FAQs

Frequently Asked Questions

If you are a participant or provider, we understand you will have lots of questions about the NDIS. Our FAQs resource aims to provide clear and concise answers to the most common questions we get asked every day. If you can’t find the answer here, message us, visit the NDIS website, or call the National Contact Centre on 1800 800 110 Monday to Friday 8am to 8pm (local time).

NDIA Glossary of Terms

Confused by all the acronyms in the NDIS world? You’re not alone. Explore the NDIS Glossary of Terms  to uncover the meanings behind each abbreviation.

NDIA Operational Guidelines

Operational Guidelines explain what the NDIA considers when making decisions  and how those decisions are made based on NDIS Legislation & Rules

Enabled4Life

What is Enabled4Life's business information?

Operational Hours: Mon – Fri 9:00am to 5:00pm (AEDT) excluding public holidays 

Phone: 1300 667 454

All enquiries: engagement@enabled4life.com.au 

Invoices: paymyinvoice@enabled4life.com.au

Accounts: accounts@enabled4life.com.au 

Mail: Level 2, Riverside Quay, 1 Southbank Blvd, Melbourne VIC 3006

Locations: All Australian states and territories

ABN: 91636315930

NDIS Provider #: 4050073162

Facebook: https://www.facebook.com/Enabled4Life/ 

Instagram: https://www.instagram.com/enabled4life/?hl=en

LinkedIn: https://au.linkedin.com/company/enabled4life-ndis-plan-management 

Our team is committed to providing an excellent service and maintaining a healthy relationship with all stakeholders. We believe it is important to constantly review our processes to meet our Participants needs. We encourage you to provide feedback or suggestions here

Does Enabled4Life have local offices?

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.

Does Enabled4Life provide any other services?
Enabled4Life is a fully independent, nationally registered financial intermediary, responsible for ensuring payment of Particpants plan managed invoices. 
We only provide NDIS Plan Management to those Participants who have CB Improved Life Choices funded in their plan.
Does Enabled4Life directly hold NDIS funds?

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. 

Does Enabled4Life offer their Participants a budget app?

Enabled4Life offers a budget app specifically designed for participants of the NDIS, called Careview Advantage, available to users of both Apple and Android systems.

This app helps participants effectively manage their NDIS funds by providing the following features:
  1. Budget Tracking: Allows participants to monitor their spending and ensure they stay within their allocated budget.
  2. Invoice Review: Allows participants to maintain full control over their provider payments through an approve and decline system.
  3. Real-Time Updates: Provides real-time updates on the status of funds and budget balances, helping participants make informed decisions about their spending.
  4. Plan Overview: Gives participants an overview of their NDIS plan, including support categories and funding allocations.
  5. User-Friendly Interface: Designed with ease of use in mind, making it accessible for participants with varying levels of digital literacy.

This budget app is part of Enabled4Life’s commitment to supporting participants in managing their NDIS plans effectively and ensuring they have the tools needed to make the most of their funding.

How do I provide feedback to Enabled4Life?

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

Once received, all feedback will be addressed in accordance with company policy.

NDIS

What are the Payment Terms for NDIA?

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

What is a personalised NDIS Plan?

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.

Does the NDIA fund family members to provide supports?
FORMAL SUPPORTS – disability specific services or equipment using NDIS funding which you receive from a service provider. 
INFORMAL SUPPORTS – these include the family, carer and community support that is available to a person (unpaid).
MAINSTREAM SUPPORTS – such as education, health, medication, or other community services

When determining what funded supports a person requires in their NDIS plan, the NDIA Planner will consider what supports the person currently receives (or should reasonably be provided) from informal and mainstream supports. 

 
NDIA will only fund family members (parents, siblings, and other family members) to provide supports in exceptional circumstances. The NDIA will not fund a family member to provide personal care or community access supports unless all other options to identify a suitable provider of supports have been exhausted.
 
The Plan Manager must receive confirmation in writing from the Agency stating informal supports can be claimed and paid from a Participants plan. 
 
Detailed information can be found here
Is reporting suspected fraud everyone’s responsibility?

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.

What is the emergency assistance and crisis support information?

! 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
Do all registered and non-registered providers need to abide by the NDIS Code of Conduct?

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.

What is the NDIS and what supports are included?

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.

What is the NDIA?

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. 

What is the NDIS Commission?

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 behavior 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.

What is the NDIS Provider Finder Tool?

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

What does reasonable and necessary support mean?

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

What is the NDIS Provider Register and Compliance and Enforcement Actions?

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.

How do I access the NDIS?

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

How do I contact the NDIS?

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

Phone: 1800 800 110

Webchat:  https://www.ndis.gov.au/

E: 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

What is PACE?

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).

How to elect your preferred Plan Manager in PACE*

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, an endorsement process is now required.

As part of this process, you must endorse Enabled4Life as your Plan Manager.

Existing Enabled4Life Participants: Existing Enabled4Life participants transitioning onto PACE, are not required to elect 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 elect 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 elected as your “plan manager” and my provider”.

Electing Enabled4Life as your “plan manager” and “my provider”: The simplest and fastest way to elect Enabled4Life, is by calling the NDIS National Contact Centre on 1800 800 110 between Monday to Friday 8am to 8pm (local time) using 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).

Please elect Enabled4Life as both my “plan manager” and “my provider” in the PACE system. They can be found using the following details:

  • Organisation Name: Enabled4Life
  • ABN: 91 636 315 930
  • NDIS Provider Registration Number: 4050073162
  • Email: engagement@enabled4life.com.au
  • Phone: 1300 667 454

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.
What qualifies as Illegal overcharging of NDIS Participants?

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:

    Can I use my NDIS funds to pay the gap for Medicare or private health services?

    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.

    How do I apply to the NDIS?

    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.

    Can I use CORE funding for Meal Preparation & Delivery services?

    The NDIS can fund meal preparation and delivery supports if they are deemed reasonable and necessary for the participant. These supports are typically considered under the “Assistance with Daily Life” category, which covers services that help with activities of daily living.

    For meal preparation and delivery to be funded, the participant needs to demonstrate that:

    • Meal preparation and delivery is essential: The participant must show that they are unable to prepare meals or access meal delivery services without support due to their disability.
    • Supports are reasonable and necessary: The supports must be appropriate to meet the participant’s needs, taking into account their disability, their ability to perform tasks independently, and other relevant factors.
    • Alignment with the participant’s goals: The supports must align with the participant’s goals and aspirations outlined in their NDIS plan.

    However, if the need for meal delivery arises from health issues unrelated to the disability, such as the following, the NDIS will not fund these services:

    • Weight loss
    • Food allergies
    • Diabetes
    • Dardiovascular disease
    • Kidney disease
    • Polycystic ovary syndrome
    • Irritable bowel syndrome

    Eligible participants will receive 70% funding for the meal preparation and delivery costs, while the remaining 30% (covering food and administration costs) is payable out-of-pocket.

    Participants should consult with their NDIS Planner or Local Area Coordinator (LAC) to ensure meal preparation and delivery supports are appropriately included in their plan.

    For those with Plan Managed funding, you may use either a registered or non-registered meal supplier. If the supplier accepts payments from Plan Managers, they should send invoices to paymyinvoice@enabled4life.com.au , clearly itemising the 30% participant cost and 70% NDIA cost. Some suppliers may issue two invoices: one for the participant covering the 30% cost and another for the Plan Manager covering the 70% NDIA cost.

    Please note that we do not authorise any supplier to establish Enabled4Life as a debtor or parent account holder in their financial systems.

    If the supplier requires payment upfront, the participant must pay the full amount initially and then submit a reimbursement claim with a valid tax invoice showing a balance of $0.00 and itemising both the 30% participant and 70% NDIA costs.

    What type of assessments will NDIS fund?

    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.

    Support Coordination

    I'm a support coordinator. Should I submit service agreements to Enabled4Life?
    If your participant has signed a service agreement with a provider, please submit this agreement to engagement@enabled4life.com.au
    Enabled4Life will store all copies of provider service agreements against the Participant’s profile in our secure document management system.

     

    I'm a support coordinator. Can I sign up my Participants with Enabled4Life?
    If you have the Participants authority to act on their behalf, you can sign our plan managed service agreement on their behalf.

    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.

    I am a support coordinator, how can I check my client's budget?

    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. 
    If you’re a registered provider and the Participant’s support coordination budget is agency managed, you can access the plan view as a registered Provider in the NDIS myplace portal. 
    Please refer to page 12 of the Myplace Participant Portal Step by Step Guide – “Sharing you plan”, click the link below to view the portal guide.

    Sharing your plan

    Myplace Participant Portal Step by Step Guide

    Does Enabled4Life have a Consent to Share form?

    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 .

    Providers

    I am a service provider, where do I submit invoices?

    Please submit invoices to paymyinvoice@enabled4life.com.au 

    What do I do if I believe an invoice has not been paid or has been missed?

    All invoice enquiries must be made in writing via email, Enabled4Life will not investigate payment of an invoice made via phone. 

    If you believe an invoice has been missed, please send the details to engagement@enabled4life.com.au including a copy of the invoice. Please include “Invoice Escalation” in the heading of your email.

    A realistic expectation of 5-7 business days is asked of provider’s before escalating an outstanding invoice, this will ensure we operate as efficiently as possible and limit the number of enquiries. If an invoice is outstanding, our team will make it a priority payment once it has been brought to our attention via an escalation. 

    A remittance advice/slip will be issued to the nominated provider email address prior to the payment being transferred to the business bank account.

    Enabled4Life accepts no responsibility for payments being made to an incorrect account when incorrect account details have been supplied by the provider. 

     

    What is Enabled4Life's Biller Authorisation Forms policy?

    Enabled4Life is not party to nor do we sign Biller Authorisation forms asking us to guarantee and become liable for funds.

    As we do not coordinate the Participants supports, administer the National Disability Insurance Scheme, nor approve NDIS funds, this is an unreasonable expectation. 

    We are more than happy to perform our duty of paying the invoice as quickly as possible and monitoring the budget with the information we are supplied with.

    What happens if I submit an invoice which exceeds NDIS price limits?

    Just like Medicare, Enabled4Life will pay the amount that the NDIS allows as per the Plan Managed pricing controls.  

    Our claims team will return the invoice to the provider and explain to the following,

    • Their hourly rate must be lowered as per NDIS price limits, or
    • If the provider and participant have agreed on a rate which exceeds the NDIS price limit, the provider must submit an invoice to the Plan Manager for the NDIS funded component only. A separate invoice containing the GAP fee must be sent to the participant who will fund this privately.
    What information must I include on my invoice?
    An invoice is a source document given to the buyer (NDIS Participant) by the seller (Service Provider) to collect payment.

    It must include the cost of the services rendered or products purchased, it can also serve as a legal record.

    Invoicing is a critical part of a business process and is the last step between delivering a service or product and receiving payment.

    Invoices should appear professional and be delivered to Enabled4Life via email to paymyinvoice@enabled4life.com.au

    Invoices must be submitted via email as a non-editable file type only i.e, PDF. Enabled4Life will not click on any third-party invoice or payment link to download a PDF copy of an invoice.

    Invoices should be addressed to the NDIS Participant, as they are the title holder of the funded plan. Enabled4Life does not grant consent for any third party to establish a debit account in its name. The NDIS Participant should be recognised as the account holder, and invoices should be issued accordingly to ensure compliance with NDIS guidelines and proper financial arrangements.

    All invoicing rules when funding is plan managed apply to both registered and non-registered providers.

    Any invoice which does not contain the following information as per NDIS claiming rules, will be returned to the Provider as non-compliant with a request for it to be amended.

    Plan Managers must store invoices or receipts for 5 years and we will not be able to claim supports for a Participant if we do not have the evidence needed.

    NDIA regularly audits Plan Managers to make sure they are performing the necessary checks. When they do an audit, they will ask the plan manager for the information they used to make the claim.

    Provider information – Details about your business 

    • Provider name 
    • Provider ABN 
    • Provider registration number – where applicable 
    • Provider invoice number – must be unique 
    • Provider invoice date – Australian format DD/MM/YYYY 
    • Provider account name 
    • Provider BSB 
    • Provider account number 
    • Provider email – this will be recorded for the purpose of issuing a remittance

    Participant information – Details about your client 

    • Participant’s First and Last Name
    • Participant’s NDIS Reference Number 
    • Participant’s Address 

    Invoice Information – Details about your service

    • Support delivered from date – DD/MM/YYYY 
    • Support delivered to date – DD/MM/YYYY 
    • NDIS support item number – For example, 01_011_0107_1_1. 

    (Always confirm how your client wishes to pay for your services in line with their Plan Managed Support Budgets, this is not the responsibility of the plan manager).

    • Description of service provided 
    • Claim type – Standard, Cancellation, Travel, Non-Face-to-Face, Irregular SIL Supports, NDIA Report or Telehealth Services 
    • Unit price/hourly rate – your agreed hourly rate, in accordance with NDIS pricing arrangements
    • Invoice total

    Where Enabled4Life has communicated to a Service Provider on multiple occasions regarding a non-compliance issue, no further attempts to communicate will be made, the invoice will be filed. 

        What is the difference between an unregistered and registered 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

        Where can my service provider learn how to run their business under the NDIS?

        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:

        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. 

        Who approves NDIS quotes and who has reasonable and necessary delegation?

        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. 

        What are the NDIS claim types and cancellation reasons?

        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 
        What is your Service Provider credit and refund process?

        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.

        I am a Service Provider, where do I send Participant service agreements?

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

        Participants

        What to do if I receive a new NDIS Plan?

        If you have provided Enabled4Life ongoing consent and receive a new plan, we will setup and manage your new Plan Managed support budgets.

        Your new service contract and support budgets will be reflected in our budget app. 

        We are not automatically provided with a copy of your plan, should you wish to share this, it can be emailed to engagement@enabled4life.com.au

        Alternatively, you can share your plan with Enabled4Life via the NDIS myplace participant portal.

        The Share My Plan function enables you to share sections of your plan with Enabled4Life, refer to page 12 Share My Plan section of the NDIS step-by-step Guide.

        What are the benefits of being plan managed by Enabled4Life?

        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

        When will I need a service agreement for plan management with Enabled4Life?

        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.

        How do I sign up with Enabled4Life?

        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 online.

        • 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 endorse Enabled4Life as your “Plan Manager” and “My Provider.” Our team will guide you through this process.

        • 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

            How do I give my plan manager electronic access to my NDIS plan?

            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.

            How do my service providers send an invoice to Enabled4Life?
            Where can I purchase continence products from?
            The National Disability Insurance Agency has created a Continence Provider List to help participants, their families and carers find reliable information on products and suppliers.
            The list is not exclusive and if your funding is self or plan managed, you can use a supplier of your choosing. 
            Continence Foundation of Australia  website provides detailed information on continence products.
            The National Continence Helpline has continence advisors who can provide expert advice, resources and information about local services, they can be contacted on 1800 33 00 66 8am-8pm Monday to Friday AEST. 
            Does Enabled4Life provide plan budget forecasts?

            Enabled4Life can provider their Participants with 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:

            Budget Amount is the total amount for the budget category.

            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).

            Contract Start Date is the value recorded in the service contract’s ‘start date’ field.

            Contract End Date is the value recorded in the service contract’s ‘end date’ field.

            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.

            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.

            What can I purchase with my consumable budget?

            Low-Cost & Low-Risk Assistive Technology | Less than $1500.00. 

            Consumables, including low-cost, low-risk assistive technology (AT), are everyday items designed to help manage your personal disability-related needs. These items must cost less than $1,500 each, should not pose risks in daily use, be easy to operate, and should not require professional setup or modifications. Below are some examples of these consumable items:

            • Wound Care Products: Items such as bandages, dressings, and other products used for personal care and management of wounds.
            • Continence Products: Includes items like absorbent pads, briefs, and undergarments.
            • Catheters: Used for urinary care and other medical needs.
            • Pumps and Syringes for Home Enteral Nutrition: For participants who require feeding through a tube at home.
            • Nutritional Supplements: Includes vitamins, minerals, or other dietary products essential for health.
            • COVID-19 Consumables: Products like Rapid Antigen Tests, face masks, face shields, and gloves (weekly costs not exceeding $50.00).
            • Personal Care and Safety Products: Such as grooming aids, handrails, or hygiene products.
            • Vision or Hearing-Related Products: Simple magnifiers, visual timers, or hearing aids to support daily life.
            • Specialised Bedding: Items like pressure relief cushions, adaptive pillows, or anti-allergy mattresses.
            • Modified Eating Aids: Tools such as specialised utensils or cups designed to assist with eating.
            • Basic Seating: Supportive chairs for enhanced posture or comfort.
            • Basic Mobility Equipment: Such as walkers, crutches, or simple walking canes.
            • Basic Transfer Equipment: Includes items like sliding boards for easy transfer between surfaces.
            • Basic Domestic Equipment: Household tools and appliances that are easier to use, like adaptive kitchen utensils or non-slip mats.
            • Communication Devices: Basic devices such as voice amplifiers or simple communication boards.
            • 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.

            Low-Cost Assistive Technology for Early Childhood Participants.

            These ideas focus on promoting independence, learning, and social interaction for young NDIS participants, while also supporting their physical and cognitive development.

            Sensory Tools:

            • Chewable Jewellery: Designed for children with oral sensory needs.
            • Fidget Toys: Items like stress balls or hand spinners to help with focus and sensory regulation.
            • Noise-Cancelling Headphones: To assist children sensitive to loud noises or overstimulation.

            Communication Aids:

            • Picture Exchange Communication Systems (PECS): Simple, visual communication boards using images to help non-verbal children communicate.
            • Simple Voice Output Devices: Single-message or multi-message communication buttons that help children express basic needs (e.g., “Yes” or “No” buttons).
            • Visual Timers: Tools to support time management and transitions between activities.

            Fine Motor Skills and Hand-Eye Coordination:

            • Adaptive Pencils and Grips: Tools that make writing easier for children with difficulty gripping standard-sized writing tools.
            • Adaptive Scissors: Spring-loaded or loop scissors for children learning to cut.
            • Building Blocks or Stacking Toys: Designed to improve hand-eye coordination, motor skills, and problem-solving abilities.

            Mobility and Postural Support:

            • Supportive Seating: Small-scale postural chairs or cushions that help young children sit properly while engaging in activities like eating or learning.
            • Walking Aids: Lightweight paediatric walkers or gait trainers to assist with early walking and balance.
            • Standing Frames: Simple, low-cost standing aids that help children build muscle strength and improve posture while safely standing.

            Daily Living Aids:

            • Adapted Cutlery and Cups: Specially designed utensils and drinking cups to encourage independent eating.
            • Step Stools with Handrails: For children to independently access sinks or toilets.
            • Non-Slip Mats: Placed in play areas, bathrooms, or around furniture to reduce the risk of slips and falls.

            Play-Based Learning:

            • Switch-Activated Toys: Toys that can be operated by pressing a large switch, suitable for children with limited fine motor skills.
            • Cause-and-Effect Toys: Toys that light up, make sounds, or move when interacted with, supporting cognitive development.
            • Interactive Storybooks: Audio or tactile books to engage children in reading activities.

            Assistive Technology for Communication and Learning:

            • Tablet Holders or Mounts: To assist with stable use of tablets for educational apps or communication tools.
            • Adaptive Keyboards or Mice: Simple input devices designed for small hands or those with fine motor challenges.
            • Speech Therapy Apps: Software or apps to support language development, often available for tablets at a low cost.

            Safety Products:

            • Child-Friendly GPS Trackers: Wearable devices that help caregivers monitor a child’s location in case of wandering.
            • Door and Window Alarms: Low-cost alarms to notify caregivers if a child attempts to open doors or windows unsupervised.
            • Corner Protectors and Safety Locks: Prevent accidents by child-proofing environments where children play or explore.

            Visual or Hearing Supports:

            • Large-Print or Braille Storybooks: Encourages children with vision impairments to engage in early reading activities.
            • Tactile Learning Tools: Such as textured letter cards or number puzzles to support early learning for children with vision impairments.
            • Vibrating Alarms: For children with hearing impairments to assist with waking up or staying aware during specific times of the day.

            Weighted Blankets:

            Weighted blankets and other items which restrict movement are categorised as high-risk items by the Therapeutic Goods Administration and must be approved by your NDIA Planner if you wish to purchase using plan funds.

            See Assistive Technology Product Risk Table

            Your Plan Manager must be provided with evidence in writing that the item has been approved by the NDIA before a claim can be processed.

            Consulting with Allied Health Provider

            While it is not compulsory to consult with your Occupational Therapist (OT) or other Allied Health providers before purchasing low-cost assistive technology, it may be beneficial to do so. These professionals can provide valuable guidance to ensure that the products selected are the best fit for the participant’s individual needs. By seeking their advice, you can avoid purchasing items that may not fully meet your requirements or that might not offer the desired level of support, ensuring a better investment in your overall care and well-being.

              The Assistive Technology guide for low cost support funding will help explain how much these items should cost. 

              The Assistive technology product risk table will detail different risk levels of AT, this will support you to find and access the AT you require. 

              The Assistive Technology, Home Modifications and Consumables Code Guide lists the most used supports to assist providers to claim payments using a ‘best-fit’ approach, and to assist participants with consistent terminology for AT comparison. Listing in this guide does not mean that an item would be considered reasonable and necessary for a particular individual under the NDIS, nor is it a comprehensive list of what may be considered

              How do I find service providers?

              NDIS PROVIDER FINDER | USE THIS TOOL TO FIND A REGSITERED PROVIDER IN YOUR AREA OR ONLINE

              DISABILITY GATEWAY| NATIONAL RESOURCE CONNECTING YOU TO INFORMATION AND SERVICES

              If you require assistance with supports or access to services, a Support Coordinator can aid in this area should your plan contain funding for this role. Your Local Area Coordinator is also available to provide ten hours of Support Coordination.

              Alternatively, call Disability Gateway on 1800 643 787 or visit their website . Disability Gateway aims to connect people with a disability, their family, friends and carers to information and services they need throughout Australia. 

              You can also find service providers in your local area by contacting your local NDIS office, calling the National Contact Centre on 1800 800 110 or checking the list of registered service providers in your area using the NDIS Provider Finder tool

              What is deemed reasonable and necessary under the NDIS?
              Reasonable and Necessary Supports | Types of supports and services the NDIS will fund 
              The NDIA will provide funding for what is deemed a ‘reasonable and necessary’ support. These are goods or services directly relevant to the participant achieving the specific goals and objectives detailed in their current NDIS plan, increasing their independence, and increasing their capacity to participant in the community and workplace. 

              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

              Can plan managed participants have invoices priced over the NDIS price guide?

              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.

              What is the difference between support coordination and plan management?

              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.

              What category is plan management claimed from?

              NDIS PLAN MANAGEMENT | NO COST TO THE PARTICIPANT

              There are 3 support groups which can make up a Participants plan, CORE, Capacity Building and Capital. 

              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.

              Which service providers do you recommend?

              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

              What is a service provider agreement?

              SERVICE AGREEMENT PURPOSE | To ensure participants and providers have clear expectations about what each party has agreed to.

              NDIS expects a written service agreement between Participant and Provider is in place however they are not compulsory except for Specialist Disability Accommodation (SDA) supports.

              Service Agreements should reflect what both parties have agreed to and include terms such as what supports will be provider, the frequency of those supports, method of service delivery (i.e., Face-to-face, Telehealth etc), pricing for NDIS services, establishment processed and dispute resolution. 

              If a dispute arises between parties, a service agreement can be referred to. Providers must ensure the participant or nominated decision maker comprehend the terms of the agreement and can meet any obligations that rest with the participant. 

              Providers should be aware of their obligations under Australian Consumer Law when creating a service agreement. Information regarding these obligations when supplying goods or services to consumers with a disability can be found on the Australian Competition and Consumer Commission (ACCC) website.

              NDIS – Things to think about when making a service agreement

              How do I calculate my NDIS budget?

              You will have access to the My NDIS participant portal to track the funding of your plan, it is also the role of the Local Area Coordinator to provide training on this.

              Enabled4Life Customer Relationship Management software issues statements to the Participant’s registered email address on the 1st of each new month. Please also utilise the Enabled4Life calculator to assist you with a funding projection of your budget to ensure you do not oversubscribe your funding.

              What if I am not happy with my NDIS plan?

              If you want to later change something in your plan, you can always ask for a review of your plan. Make sure you explain as clearly as possible how and why you need to make the adjustments (for example, if your personal circumstances have changed). 

              For information on how to access a review through the NDIS go to: https://www.ndis.gov.au/participants/how-review-planning-decision

              For information on how to access a review independent of the NDIS through the Australian Appeals Tribunal go to https://www.aat.gov.au/apply-for-a-review/national-disability-insurance-scheme-ndis/can-we-help

              Which tasks are out of scope for a plan manager?
              • 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 do I become plan managed?
                  To be plan managed, you must have Improved Life Choices included in your NDIS plan. For those with an upcoming planning meeting or review, be sure to request Improved Life Choices is included in your plan. This covers all plan management fees so there is no expense to you. If you are currently self or agency managed and would like be plan managed, you can request a ‘soft touch’ review of your NDIS plan to have plan management included. 
                  You will need to call the NDIA National Contact Centre on 1800 800 110 or speak with your Local Area Coordinator or Early Childhood Early Intervention Coordinator. 
                  How much does NDIS plan management cost?
                  If Plan Management is part of your plan, then the cost of those services is covered by the NDIS. Plan Management is available to all participants – ask for it when planning your NDIS Plan.
                  Enabled4Life will receive funding from the NDIS for financial administration as stated in your plan under Improved Life Choices. This amount consists of a financial set up fee, as well as a monthly payment for financial administration. We do not charge your plan anything outside of the plan dedicated amount.
                  The most current version of the NDIS Pricing Arrangements and Price Limits document can be found here.
                  What is NDIS Plan Management?

                  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 arrangments and price limits for both Participants and their Providers.
                  How do I transfer to Enabled4Life?

                  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.

                  How do I claim a reimbursement for out-of-pocket NDIS-funded services or products?

                  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

                  How do I download a PDF copy my NDIS Plan?
                  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.
                  How do I claim from my 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.

                   

                  What is my role in budgeting and spending NDIS funding wisely?

                  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.

                  How do I request additional funding and what evidence do I need?

                  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.

                  Can I buy an iPad with my NDIS funds?

                  Flexible low-cost AT for support continuity

                  This policy was created in response to the increased need for online appointments (web, telehealth or application-based approaches) given the suspension of face-to-face services due to the social distancing regulations. It can be used to purchase low-cost smart devices

                  Participants can use their existing NDIS funding to purchase an item if:

                  • It will maintain funded NDIS supports like a program, therapy or requirement (for example physiotherapy or Auslan interpreting provided via video conferencing), and
                  • The provider of supports has confirmed in writing the device is necessary to continue supports and services while maintaining physical distancing requirements, and
                  • It is the lowest specification that will maintain funded supports, and
                  • They do not already have the item, another suitable item or access to the item, and
                  • The item has not been funded by another service system (such as education), and
                  • The item or circumstances are not specifically excluded.
                  • Participants should not spend more than $750 on electronic devices needed to maintain existing services. In the case of computer tablets or iPads for telehealth and care or participating in online video classes, advice from AT specialists is that most NDIS participants will not need more than a standard tablet, which costs no more than $600.

                  The following items and circumstances are excluded from this policy: 

                  • The item does not relate to the participants disability. A participant cannot purchase a smart device for entertainment, education, or gaming. A participant cannot purchase fitness equipment not previously used or recommended by the participant’s provider or therapist in existing funded supports.
                  • Devices with extra specifications above the basic model. A participant can only purchase device that is fit for purpose for maintaining NDIS funded supports. The NDIS will generally fund the lowest specification. Top of the range specifications can only be justified if they are required because of a person’s disability.
                  • Smart phones, tablets, or iPads with mobile connections cannot be purchased. Video conferencing and other functionality participants will need to access supports is available on tablets, iPads, or computers that are in scope and connect using Wi-Fi.
                  • Participants cannot purchase multiple devices. A single item can be purchased, where the participant does not already own or have access to a device that would meet their needs to continue to access supports and services. This includes if the participant already owns or has access to a suitable device through:
                  1. existing individual or family ownership
                  2. employment (for the purpose of working remotely)
                  3. education (for the purpose of studying remotely)
                  • Replacements for loss or damage will generally follow the existing NDIS AT replacement policy (noting that replacement of items will generally not apply once this policy ends).
                  • Internet connection and data, these are considered ordinary living costs (utilities) and are excluded from this policy.
                  • This policy will not fund applications or software, however apps that have been specified and approved in a plan can be paid for with NDIS funding.

                  Additional hardware or accessories, other than standard protective cases will not be funded by the NDIS. This includes screen protectors, additional or back up chargers, selfie sticks, connection cables

                  Additional hardware and accessories may be purchased if they relate to using the device because of the participant’s disability, such as mounting on a wheelchair for a person with limited grip or rugged case where related to behaviour issues.

                  No additional funds will be added to the plan in relation to this policy.

                  Participants are advised to ensure their plan has adequate funding to sustain existing and ongoing supports; if not, they should follow the standard process for a plan review. If the device purchase does not align with the purpose of maintaining support continuity, approval must be sought from the NDIA Planner/Delegate.

                  Plan Management process

                  Can I use my CORE funding to pay for Therapy supports?

                  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.

                  What is included in NDIS household cleaning and maintenance services for homes and yards?

                  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, pressure washing, or roof cleaning 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.

                  Can I use my NDIS plan to pay for vehicle related expenses?

                  NDIS funds cannot be used for most vehicle-related expenses such as washing, vacuuming, registration, tyres, or general repairs. The NDIS funding is specifically allocated for supports and services that are directly related to your disability and its impact on your daily life. This generally includes supports such as personal care, therapy services, assistive technology, and community participation, but does not extend to vehicle maintenance or operational costs. For these types of expenses, you would need to use personal funds or explore other financial support options.

                  Enabled4Life Budget Calculator

                  Budget Calculator

                  Do you need help to prepare a budget for your NDIS plan?

                  Our powerful budget calculator linked to the current NDIS Support Catalogue will prepare and export a funding plan to help you stay within budget.