You can refine your search by using the filters including provider status, registration group and state/territory.

NDIS Provider Finder

The Australian Government created laws outlining what the NDIA can fund under the NDIS. All supports need to meet the criteria in these laws before they can be funded, these criteria are referred to as the NDIS funding criteria. 

To be funded, your supports must be:

• Value for money
• Related to your disbability
• Effective and beneficial
• Most appropriately funded by the NDIS

The term ‘Reasonable and necessary’ refers to the criteria that the NDIA use to assess your proposed plan and approve your supports. This list of criteria is found in the Rules from Sections 33 and 34 of the NDIS Act.

It means the NDIS will fund supports that help you (the participant) to:

• Reach your goals, objectives and aspirations

• Maximise your independence and undertake activities enabling you to participate in the mainstream community and in employment while taking into account your informal (unpaid) supports and formal (paid) supports in place already. Informal support might come from friends, family or community services. Your formal support might come from the departments of health or education.

When the NDIA makes decisions about which supports would be R&N for you (the Participant), they refer to the individual operational guideline for each support. Not only must each support meet the criteria seperately, they must be the criteria when considered as a package. 

Read more here: NDIS Reasonable and necessary supports

NDIS Quality and Safeguards Commission NDIS Provider Register and Compliance and Enforcement Actions published in accordance with the NDIS (Provider Registration and Practice Standards) Rules 2018

The NDIS Quality and Safeguards Commission publishes a NDIS provider register and compliance and enforcement actions which outlines any action taken against an NDIS provider, including those that are not registered. 

NDIS Provider Register (part 1 of register)

Search for a provider:

1. that is currently registered with the NDIS commission (approved), or
2. whose registration has been suspended or revoked.
3. who is banned to provide services?

Compliance and enforcement actions (part 2 of the NDIS Provider Register)

Information on the compliance and enforcement action taken by the NDIS commission against a provider or individual, including banning orders, compliance notices and suspensions of registration.

An access request can be started over the phone by calling the NDIA on 1800 800 110 between 8am – 8pm.

To be eligible you’ll need to meet some basic criteria relating to your age, Australian Residency status and the nature of your disability. You can find out if you meet the access requirements at https://www.ndis.gov.au/applying-access-ndis/how-apply

Hours: Monday to Friday 8am to 8pm (local time)

Phone: 1800 800 110

Webchat:  https://www.ndis.gov.au/

Email: enquiries@ndis.gov.au

Translating and Interpreting: For a free-of-charge translator or interpreter phone 131 450

Hearing or Speech Loss: TTY – 1800 555 677 or Speak and Listen – 1800 555 727

National Relay Service: Visit the National Relay Service website or phone 1800 555 727 then ask for 1800 800 110

The NDIS PACE system is a digital platform introduced by the National Disability Insurance Scheme (NDIS) to enhance the management and delivery of services to participants. PACE stands for “Participant and Community Engagement.” This system aims to streamline processes and improve the overall user experience for participants, providers, and other stakeholders involved in the NDIS.

PACE is replacing the current SAP based Customer Relationship Management System (CRM).

The NDIA has built a new business system called PACE.

Part of this new system includes a new provider portal called myndis provider portal, this portal will eventually replace the current myplace provider portal where plan managers process payment requests.

These improvements will lead to a more user friendly, cohesive, and quality experience for Participants, Providers and NDIA representatives.

For those Participants whose NDIS plan is created in the new myndis provider portal and who have elected for their funding to be Plan Managed, a nomination process is now required.

Existing Enabled4Life Participants: Existing Enabled4Life participants transitioning onto PACE, are not required to nominate Enabled4Life as their “my provider” because an established relationship already exists.

New Enabled4Life Participants: New participants joining Enabled4Life whose NDIS plans are approved in PACE will need to nominate Enabled4Life as their “plan manager” and my provider”.

Transfer to Enabled4Life Participants: Participants wishing to transfer to Enabled4Life should submit a termination of services notice to their current plan manager. The current plan manager will then submit an “End Current Role” request in PACE according to the terms and conditions of its service agreement. Once the “End Current Role” request has been processed, Enabled4Life will need to be nominated as your “plan manager” and my provider”.

Nominating Enabled4Life as your “plan manager” and “my provider”: The simplest and fastest way to nominate Enabled4Life, is by calling the NDIS National Contact Centre on 1800 800 110 between Monday to Friday 8am to 8pm (local time). When speaking with the NDIA Service Officer, please use the following script:

Hi,

My name is (your name) I am an <NDIS participant/or Plan Nominee> and my NDIS number is (your NDIS number).

I want to add Enabled4Life as both my “plan manager” and “my provider” in the PACE system. They can be found using the following details:

Please use the following Provider Registration information:

The nomination process should take effect immediately, allowing the Participant’s plan to appear in Enabled4Life’s PACE portal without delay.

Alternatively, you can elect Enabled4Life as your “Plan Manager” and “my provider” during a planning meeting or plan reassessment meeting or by phoning or emailing your Local Area Coordinator (LAC) or Early Childhood Early Intervention Coordinator by using the same script as above.

Finalising Claims: Outgoing plan managers have 30 days to finalise claims before their role is transferred to the new plan manager.

Service Agreements: New and Transfer Participants must sign a service agreement with Enabeld4Life prior to the commencement of any plan management services.

*The processes outlined above only apply to Participants whose NDIS plans are setup on PACE.

Upon being endorsed, the Plan Manager will:

1. be able to view participant plans and budgets that are plan managed.
2. manage and monitor a participant’s budget.
3. manage a participant’s NDIS claims and disburse funds to providers for services delivered.

NDIS and Fair Pricing

The Australian Federal Government has initiated a collaborative effort involving the Australian Competition and Consumer Commission (ACCC), the National Disability Insurance Agency (NDIA), and the NDIS Quality and Safeguards Commission to establish a Fair Pricing Taskforce.

This taskforce will address various issues, including illegal overcharging by businesses providing goods or services funded by the National Disability Insurance Scheme (NDIS), and misleading conduct, unfair contract terms, and anti-competitive agreements that may affect NDIS participants.

Updates to the NDIS regulations now explicitly state that overcharging is prohibited, with further legal amendments planned to strengthen the prohibition and penalties for such practices.

The NDIS Code of Conduct stipulates that NDIS providers cannot charge participants more than others for the same service without valid justification. Providers found overcharging may face severe penalties, including permanent bans, infringement notices, financial penalties, and injunctions. Cases involving suspected fraud will be swiftly referred to the Fraud Fusion Taskforce, potentially resulting in criminal sanctions for those found guilty.

For NDIS participants concerned about overcharging, several steps are recommended:

1. Price Checks: Conduct a price comparison online to ensure fairness.
2. Service Agreement Checks: Review your service agreement to ensure you receive everything outlined.
3. Talk with your provider: Discuss any price discrepancies directly with your provider, seeking clarification on reasons behind the differences.

If the issue remains unresolved with the provider, participants are encouraged to contact the NDIS Quality and Safeguards Commission through the provided channels:

• Email: pricehelp@ndiscommission.gov.au
• Phone: 1800 35 544 (TTY 133 677)
• Complaint Contact Form: Link

You cannot use your NDIS plan funds to pay the gap for Medicare services provided by the health system or for private health care costs. 

Your NDIS plan will contribute towards ‘reasonable and necessary’ supports based on current pricing arrangements and limits. If NDIS contributions do not cover the full provider fee, the participant is responsible for the remaining gap fee. When claiming for a support, you should utilise either a health fund (private or Medicare) or your NDIS plan, but not both.

This link , supports this information.

Applying to the National Disability Insurance Scheme (NDIS) and getting help with the process involves several steps. Here is a detailed guide to assist you:

Step 1: Determine Eligibility

Before applying, ensure you meet the eligibility criteria for the NDIS:

Age Requirement:You must be under 65 years old when you apply.
Residency Status:You must be an Australian citizen, a permanent resident, or hold a Protected Special Category Visa.
Disability Requirement:You must have a permanent and significant disability that affects your ability to take part in everyday activities.

Step 2: Prepare Your Application

Gather Documentation:
•Proof of identity (e.g., birth certificate, passport).
•Proof of residency status.
•Evidence of disability (e.g., medical reports, assessments from healthcare professionals).
Fill Out the Access Request Form:
•You can download the Access Request Form here .

Step 3: Submit Your Application

Call the NDIS:
Contact the NDIS at 1800 800 110 to start your application process over the phone. Alternatively, you can mail your completed Access Request Form to the NDIS via enquiries@ndis.gov.au .
Submit Online:
Some regions may offer the option to apply online. Check the NDIS website for more information.

Step 4: Get Help with Your Application

Local Area Coordinator (LAC):
LACs can help you understand and access the NDIS. They can assist with your application and help you find and connect with support services.
Early Childhood Early Intervention (ECEI) Partners:
If you are applying for a child under the age of 7, ECEI partners can provide support and guidance.
Support Coordinators:
If you already have some support services, a support coordinator can help you with your NDIS application and plan.
Community Organisations:
Various community organisations and disability advocacy groups can provide assistance with the application process.

Step 5: Application Review and Assessment

The NDIS will review your application and may contact you for additional information or assessments. You may be asked to attend a planning meeting to discuss your needs and goals.

Step 6: Receive Your NDIS Plan

If your application is approved, you will receive an NDIS plan that outlines the support and services funded by the NDIS. You can then start using your plan to access the necessary supports.

Additional Resources

•NDIS Website: https://www.ndis.gov.au for detailed information and resources.
•NDIS Helpline: Call 1800 800 110 for assistance.
•Local Area Coordinators: Find your local LAC through the NDIS website or by contacting the NDIS helpline. By following these steps and utilising the available resources, you can apply to the NDIS and get the help you need throughout the process.

What is the Difference Between a Functional Capacity Assessment and Diagnostic Assessment?

When navigating the NDIS or other support systems, it’s important to understand the distinction between functional capacity assessments and diagnostic assessments, as they serve different purposes in the care and support process.

The key difference between diagnostic assessments and functional capacity assessments lies in their purpose and focus:

Diagnostic Assessments

• Purpose: To identify and diagnose specific conditions, disorders, or disabilities.
• Focus: On determining the presence of a specific condition or disorder (e.g., autism, ADHD, learning disabilities).
• Outcome: Provides a diagnosis or confirms the absence of a condition. It may result in a formal label or classification, which can guide treatment decisions, medication, or other specific interventions.
• Examples:
  • Cognitive assessments for determining intellectual disabilities.
  • Psychological tests to diagnose depression or anxiety.
  • Behavioural assessments to diagnose autism spectrum disorder.

Examples of treatment and care the health system should provide: Assessing and diagnosing disabilities such as autism

Functional Capacity Assessments

• Purpose: To evaluate an individual’s ability to perform daily activities and participate in different areas of life (e.g., work, education, community involvement).
• Focus: On understanding the impact of a condition or disability on an individual’s functional abilities. This assessment determines the level of support or intervention needed to improve or maintain functioning in various life domains.
• Outcome: Helps to inform the development of support plans, interventions, or accommodations tailored to the individual’s functional needs, rather than providing a diagnosis.
• Examples:
  • Assessing the ability to perform daily living activities (e.g., cooking, bathing, dressing).
  • Evaluating physical mobility and strength to determine the need for assistive devices or therapies.
  • Assessing cognitive functioning in the context of work or education to determine the need for accommodations.

Summary:

• Diagnostic Assessments are about identifying what condition exists.
• Functional Capacity Assessments are about understanding how a condition affects daily life and determining the necessary supports or interventions.

The NDIS typically funds functional capacity assessments because they directly relate to the level of intervention or support required, whereas diagnostic assessments need to be funded outside of the NDIS plan.

It’s also important to note that all assessments must adhere to the NDIS therapeutic pricing arrangements and price limits. This ensures that the services provided are within the guidelines established by the NDIS, helping to maintain fairness and consistency in support delivery.

Understanding these differences can help you better navigate the support and funding available through the NDIS, ensuring that you receive the appropriate assessments and care.

Guide to Assistive Technology and NDIS Funding

With the introduction of the NDIA Transitional Rules 2024, effective from October 3rd, NDIS participants are now guided to purchase only “supports that are NDIS-funded unless otherwise specified.” This article outlines what qualifies as assistive technology under the NDIS guidelines and what the scheme will and will not cover.

What Does the NDIS Fund?

Under NDIS rules, funding is restricted to services, items, and equipment that are directly linked to a participant’s disability needs. Items or services that don’t align with these specific disability-related criteria are not eligible for funding. Let’s explore what counts as assistive technology and how it fits within these guidelines.

Understanding Assistive Technology

Assistive Technology (AT) includes equipment, technology, and devices designed to help individuals accomplish tasks they cannot perform independently due to their disability or to perform these tasks more easily or safely. The World Health Organization (WHO) defines assistive technology as devices or systems that help people perform tasks that would otherwise be challenging or impossible due to their disability.

Some examples of assistive technology include:

• Small Items: Non-slip mats, adaptive cutlery.
• Larger Equipment: Wheelchairs, powered adjustable beds.
• Technology: Information Processing Devices that convert spoken words into written text (or vice versa) and Communication Boards which enable communciaiton via non-verbal methods.

It’s important to note that not all devices or equipment qualify as assistive technology under NDIS. Items like standard household appliances (e.g., a regular microwave) that anyone might use are generally excluded from funding.

Criteria for Assistive Technology Funding

The NDIS funds assistive technology that meets these conditions:

• It directly supports a participant’s disability needs.
• It enhances safety, independence, and quality of life.
• It is specifically necessary due to a participant’s disability and is not a standard item unrelated to disability.

Assistive technology items that may be funded include:

• Items that reduce reliance on others.
• Tools that make tasks safer or easier.
• Devices that allow participants to maintain independence.
• Equipment personalised to individual needs.

Items not covered typically include:

• Common household items unrelated to disability (e.g., standard kettle).
• Medical treatment or rehabilitation tools.
• Public infrastructure changes, like modifications to footpaths or vehicles.

Funding Criteria for NDIS Supports

To receive funding, requested supports or items must satisfy all the following:

1. They must directly address a participant’s impairments, meeting NDIS disability or early intervention requirements.
2. They align with the participant’s personal goals.
3. They facilitate social or economic participation.
4. They represent good value for money, either through cost-effectiveness or by reducing long-term funding needs for other supports.
5. They are proven to be effective and beneficial.
6. They maintain or complement informal supports.
7. They fall within the scope of NDIS supports.

Categories of NDIS-Funded Assistive Technology

The NDIS classifies funded assistive technology into seven categories as outlined in the attached Supports that are ‘NDIS supports’ document :

Assistive Equipment for Recreation, page 7: The provision of assistive products used in sports or other recreational activities.

This includes:

• personal recreation equipment modification and sporting equipment modification
• services to assess and prescribe, deliver, adjust and train a participant in successful use of an assistive product
• maintenance, spare parts and consumable items specific to an assistive product.

Assistive Products for Household Tasks, page 7: The provision of assistive products that support a participant to carry out domestic and everyday actions and tasks within a participant’s home.

This includes:

• assistive products for the preparation of food and drink
• assistive products to facilitate house cleaning, gardening or laundry
• additional costs to upgrade or modify standard household items to household items that include accessibility features that address a participant’s support needs
• services to assess and prescribe, deliver, adjust and train a participant in the successful use of an assistive product
• maintenance, spare parts and consumable items specific to an assistive product.

Assistive Products for Personal Care and Safety, page 8: Provision of assistive products for self-care activities and participation in self-care.

This includes:

• modified foods including for the purposes of percutaneous endoscopic gastronomy (PEG) feeding
• products to facilitate washing and drying the participant’s body, caring for the participant’s body and body parts, dressing and protecting the participant’s body
• modified or adaptive clothing
• modified or adaptive products to manage menstruation including applicators and period underwear
• products to manage incontinence
• furniture and other products that are adapted or specifically made to be placed in or added to a participant’s home (including indoor and outdoor areas) to help with movement, positioning and other safety needs, including entry and exit of the environment
• services to assess and prescribe, deliver, adjust and train a participant in the successful use of an assistive product
• maintenance, spare parts and consumable items specific to an assistive product
• visual and tactile alerting systems..

Communication and Information Equipment, page 9: The provision of assistive products to support communication and information management.

This includes:

• products that help a participant to receive, send, produce and/or process information in different forms
• products that facilitate a participant communicating by language, signs and symbols, receiving and producing messages, having conversations and using communication devices and techniques
• services to assess and prescribe, deliver, adjust and train a participant in the successful use of an assistive product
• maintenance, spare parts and consumable items specific to an assistive product.

Hearing Equipment, page 12: The provision of hearing equipment directly related to a participant’s permanent hearing impairment that is not provided through the Hearing Services Program for the participant.

Personal Mobility Equipment page 15: The provision of personal mobility equipment that supports or replaces a participant’s capacity to move indoors and outdoors and to transfer from one place to another.

This includes:

• assistive products for walking
• wheelchairs and motorised mobility devices
• transfer devices and hoists
• services to train a participant in successful use of equipment provided
• maintenance, spare parts and consumable items specific to equipment provided.

Vision Equipment, page 17: The provision of products for navigation, orientation, braille, magnifiers and note taking equipment

Reasonable and Necessary: Determining Eligibility for Funding

For an item to be considered “reasonable and necessary,” it must:

• Relate directly to the participant’s disability and help achieve personal goals.
• Benefit the participant’s daily life, promoting independence and community involvement.
• Exclude costs that mainstream services typically cover (such as general health or educational items).

If an item fails to meet these criteria, it falls outside NDIS funding eligibility. This ensures that NDIS funding is directed toward genuine disability-related supports, maximizing participants’ quality of life while maintaining funding integrity.

This new framework helps participants better understand what types of assistive technology can be purchased with plan funding. For further details, the document “Supports that are NDIS-Funded” provides comprehensive guidance on eligible supports across various categories.

Under the National Disability Insurance Scheme (NDIS), low-cost disability-related health consumables refer to everyday items that assist participants in managing their disability-related health needs. These are low-cost, regularly used items that support participants’ independence, health, and well-being in their daily lives.

Examples of Low-Cost Disability-Related Health Consumables:

• Continence products: Pads, catheters, wipes
• Wound care supplies: Bandages, dressings
• Protective aids: Gloves, protective bedding
• Skincare items: Products specifically for managing skin integrity related to a participant’s disability (e.g., barrier creams)

These consumables are essential for the day-to-day management of a participant’s disability. They are generally lower-cost items that are purchased regularly. The NDIS funds these consumables as part of a participant’s Core Support budget, provided they are:

• Directly related to the participant’s disability
• Not items typically purchased by the general public for non-disability-related needs

The NDIS does not fund items that are considered standard household expenses, healthcare-related, or general day-to-day living costs unrelated to a disability.

Understanding “Everyday Items” and Low-Cost Assistive Technology (AT) Under the NDIS

Navigating the NDIS can be confusing, especially when trying to understand what is and isn’t allowed under your Consumables budget, particularly when it comes to low-cost Assistive Technology (AT). One of the most misunderstood areas is what the NDIA means by “everyday items.”

This article will break it down and clarify what’s covered, what’s not, and how participants can make informed choices.

What Is the Consumables Budget?

The Consumables budget is part of your Core Supports funding. It covers low-cost items that assist with daily activities related to your disability.

Examples of items typically covered under Consumables include:

• Continence products
• Wound care and pressure care items
• Low-cost assistive items like adapted cutlery or non-slip mats
• Hearing aid batteries
• Communication boards or visual aids

These are generally low-risk, low-cost, and regularly used supports that are specific to a participant’s disability.

What Does the NDIA Mean by “Everyday Items”?

The term “everyday items” can be misleading.

When the NDIA refers to “everyday items,” they mean disability-specific products used daily by people with disability—not generic household items used by everyone.

For example:

• YES: A specialised non-slip bathmat that supports safe showering for a person with mobility limitations.
• NO: A standard bathmat from a department store, used by people with or without disability.

Why Not All “Everyday” Items Are Claimable Under Low-Cost AT

While the Consumables budget can be used for everyday disability-related supports, Low-Cost Assistive Technology (AT) is subject to stricter rules.

NDIS funds cannot be used for the following, unless they are clinically justified and explicitly approved:

• Standard household items
  E.g.: kettles, toasters, bedding, chairs, regular cookware
• Electronics not tailored for disability use
  E.g.: tablets, smartwatches, headphones—unless prescribed for a specific disability-related purpose (e.g. AAC or hearing support)
• Recreational or novelty-based sensory tools
  E.g.: fidget spinners, light-up toys, lava lamps, stress balls, slime kits—unless they form part of a documented therapy strategy supported by a therapist
• Clothing that is not modified or adaptive
  E.g.: compression singlets, general swimwear, regular school uniforms, socks with grips—unless prescribed and tied to a disability-related function
• Exercise or leisure items not directly linked to a functional goal
  E.g.: yoga mats, skipping ropes, basketballs, climbing equipment—unless recommended in a therapy plan for mobility, regulation, or physical development
• Items for general use or shared benefit
  E.g.: board games, shared tablets, general cooking appliances used by the whole household

The key distinction is this:

If the item could be used by someone without disability and it is not modified for disability support, it’s likely not claimable.

When Can an “Everyday Item” Be Funded?

An item may be considered reasonable and necessary—and therefore fundable—if:

1. It is clearly related to your disability, and
2. It helps you pursue a goal in your NDIS plan, and
3. It is not a general household or medical item used by people without disability, and
4. There is evidence to support its use, such as a therapist recommendation.

Examples for Clarity

Important: Stated vs Flexible Funding

With the roll-out of PACE plans, some budgets are becoming “stated”, meaning funding must be used exactly as listed—no flexibility. This is especially relevant for therapy and AT.

If your budget is flexible, you may have more freedom in choosing your supports. If it is stated, you’ll only be able to purchase what has been specifically approved.

Final Thought

Understanding the term “everyday items” in the context of the NDIS involves recognising the distinction between general household items and disability-specific supports. The NDIS is designed to fund supports that promote greater independence and functionality for participants, not standard household goods that anyone might use. However, if an item is clearly tailored to your disability and you have received explicit approval from your NDIA Planner, it may be considered reasonable and necessary. In such cases, your Plan Manager will generally require written evidence of this approval to ensure that the claim submitted is fully compliant with NDIS guidelines.

NDIS-Funded Supports (Effective 3rd October 2024)

In line with the new NDIA Legislation, effective from 3rd October 2024, participants may now only purchase supports that are explicitly NDIS-funded, unless stated otherwise.

At Enabled4Life, we have been working closely with the NDIA Provider Support Team to clarify which equipment, technology, devices, and consumables are covered under NDIS plans.

Below is the current breakdown:

Eligible Items – Must be required for impairments arising from a disability 

Adaptive or Modified Clothing and Footwear

• Adaptive clothing designed for easy changing, these include items such as open-back shorts, easy-snap pants, wrap-around skirts, and dresses tailored for accessiblity.
• Specialised Footwear including shoes that are modified to include features like heel lifts, rocker bottom soles, toe skates, or flared soles to support braces or callipers.
• Custom made and specialised footwear including:
  1. Custom made orthoses including braces, splints, or shoes custom-designed to accommodate the use of orthotic devices.
  2. Medical grade footwear such as shoes modified with specialised features such as heel lifts, rocker bottom soles, toe skates, or flared soles to enhance compatibility with braces and callipers.
  3. Ongoing maintenance and repair of podiatry-related assistive technology to ensure proper functionality.

Continence and Bowel Management – Absorbent and Protective Items

• Disposable or reusable incontinence pads (e.g., TENA, Poise).
• Adult pull-up pants or briefs (e.g., Depend, Always Discreet).
• Bed or chair protectors (e.g., waterproof under pads, Kylie sheets).
• Water-resistant covers.
• Pillow protectors.
• Washable and reusable incontinence items

Personal Protective Equipment (PPE)

• Gloves.

Skin Care and Barrier Products for Pressure and Wound Management (must be for prevention reasons related to impairments arising from a disability, not for treatment or other reasons)

• Barrier creams/ointments (e.g., Sudocrem, 3M Cavilon).
• Antifungal powders or creams to prevent irritation.
• Antiseptic healing creams (e.g., Savlon).
• Cleansing wipes.
• Anti itch, dry skin creams and body washes such as Cetaphil, Aveeno, Dermal etc.

Urinary Management Products

• Catheters (e.g., indwelling and intermittent catheters).
• Urine collection bags and leg straps.
• Sheaths or uridomes for male urinary management.

Supportive Devices

• Bedside commodes or portable urinals.
• Raised toilet seats or grab rails for toileting assistance.
• Washable or disposable mattress protectors.

Specialised Clothing

• Washable or disposable incontinence underwear.
• Adaptive clothing for easy changing.

Cleaning Supplies

• Disposable gloves.

Wound care products

• bandages, dressings, and other products used for personal care and management of wounds.

Pumps and Syringes for Home Enteral Nutrition

• For participants who require feeding through a tube at home.

COVID-19 Consumables (weekly costs not exceeding $50.00)

• Rapid Antigen Tests.
• Face masks (home use only, outside use must be self-funded).
• Face shields.
• Hand sanitiser.
• Gloves.

Personal Care and Safety Products

• Such as grooming aids, handrails, or hygiene products.

Modified Eating Aids

• Tools such as specialised utensils or cups designed to assist with eating.

Vision or Hearing-Related Products

• Simple magnifiers, visual timers, or hearing aids to support daily life.

Basic Transfer and Mobility Equipment

• Includes items like sliding boards for easy transfer between surfaces.
• Walkers, crutches, or simple walking canes.

Prosthetic and Orthotic Devices

• Basic devices to assist with limb movement and support.

Daily Living Solutions

• Non-slip bathmats, adapted devices for eating and cooking, and tools to assist with dressing and undressing.

Communication Devices

• Basic devices such as voice amplifiers or simple communication boards.

Ineligible Items

Certain items are not covered under the NDIS, as they are considered standard household or medical items, not disability-specific, and are not required to address functional impairments arising from a disability.

Examples include:

Standard or Off-the-shelf Footwear

• Standard footwear publicly available to be purchased off-the-shelf where no changes or alterations are made to the design, materials, or structure after production. Typically designed for everyday use, sports, fashion, or general activities, without catering to specific medical or orthopaedic requirements and can be purchased without a prescription or special order.

Exercise and Fitness Equipment

• Therabands
• Hand exercisers
• Pedal machines
• Rowers, treadmills or bikes
• Weights

Medical or health related items

• TENS (transcutaneous electrical nerve stimulation) machine
• Thermometers and thermometer covers
• Blood pressure monitors
• Pulse oximeters
• Sick bags
• Rock tape/strapping
• Bandaids
• Moisturising lotions and body washes (e.g., Cetaphil, Aveeno, Dermal) for general use or for reasons not related to impairments arising from a disability

Waste Disposal

• Bin liners for incontinence or bowel waste.

Pharmaceuticals

• Prescription and over-the-counter medications, including antacids and laxatives (e.g., Coloxyl and Senna tablets, Bisalax, Metamucil).
• Topical antiseptics (e.g., Betadine).

Day-to-Day or Lifestyle Products

• Sunscreens, weight loss products, vitamins, sports supplements, homeopathic medicines, perfumes, makeup.

Household Products and Toiletries

• Disinfectants, laundry powders, sprays, toilet paper, tissues, soaps.

Sensory Aids and Mood Regulation Tools

• Fidget devices
• Lycra bed socks/sheets
• Calming vests or body wraps
• Weighted blankets/animals
• Chewy items including tubes and necklaces.
• Spiky mats, play mats and rugs
• Massage balls
• Dens or tents
• Theraputtys, stretchy sand and playdoughs
• Magic/kinetic sand
• Glow lights including sticks and wands

Furniture,Play and Learning Items

• Games and puzzles
• Routine cards and posters
• Trampolines, swimgs, jungle gyms, hammocks
• Beanbags, play couches, wobble stools.
• Activity Charts
• Emotionology cards for communication and cognitive support
• Social skills board games and poster and routine cards and posters
• Affirmation colouring pages

Products classified as everyday household items

• Headphones, earplugs.
• Medication, symptom, or anxiety trackers.
• Time Timers/visual timers
• Learning towers
• Building blocks
• Lego
• Planning and organisational products (e.g., appointment books, financial planners).
• Stationery (e.g., paper, pens, chalk, glue, printing materials, laminating equipment).
• Books or resources addressing emotional expression and understanding disabilities.

To be confirmed by NDIA

We are seeking clarification on the following items, as their eligibility remains unclear:

• Communication Apps.
• Vibratory oral motor tools
• Toothbrushes inlcuding u-shaped brushes 
• Elevated chairs to support optimal and correct seating position
• Modified Bedding, including:

1. Bedding with tactile labels for vision impairments.
2. Bedding with added straps for individuals with limited hand function.
3. Pillows and bed covers made with materials to regulate body temperature.
4. Bedding products designed for incontinence needs.

This list will be updated regularly as new details emerge from the NDIA. At Enabled4Life, we remain committed to providing accurate, up-to-date information to help participants confidently navigate their NDIS plans and claim eligible goods and services.

When it comes to medical and health-related equipment, the National Disability Insurance Scheme (NDIS) follows very clear rules about what can and cannot be funded.

The NDIS does not fund supports that are considered the responsibility of the health system. This includes equipment and devices that are used to diagnose, monitor, or treat health conditions. Medical and health devices are typically considered part of standard healthcare, not disability-specific supports.

As a result, the NDIS will not usually fund items such as:

• Nebulisers

• Pulse oximeters

• Blood pressure monitors

• Thermometers

• TENS (transcutaneous electrical nerve stimulation) machine

• Other similar medical or diagnostic equipment

These items are seen as necessary for managing health conditions and are expected to be provided through the health system, not through NDIS funding.

In general:
If a device is used to treat or monitor a medical condition, rather than supporting functional independence due to a disability, it will not be funded by the NDIS.

If you are unsure whether a particular item may be considered reasonable and necessary under the NDIS, it is always best to seek advice before making a purchase.

What do we mean by disability-related health supports?

Health

Disability-related health supports

As confirmed by the NDIA, Chiropractic is considered an alternative therapy, therefore it is a Support that is not an NDIS support. 

At Enabled4Life, we are committed to ensuring all claims align with the NDIS Pricing Arrangements and Price Limits. Each line item has a specific purpose, pricing cap, and delivery requirement. One line item that is often misused is:

15_038_0117_1_3 – Training for Carers/Parents
Training for carers in matters related to caring for a person with disability

This article explains what this support item is designed for — and why it cannot be used to prepay for online programs or general access to resources.

What This Line Item Covers

This item is designed to fund direct training or capacity-building support delivered to carers or parents of NDIS participants. The aim is to enhance a carer’s ability to support the person with disability.

This training must be:

• Linked to the participant’s disability support needs
• Provided in a session-based format (in person or online) — not passive resource access

Pricing and Conditions

• Maximum price (non-remote): $77.00/hour
• Unit of measure: 1 hour
• Billing method: Support must be delivered first, then invoiced — prepayment is not permitted

What Is Not Allowed

This item cannot be used to:

• Pay in advance for online program access or downloadable resources
• Purchase memberships or subscriptions
• Fund self-paced or pre-recorded material where there is no direct delivery
• Claim for supports that have not yet occurred

Invoicing Compliance

Invoices submitted for this line item must:

• Clearly state the hours of support delivered
• Match the unit price limit
• Show that the support was provided (not a prepayment)

Claims submitted for undelivered or pre-booked supports will be considered non-compliant and will not be processed by Enabled4Life.

Why This Matters

Submitting claims that fall outside of the Pricing Arrangements puts both providers and participants at risk. It can lead to:

• Payment delays
• Audit issues
• Funding being rejected or recovered by the NDIA

If a Participant is Plan Managed, their plan will contain a support category called Capacity Building Improved Life Choices. This support budget consists of a financial setup fee and a monthly fee for financial administration for the duration of the plan.

As referenced from the current NDIS Pricing Arrangements and Price Limits 2024-25 Version 1.3 (published 1/10/2024). 

Plan Management – Financial Administration Supports
These support items allow participants to engage a Plan Manager to manage and monitor budgets over the course of the plan, manage NDIS claims and pay providers for delivered service, maintain records and produce regular (at least monthly) statements showing the financial position of the plan.

These support items are subject to price limits as set out in the following Table.

Enabled4Life does not charge any additional fees to the participant outside of the dedicated stated plan support budget associated to the payment of an invoice where funding is available in a participant’s plan.

A plan manager can only claim for the support item 14_033_0127_8_3 (Plan Management – Set Up Costs) once in respect of each plan. Auto-extended plans are not new plans – they have the same plan number. Plan managers are not entitled to make another claim for this support item from a plan when it is auto-extended.

You can sign up your Participant with Enabled4Life NDIS Plan Management online in less than 5 mins.

Upon sign up, Enabled4Life will ensure you receive a copy of the Participants activity statement on the first day of the month and read-only access to our support coordinator portal.

If you provide support coordination to a Participant who is Plan Managed by Enabled4Life, you will need to action the following,

• Email engagement@enabled4life.com.au a copy of your signed service agreement or consent to share documents, alternatively an email from the Participant or their representative stating you are the nominated support coordinator 
• Enabled4Life will list you as the nominated support coordinator, upon which you will receive a copy of the Participant budget summary on the 1st of each month and be given read-only access to our support coordination portal. 

No, Enabled4Life does not offer this form. Please provide either a signed copy of the NDIA Consent to Share form or a signed copy of your Service Provider Agreement. You can email either document to our National Engagement Team at engagement@enabled4life.com.au .

Please submit invoices to paymyinvoice@enabled4life.com.au

As part of engaging Enabled4Life for Plan Management services, the Participant or their authorised representative agrees to the following:

Role of the Plan Manager
Under the National Disability Insurance Scheme (NDIS), a Plan Manager (financial intermediary) supports Participants by managing the financial administration of their NDIS plan. This includes:

• Processing claims in accordance with NDIS Pricing Arrangements and Price Limits

• Paying service providers for approved and delivered supports

• Maintaining financial records of all transactions

• Providing regular budget and expenditure reports to the Participant or their representative

No Reservation or Quarantining of Funds
Enabled4Life does not act as a custodian of participant funds and does not reserve, quarantine, or hold funds on behalf of any service provider or third party. Plan-managed funds remain subject to:

• The availability of budget at the time of claiming

• Compliance with NDIS guidelines

• Any changes to the plan or funding allocation made by the NDIA

Service Agreements and Funding Commitments
Where a valid Service Agreement between a Participant and a Service Provider is received, Enabled4Life will retain it securely for record-keeping purposes only.

The existence of a service agreement does not guarantee that funds will be available or claimable when an invoice is received. The responsibility to ensure sufficient funding is available lies entirely with the Participant and the Provider.

We strongly encourage all providers to include a clause in their service agreements stating that participants are responsible for any costs incurred where claims cannot be paid due to:

• Insufficient or inaccessible funding

• Changes to the participant’s plan

• Plan expiry

• NDIA claim restrictions

This is standard practice and ensures both providers and participants have a shared understanding of financial risk.

In situations where claims cannot be processed due to the above circumstances, Enabled4Life bears no liability for unpaid claims or disputed funding allocations between the Participant and Provider.

Having a Plan Manager allows you to access both registered and non-registered providers. 

A provider who wishes to go through the registration process can do so via the NDIS Quality and Safeguards Commission. However, not all providers choose to register but doing so can provide the participant with some confidence the providers services and supports meet the level of quality and safety in the NDIS Practice Standards. 

The main differences between unregistered and registered providers are:

• Only registered providers can claim their invoices with the NDIS directly under the agency managed model.
• non-registered providers can only offer support to plan and self-managed participants.

All providers irrespective of their registration status and their workers must comply with the NDIS Code of Conduct. Guidelines are available to help provider and their employees understand their obligations under the NDIS Code of Conduct.

NDIS Code of Conduct (NDIS Providers)

NDIS Code of Conduct – Guidance for service providers

Our obligation at Enabled4Life Plan Management is to ensure we provide the most efficient service in making claims for our participants and that is our focus. We also love empowering people to learn how to better manage this scheme through referring them to the correct channels.

There are services your providers can access for advice, these include:

• www.business.gov.au
• www.ato.gov.au
• https://www.ndis.gov.au/providers/provider-toolkit

Business Enterprise Centres have NDIS Business Counsellors for assistance for all service providers

In addition, training modules for service providers can be accessed at the NDIS Quality and Safeguards Commission. 

NDIA Delegates – Commonly referred to as NDIA Planners, Delegates are NDIA staff members with delegated authority from the NDIA CEO to make decisions under the NDIS Act 2013.

Plan Managers have accounting qualifications to achieve their registration status as a third-party payer, Enabled4Life NDIS Plan Management does not approve quotes, nor do we have reasonable and necessary delegation.

Home Modification and some assistive technology quotes (based on the product risk and price) need to go through the NDIS for approval.

Please refer to the NDIS website for a full explanation regarding assistive technology pricing levels and the subsequent process for each.

Claim Types

• STAN – Standard or Face-to-face
• CANC – Cancellation
• REPW – Report Writing
• TRAN – Provider Labour Travel
• NF2F – Non-face-to-face
• THLT – Telehealth
• IRSS – Irregular SIL Supports

Cancellation Claim Types 

• NDDH – No show due to health reasons
• NSDF – No show due to family issues
• NSDT – No show due to availability of transport
• NDSO – Other

In cases where an NDIS Participant credit is identified, prompt action should be taken to refund the credit in full to the Plan Manager. Upon receipt of the credit, the Plan Manager will initiate the necessary steps to return the credited amount to the applicable NDIS Participant plan by cancelling associated NDIS Payment Requests.

It’s important to note that Service Providers should refrain from applying credits to unrelated invoices, as this may result in funding being applied to an unrelated plan period. If a credit is found to belong to an invoice that falls outside of Enabled4Life’s plan management period, it cannot be processed by Enabled4Life.

Service Providers seeking to refund a payment are advised to contact Enabled4Life’s National Accounts Team via email at accounts@enabled4life.com.au. Upon receipt of the request, Enabled4Life will provide the necessary account details for the refund process. Once the refund has been processed, a payment remittance should be promptly forwarded to accounts@enabled4life.com.au for reconciliation.

Please send Participant service agreements to our National Engagement Team via engagement@enabled4life.com.au

At Enabled4Life, we understand that navigating the National Disability Insurance Scheme (NDIS) processes can sometimes be complex, especially for self-employed contractors delivering services to NDIS participants. A question we frequently receive is: “Is Enabled4Life my employer?” Below, we’ve clarified this important topic to ensure a smooth experience for everyone involved.

Are Independent Contractors Employed by Enabled4Life?

No, Enabled4Life is not the employer of independent self-employed contractors who provide services to NDIS participants. As an NDIS Plan Manager, our role is to support participants by managing the financial aspects of their NDIS plans, including processing and paying invoices for approved services. However, we are not involved in the employment or contractual arrangements between participants and their service providers.

What Does Enabled4Life Do as a Plan Manager?

Our responsibilities include:

• Ensuring invoices for services provided to NDIS participants are processed and paid promptly, in line with their NDIS plan.
• Helping participants and their support networks understand their NDIS funding.
• Assisting with budget tracking and compliance with NDIS guidelines.

We do not hire or manage independent contractors, nor do we oversee the delivery of services. This means self-employed contractors operate independently and are responsible for their own business and compliance obligations.

How Does This Relate to the NDIS Worker Screening Check?

When completing the NDIS Worker Screening Check, some self-employed contractors mistakenly believe they need to add Enabled4Life as their employer. This is not correct, as Enabled4Life is not their employer. Instead:

• If you are self-employed, you should identify yourself or your business as the entity responsible for your worker screening check.
• For contractors engaged directly by participants, the participant may need to be listed as your employer if they are managing their own NDIS plan.
• In cases where another organisation has directly engaged you to provide services, that organisation should be listed as your employer.

What Should I Do if I Am Unsure?

If you are uncertain about how to complete the NDIS Worker Screening Check, we recommend:

1. Contacting the NDIS Commission for guidance on how to correctly list your Australian Business Number (ABN) or managing entity.
2. Speaking with the participant or organisation that has engaged you to provide services for clarification.
3. Consulting with a legal or business professional to ensure your compliance with NDIS requirements as a self-employed contractor.

Key Takeaways

• Enabled4Life is not the employer of independent contractors.
• As a Plan Manager, we facilitate the financial management of NDIS plans but do not oversee employment or service delivery.
• Self-employed contractors should identify their own business or the relevant engaging party when completing the NDIS Worker Screening Check.

Financial Intermediaries can provide NDIS Participants with many advantages by handling the administrative functions (paying invoices and securely storing plan documentation) whilst offering greater autonomy on how they would like to receive their supports and who from.  

Additional benefits Enabled4Life offer include, 

• Streamline claims processing 
• Access non-registered and registered service providers 
• Knowledge and support
• No cost to the Participant, funded by the National Disability Insurance Agency
• Safe and secure storage of NDIS related documents
• Forecast tool can provide updates on spending averages and funding balances
• Our software ensures you receive access to customised financial reports issued monthly including access to our budget app. 

Plan Managers do not organise or coordinate direct service needs. 

You can sign up to our services here

We require a service agreement to be completed when:

• You wish to transfer to Enabled4Life from another plan manager.
• You first begin your plan.
• If you get a subsequent plan, or for each plan each year*
• If you have a plan review*

You can sign up to our services here

*Our service agreement gives the Participant the option to authorise the management of new or subsequent plans, new agreements are not required in these instances.

At Enabled4Life, we are committed to making the sign-up process simple and stress-free.

Steps to Get Started:

• Complete Our Online Signup:

Submit a service agreement HERE.

• Receive Your Agreement:

The Participant or their representative will receive a copy of the agreement and a Welcome email. (Please check your junk/spam folders.)

• National Intake Team Review:

Enabled4Life’s National Intake Team will also receive a copy of the completed agreement. If you have a PACE plan, you will need to nominate Enabled4Life as your “Plan Manager” and “my provider.” Our team will guide you through this process.

• PACE Plan Nomination Process:

After submitting your service agreement, simply contact the NDIS National Contact Centre on 1800 800 110 (available 8am–8pm local time) and nominate Enabled4Life as your “Plan Manager” and “my provider”.

When making the request, please ensure the NDIA Service Officer uses the correct Provider Registration information as outlined below:

The nomination process should take effect immediately, allowing the Participant’s plan to appear in Enabled4Life’s PACE portal without delay.

• Endorsement and Onboarding:

Once Enabled4Life is endorsed, we will finalise your onboarding.

• Access to Careview Advantage Budget App:

You or your representative will receive an email with your Careview Advantage App registration details. (Please check your junk/spam folders.)

• Service Provider Invoicing:

With the onboarding process complete, your service providers can now submit their NDIS compliant invoices to paymyinvoice@enabled4life.com.au

The NDIA does not provide your NDIS Plan Manager with automatic access to your NDIS plan when you sign a service agreement due to privacy concerns. Only you can request a copy of your NDIS plan from the NDIA and authorise your plan manager to have electronic access to your plan goals and plan managed budget information via the NDIS myplace participant portal.  

By providing Enabled4Life with electronic access to your NDIS plan, we can see updates and changes as they happen. We can also process your invoices faster, assist you to better manage your plan, and support you to exercise greater choice and control.

Follow these steps to provide Enabled4Life with secure electronic access to your NDIS plan:

1. Log in to your myGov account.
2. Under ‘Your services’, select ‘National Disability Insurance Scheme’ – this will take you to ‘myplace’.
3. Select ‘My Plan’
4. Select ‘View My Plan’
5. Click ‘Review or change who can see the plan’ – this sits under the plan start/review dates in the centre at the top of the page.
6. Select ‘Share My Plan’ under ‘My Contact Details’ – tick the section titled ‘Share plan with Plan Manager’ and follow the prompts.
7. In response to the question ‘Why are you updating or changing who can see the plan?’, you can simply respond: ‘So that Enabled4Life has electronic access to my NDIS plan’.
8. Select ‘Submit’ – and that’s it!

Enabled4Life will not share your NDIS plan information or distribute a copy of your NDIS plan without your consent.

Enabled4Life can offer their Participants a plan budget forecast, these can be requested at any time by emailing engagement@enabled4life.com.au

Enabled4Life plan budget forecast will outline the following for your active plan period:

1. Budget Amount is the total amount for the budget category.
2. Average Daily Spend is the total amount spent divided by the number of days between the service contract’s start date and the current date (or the service contract end date if that comes sooner).
3. Contract Start Date is the value recorded in the service contract’s ‘start date’ field.
4. Contract End Date is the value recorded in the service contract’s ‘end date’ field.
5. Budget at Contract End Date is the amount of funding which will be left in that budget category when the service contract’s end date is reached, if the average rate of spending is continued.
6. Forecasted Budget Consumption Date is the date the funding will be exhausted for that budget category if the average rate of spending is continued.

Please note, daily spend values are based on averages and do not account for situations where Participants increase/purchase more services exceeding the value of their approved plan funding. Enabled4Life accepts no responsibility should an overspend occur.

Finding Support and Services

NDIS Provider Finder
Use the official NDIS Provider Finder tool to locate a registered provider in your local area or one that delivers services online.

Disability Gateway
The Disability Gateway is a national resource that connects people with disability, their families, friends, and carers to relevant information and services across Australia.

Need Help Accessing Supports?

If you require assistance finding or coordinating supports:

• A Support Coordinator can help you connect with services, provided your NDIS plan includes funding for this role.

• Your Local Area Coordinator (LAC) can also assist with up to 10 hours of Support Coordination, even if you don’t have dedicated Support Coordination funding.

Additional Contacts

• Disability Gateway: Call 1800 643 787 or visit their website

• NDIS National Contact Centre: Call 1800 800 110 for general support or to find local service providers

• You can also reach out to your local NDIS office for help locating suitable supports in your area

The NDIA will be unlikely to approve funding for supports or services that are not deemed to be related to a participant’s disability, such as items everyone must pay for like day to day living costs, gym memberships, entertainment, food.

They are also unlikely to provide funding for supports and services already delivered by other government services, your family, carers, networks and the community, items that do not represent value for money, and items that may pose a risk of harm to the participant or others.

The NDIA will determine what funding is provided to a participant based on the National Disability Insurance Scheme Act 2013 and Operation Guidelines for each specific support. 

More information about reasonable and necessary supports and their associated rules can be found below.

Reasonable and necessary supports

 What are reasonable and necessary supports

 National Disability Insurance Scheme (Supports for Participants) Rules 2013

As stated in the NDIS Pricing Arrangements and Price Limits document (previously the NDIS Price Guide),plan managed participants cannot pay above the price limit using their NDIS funding. Should the providers hourly fee exceed the NDIS price limit, the participant must cover the GAP fee privately. Participants and Providers can negotiate lower hourly rates, all fees must be agreed to by both parties. 

Further information regarding price controls can be found on the NDIS website.

Support Coordinators help you to choose service providers, regularly review your supports and action your plan. It’s especially useful if you need to engage lots of different service providers. Find out how to get support coordination included in your plan. 

A Plan Manager transacts for you on your behalf in the NDIS portal and pays the invoices of your service providers.

If you are not allocated a Support coordinator in your plan, you are deemed able to coordinate the supports yourself. Please note in this instance it is the role of the Local Area Coordinator to assist you with 10 hours of support connection. 

To assist you with coordinating the projection of your supports please take advantage of our NDIS calculator that is available to participants, their representatives, and Support Coordinators.

NDIS PLAN MANAGEMENT | NO COST TO THE PARTICIPANT

The support groups comprise 15 support categories, Plan Management being number 14. If approved, Plan Management is added to a plan under CB Improved Life Choices. 

Plan Management is funded by the NDIA and is separate to your other funded supports, you do not need to pay any out of pocket costs to the Plan Manager.

Enabled4Life is a fully independent financial intermediary, we remain committed to the Participant exercising full choice and control over their NDIS plan and engaging providers of their own choosing. 

We do not offer recommendations; however, we can provide information relating to disability resources. 

Service Directories

NDIS Provider Finder

MyCareSpace

Disability Support Guide

Clickability

Infoqore

Other disability resources

Disability Gateway

National Disability Services

IDEAS Disability Information

Service Agreements – Purpose and Guidance

A Service Agreement helps ensure that both the NDIS Participant and the Service Provider have clear, shared expectations about the supports being delivered.

While the NDIS strongly encourages the use of written service agreements, they are only compulsory for Specialist Disability Accommodation (SDA). However, having a written agreement is considered best practice for all supports and services.

Why Service Agreements Matter

Service Agreements provide clarity by setting out:

• What supports will be delivered

• The frequency and method of service delivery (e.g. face-to-face, telehealth)

• Pricing for services in line with NDIS Price Limits

• Establishment processes and start dates

• Participant responsibilities and any shared obligations

• Dispute resolution processes

In the event of a dispute, the service agreement can be referred to for clarification and to help resolve misunderstandings.

Participant Understanding and Consent

It is the provider’s responsibility to ensure the participant (or their nominated decision-maker):

• Understands the terms of the agreement

• Can reasonably meet any obligations outlined in the agreement

Providers should communicate in an accessible and inclusive manner to ensure informed consent is achieved.

Legal Considerations

Providers must be aware of their obligations under Australian Consumer Law when delivering goods or services to people with disability. These include:

• Providing clear information about costs

• Honouring service terms and timeframes

• Offering fair dispute resolution processes

More information can be found on the Australian Competition and Consumer Commission (ACCC) website.

Further Guidance

For more information, refer to the NDIS guide: Things to think about when making a service agreement

• Transacting above the stipulated NDIS price limit 
• Directly holding participants money (A compliant claim needs to be made in the NDIS portal to receive the funds)
• Support Coordination
• Funding projections
• Assisting the Participant to explore and connect with service providers
• Management or maintenance of the entire plan
• Day-to-day plan administration
• Maintain a Participant’s supports through scheduling services
• Provide disability related advocacy services

How to Become Plan Managed

To be Plan Managed, your NDIS plan must include the support category Improved Life Choices. This line item covers all plan management fees, so there is no cost to you.

If You’re Preparing for a Planning Meeting or Review

If you have an upcoming:

• Planning meeting, or

• Plan review

Make sure to request that Improved Life Choices is included in your plan. This will allow you to choose a Plan Manager who can help with paying your providers, tracking your budget, and offering financial reporting.

If You’re Already Self-Managed or Agency-Managed

If your plan is currently self-managed or agency-managed, and you’d like to switch to being plan managed, you can request a “soft touch” review of your plan.

To do this, you can:

• Call the NDIA National Contact Centre on 1800 800 110, or

• Speak with your Local Area Coordinator (LAC) or Early Childhood Early Intervention (ECEI) Coordinator

The NDIS provides basic funding to deliver plan management administration services on a month-to-month basis. This is delivered by funding specifically allocated for your Plan manager under Category 14 – Improved Life Choices. You must have this funding in your Plan to be Plan managed.

Being plan managed means that a NDIS registered plan management provider (such as Enabled4Life NDIS Plan Management) takes care of the National Disability Insurance Scheme funding on the participant’s behalf, ensuring timely payment of invoices and other admin. This relieves the stress that can be associated with claiming payments through the NDIS myplace portal and the burden of archiving receipts.

Our services are Plan setup, establishment meetings, monthly financial administration to pay your service providers in a timely and accurate manner in accordance with your Plan and finally, a monthly statement recording the financial activity in your Plan.

Enabled4Life’s monthly plan management service will include the following:

• Making claims and paying providers
• Payment remittances
• Monthly statements
• Budget tracking via an app
• Support Coordination portal
• Invoice approvals and rejections via an app
• Budget forecasts (where requested)
• Low funding alerts (at our discretion)
• Administrative assistance with NDIS Pricing Arrangements and Price Limits for both Participants and their Providers.

Transferring to Enabled4Life is a simple process and something you can do at any stage of your plan.

If you wish to transfer, you will need to give your current plan manager notice in writing like the below text. 

Dear <Insert Name>

I would like to cancel my service agreement with you for Plan Management. As per your service agreement, the notice period ends in [x] business days from today’s date.  

When closing the current service bookings in the NDIA portal, please reduce the available funds for all budgets to zero dollars to allow my new Plan Manager access to my funding.  

Please forward any unpaid invoices from my current NDIS Plan to paymyinvoice@enabled4life.com.au and confirm the date you will release my service bookings. 

If the cancellation notice period can be waived to ensure a faster transition, please let me know. 

Thank you for your past support. 

Regards

<Insert Name>

In the meantime, you can sign up with Enabled4Life. 

On the date of exit, your Plan Manager will finalise their PRODA service bookings and release all funding.

Enabled4Life will complete your onboarding and begin acting as your Plan Manager. 

Enabled4Life is now responsible for paying invoices from the start of your plan date, irrespective of the date you transferred or the date the services were delivered. This will ensure any invoices submitted late by your service providers prior to your transfer can be paid.

If you’ve paid out-of-pocket for an NDIS-funded service or item and wish to be reimbursed from your NDIS funds, follow these steps:

Complete the Reimbursement Claim Form: Fill and submit a reimbursement claim here. By doing so, you confirm that the supports or items have been received and paid for in full, and that they meet the “reasonable and necessary” criteria of the NDIS, aligning with your plan goals and approved funding.

Submit Required Documentation: Ensure you include a valid invoice as the source document. The invoice must contain:

• Invoice Number
• Invoice Date
• Participant’s Full Name and NDIS Number
• Provider’s Contact Details, Bank Details, and Australian Business Number (ABN)*
• Description of Service Provided
• Appropriate NDIS Claim Line Item
• Claim Type (e.g., Standard, Cancellation, Travel)
• Start and End Dates
• Rate or Charge as per NDIS Pricing Arrangements
• Invoice total showing a balance due of $0.00.

Note: Order confirmations, quotes, and shipping slips will not be accepted by the NDIA.

Approval and Payment: Once your claim form is submitted, Enabled4Life will enter the claim into our system. If you are using the Careview Advantage App review tool, please make sure the claim is approved with 3 days to avoid payment delays. Enabled4Life will then lodge a payment request with the NDIA. If approved, NDIA will pay Enabled4Life, who will then distribute the funds within 2 business days. You will receive a remittance slip via email before the funds are deposited into your nominated account. You can also track your claim status within the Careview Advantage app, if applicable.

Medicare or Health fund Rebates: You cannot use your NDIS plan funds to pay the gap for Medicare services provided by the health system or for private health care costs.

*Overseas Purchases: The NDIA will only accept payment requests without an Australian Business Number (ABN) if the provider is exempt from quoting an ABN under Australian Taxation Office (ATO) rules. Exempt providers must complete the ATO Statement by a Supplier form and this form must be attached to your reimbursement claim or sent directly to Enabled4Life at engagement@enabled4life.com.au

1. Log into MyGov and select NDIS button from “Your Services” buttons.
2. If you are a nominee, you will need to select the NDIS participant name from the drop down menu called “Acting As” at the top right of the page.
3. Click on the tile which says “My Plan” or for example “John’s Plan” depending if you are logged in as John or a nominee.
4. Click on “View my Plan” or  for example “View John’s Plan” depending if you are logged in as John or a nominee.
5. Select the correct plan period using the “Plan” drop down menu.
6. Once the chosen plan has loaded, click the button in the top right labelled “Print this plan to PDF”, your plan will download automatically in a new window. From here, you can choose to download, save or print the plan.

The NDIA document titled “How to Claim from my plan” provides comprehensive guidance on the process of requesting payment from the funding allocated within your plan, following the receipt of a support or service. It outlines the specific guidelines and requirements that must be adhered to when seeking reimbursement or payment for services. This document serves as a valuable resource for understanding the steps and criteria involved in the claiming process.

It’s crucial to remember that as a participant, you play a significant role in budgeting and managing your NDIS funds. Your funding is tailored to support your specific needs and goals, and responsible budgeting ensures that you can access the necessary services and supports when you need them most.

Here are a few key points to keep in mind:

1. Budgeting Responsibly: Take the time to plan and prioritise your spending based on your individual goals and needs. Create a budget that aligns with your NDIS plan and consider any ongoing expenses or upcoming goals you may have.
2. Understanding Your Funding: Familiarise yourself with your NDIS plan and the supports and services it covers. If you have any questions or need clarification about your funding, don’t hesitate to reach out to your support coordinator or NDIS representative for assistance.
3. Making Informed Choices: When accessing services or purchasing goods with your NDIS funding, it’s essential to make informed choices that align with your goals and deliver the outcomes you desire. Research your options, ask for recommendations, and consider how each decision contributes to your overall well-being and independence.
4. Monitoring Your Spending: Keep track of your spending and regularly review your budget to ensure that you’re staying within your allocated funds. If you find that you’re exceeding your budget or need additional support, don’t hesitate to seek guidance from your support network or NDIS provider.

In addition, some upcoming improvements and legislative changes within the NDIS scheme which include:

• Clarity on Plan Budgets: The NDIA is working on making it clearer how long plan budgets should last, this includes understanding plan budgets are to last the full duration of a plan, regardless of length (i.e., 1-year, 2-years etc) ensuring better planning and budget management.
• Increased Awareness: There will be increased awareness about overspending and over-servicing by service providers to ensure funds are used efficiently.
• Plan Change Reassessments: NDIA does NOT recognise early expenditure of funds as a reason for approving a plan change reassessment request. Requests lodged for this reason will be declined. Participants must provide clear evidence when requesting a plan change reassessment.  It’s important to have this evidence ready before making such requests. Requests without appropriate evidence will be declined. Types of evidence required is clarified here: Providing evidence of your disability
• Over-utilising supports: When funding is excessively utilised or allocated to supports not deemed reasonable and necessary by an NDIA Planner, service providers may not be paid, and participants may risk losing access to supports.
• Legislative Changes: Upcoming legislative changes aim to ensure participant plans sustain their needs for the entire plan period. Additionally, there will be adjustments to the frequency of plan reviews to streamline the process and ensure timely support.

These improvements are designed to enhance the sustainability and effectiveness of the NDIS scheme for all participants.

If your plan funding is low, you may need to request additional funding. This can be done through a plan reassessment (previously known as a Change of Circumstance review). Reassessments can be either scheduled or unscheduled and involve a comprehensive review of your current plan. Depending on your circumstances, the NDIS may decide to create a new plan or amend your existing one.

The NDIS will conduct a reassessment only if there has been a significant change in your life that affects your support needs, or if your plan is nearing its end date. It is important to note that plans are not automatically reviewed simply because the funding has been exhausted early.

When requesting additional funding, the NDIS will collaborate with you to understand your needs and determine if they align with the guidelines for reassessment. The NDIS can only agree to review your plan if there is clear evidence supporting the need for a change.

Required Evidence:

To substantiate your request for additional funding, you must provide detailed documentation that illustrates the changes in your circumstances and how these changes affect your support needs. This evidence may include:

• Medical reports
• Therapy assessments
• Recommendations from healthcare professionals

It is crucial to have all relevant evidence prepared before requesting a plan reassessment. Additionally, the NDIS may enquire about how you have utilised your current funding to achieve your goals and may request evidence such as receipts to understand the services you have accessed through your current plan.

For more detailed information on the types of evidence required, please refer to Providing evidence of your disability

Participants whose funding is low but whose life needs have not significantly changed, or whose plan is not nearing its end date, should review their support levels to ensure they are spending their funding in accordance with what the NDIA has deemed reasonable and necessary and in compliance with all NDIS rules and regulations.

As of October 3, 2024, the National Disability Insurance Scheme (NDIS) has updated its guidelines regarding the funding of tablet devices, such as iPads. Generally, the NDIS does not fund tablets, as they are considered day-to-day living costs and not specific disability supports. However, in certain circumstances, a tablet may be funded as a Replacement Support if it meets specific criteria:

• Replacement of Existing Support: The tablet must replace an existing NDIS support in your plan.
• Functionality: It should enable you to perform the same or additional functions as the support it replaces.
• Cost-Effectiveness: The tablet’s cost must be equal to or less than the support it is replacing.

Additionally, the replacement must be listed on the approved replacement support list, and you must obtain written approval from the NDIS before purchasing.

For example, if you have complex communication needs, a tablet equipped with specific applications may serve as an alternative communication device, potentially qualifying as a replacement support.

It’s important to note that you can only use your NDIS funding for a replacement support if the NDIS has agreed in writing that you can purchase this support.

For more detailed information, please refer to the NDIS guidelines on smart devices and tablets: Our Guidelines

Therapy Supports and Early Childhood Supports

If a Participant has exhausted their Capacity Building Improved Daily Living funding, they may be able to utilise their CORE funding, specifically their Assistance with self-care (01) funding, for disability health related supports.

“Disability-Related Health Supports” and “Capacity Building Therapy Supports” are both critical in supporting individuals with disabilities but serve different purposes:

1. Disability-Related Health Supports:

Purpose: Focus on managing and alleviating the health impacts of a disability. These supports are essential for addressing immediate health needs and ensuring the participant’s well-being. They provide care, other than nursing care, that addresses the disability-related health needs of a participant where that care is not the usual responsibility of the health system.

Definition: These supports are necessary to help manage a health condition directly related to the disability, or to assist with managing health or health conditions if the disability prevents the participant from doing this independently.

Examples: Therapeutic services for symptom management that addresses specific health needs.

1. Capacity-Building Therapy Supports:

Purpose: Aim to enhance the participant’s functional abilities and independence over the long term. These supports focus on building skills and capabilities that contribute to greater autonomy and improved daily functioning.

Examples: Skill development programs, therapeutic interventions that improve daily living skills, social and community participation, and strategies to enhance personal development and self-management.

In summary, while disability-related health supports address immediate health needs and manage the effects of a disability, capacity-building therapy supports are oriented toward long-term development and improving the participant’s overall functioning and independence.

Providers are responsible for ensuring that claims accurately reflect the type of support delivered. They should not claim using disability-related health support items for supports unrelated to a participant’s health needs, including claims for capacity-building supports. If the support meets the conditions outlined above, providers should submit a compliant invoice with the relevant Assistance with Self-Care (01) support item number.

For further details, please refer to the guidelines: Disability-related health supports

Assistance with Self-Care (01) Therapeutic disability-related health supports are in place until 30 June 2025.

Under the new pricing arrangements and price limits, disability-related health supports (DRHS) can only be provided under the Capacity Building Improved Daily Living support category. Providers must ensure their service agreements reflect how a participant has been funded and ensure this funding is utilised as prescribed for the duration of the plan.

The NDIS funds a range of household cleaning and yard maintenance services to support participants in maintaining a safe and healthy living environment. However, the specific types of services funded depend on the individual participant’s plan and their assessed needs. Generally, the NDIS may fund the following:

Household Cleaning (01_020_0120_1_1 – House Cleaning and Other Household Activities)

General Cleaning Tasks:

• Vacuuming, sweeping, and mopping floors
• Cleaning bathrooms, kitchens, and other living areas
• Dusting and wiping surfaces
• Cleaning windows, if part of regular maintenance

Laundry Assistance:

• Washing, drying, and folding clothes
• Ironing clothes if required

Dishwashing Assistance:

• Washing dishes and cleaning kitchen appliances

Deep Cleaning (when needed):

• More intensive cleaning for participants who are unable to maintain daily or weekly cleaning due to their disability

Yard Maintenance (01_019_0120_1_1 – House or Yard Maintenance)

Lawn Mowing:

• Regular mowing to maintain the safety and accessibility of outdoor spaces

Gardening Services:

• Pruning, weeding, and basic garden upkeep to ensure safe access to outdoor areas

Clearing Pathways:

• Removing debris and obstructions from paths, driveways, and other outdoor areas

Rubbish Removal:

• Removal of household or garden waste that participants are unable to manage themselves

These supports are typically funded only when the participant is unable to perform these tasks due to their disability and when informal supports (such as family) are not available to assist.

Additionally, the NDIS does not fund sundry costs associated with these tasks, such as fuel, tip fees, cleaning products, or equipment. These expenses must be covered by the service provider or paid for privately by the participant, outside of the NDIS plan.

The NDIS typically does not fund larger or more extensive cleaning jobs, such as end of lease cleans, tree removal, landscaping, gutter cleaning, pressure washing a house or roof, and similar tasks. These types of services are generally considered home maintenance rather than regular household cleaning or regular yard maintenance, and they often fall outside the scope of what the NDIS considers reasonable and necessary supports. Below are some key reasons why these larger jobs are usually not funded:

Responsibility of Homeowners or Landlords:

• Larger home maintenance tasks like gutter cleaning, painting, solar panel cleaning, tree lopping, fencing installation and repairs, landscaping, concreting, roof repairs, electrical works, pressure washing, roof cleaning etc are often seen as part of general property upkeep, which is the responsibility of the homeowner, landlord, or body corporate.
• The NDIS focuses on supporting participants with their disability-related needs, not on general property maintenance that would apply regardless of whether a person has a disability.

Non-Disability-Related Tasks:

• The NDIS will only fund services that are directly related to the participant’s disability. Major cleaning and maintenance tasks are often seen as routine home upkeep that would be required regardless of whether the person has a disability.
• Since these services are not considered directly related to a participant’s disability, they usually do not meet the NDIS’s reasonable and necessary

Health and Safety Considerations:

• While regular household cleaning (e.g., vacuuming, mopping) is essential for maintaining a participant’s immediate living environment and safety, larger tasks like pressure washing or gutter cleaning are not seen as critical to daily health and safety.
• The NDIS tends to focus on tasks that enable participants to maintain a clean and safe living space for day-to-day functioning.

Availability of Other Services:

• Some of these tasks may be provided through other systems, such as local government services, community programs, or home insurance. The NDIS generally avoids funding services that could be provided by other sources or are considered standard home maintenance.

Exceptions:

• In rare cases, if a participant can prove that such a service is directly linked to their disability and is essential for their health and safety (e.g., a participant with respiratory issues needing mould or debris removal from gutters), the NDIS may consider funding a portion of these tasks. However, this is uncommon and would require significant justification. If approved by the NDIA, the participant would need to provide written evidence of this approval to their Plan Manager.

For larger jobs, participants may need to arrange these services privately or through other funding sources outside the NDIS.

In most cases, NDIS funds cannot be used for vehicle-related expenses such as:

• Washing or vacuuming

• Registration

• Tyres

• General repairs or maintenance

NDIS funding is specifically allocated for supports and services that are directly related to your disability and its functional impact on daily living. This includes:

• Personal care

• Therapy and allied health services

• Assistive technology

• Community access and participation

However, vehicle modifications that are directly related to your disability and approved as part of your plan may be funded, but general upkeep and operational costs are not covered under the NDIS.

For these everyday vehicle expenses, you’ll need to use personal funds or explore alternative financial assistance programs outside of the NDIS.

Due to the complexities involved in these arrangements, Enabled4Life is unable to provide Plan Management services to Participants who directly engage their own staff.

This decision is based on the following considerations:

• The legal and regulatory responsibilities associated with employing support workers directly

• Ambiguities within NDIA policies regarding the funding and claiming of associated employment costs

• The fact that direct employment expenses — such as insurance, payroll processing, superannuation, and screening or clearance checks — are not claimable under current NDIS Pricing Arrangements and Price Limits

These factors make it impractical for a Plan Manager to accurately and compliantly manage claims related to direct employment arrangements.

Participants who wish to pursue this model are encouraged to consult with a Support Coordinator, Local Area Coordinator, or the NDIA directly to explore alternative plan management or self-management options.