Developmental Educators Australia Inc (DEAI)

National Disability Insurance

Scheme (NDIS)

Melissa Matthews and Brenda Underwood

9 May 2017

NDIS Provider Engagement

Developmental Educators Australia Inc

Information Session

This session will provide an overview of:

• The three pillars of the NDIS

• Support Coordination and the three levels of service

• Provider registration process

The Scheme is based on three pillars

Establishing the service approach

Who are providers?

Provider registration processring as a Provider

• Electronic submission process

• Three key stages:

– authentication (PRODA) and access to myplace

– intent to register

– completing your registration with NDIS

• To commence your registration you must complete the Provider Digital Access (PRODA) authentication process and obtain access to myplace.

• Guide to Suitability, NDIA Terms of Business, and State/Territory Quality and Safeguard Working Arrangements outline qualifications and evidence required for individual registration groups

• Guide available at Module 2: Registering as a Provider

• Provider registrations are managed centrally by NDIA National Office

Provider Digital Access (PRODA)

PRODA account steps

1. Login Details: username, password, security questions

2. Personal Details: important to enter legal name

3. Contact Details: this is for the one time PRODA activation code (different

to the verification code)

4. PRODA Activation code: to confirm contact details

5. Your Identity: online identity verification process (including 3 types of

identity documents e.g. Medicare card, drivers licence, passport)

6. Documents: if documents need to be verified

7. My Communities: once your account has been created and verified, select

NDIS for Providers tile under the Available Communities section. A thank

you for registering with PRODA pop-up appears.

For further information see Module 8: PRODA Step by Step guide (DOCX

7.8MB)

Intent to register

• If you are a new provider wishing to submit an application to register you will

need to complete an intent to register on myplace

• The intent to register requires details about the provider organisation

including:

– ABN

– legal entity type e.g.(Australian Private Company, Sole Trader)

– legal business name

– trading name (if relevant)

– if the provider or parent company is Not for Profit

– address details.

• To apply to be a registered provider with the NDIA, the person or entity must

have a valid ABN

Completing your registration with

the NDIS

• Once your organisation is established in myplace, you need to update your

profile to complete the required steps for registration. This includes:

– nominating profession(s)

– selecting the registration group(s) for which you wish to register to

provide supports for, and

– uploading all relevant supporting information:

• declaration of suitability; and, where required

• proof of compliance with State/Territory quality and safeguard

arrangements, issued either by the relevant State(s) and/or

Territory(ies) in which you wish to register or an authorised Third

Party Verifier (refer to Guide to Suitability).

Registration groups

REGISTRATION GROUP NO. PROFESSIONS ADDITIONAL GUIDANCE

Assistance to Access and Maintain Employment

or higher education [Assist Access/Maintain

Employ]

Workplace assistance enables a participant to

successfully obtain and/or retain employment in

the open or supported labour market. Includes:

Individual employment support

Employment preparation and support in a group

School leaver employment supports

Transition through school and to further

education

0102 developmental educator

teacher

disability support worker

(includes mental health

or peer worker)

social worker

welfare worker

Commonwealth Quality and Safeguards

arrangements may apply, including certification

against the National Standards for Disability

Services (NSDS) via the Human Services

Scheme (part 3 (DEES). Please see jurisdictional

section for further detail.

Registered providers (Terms of Business)

The National Disability Insurance Act 2013 provides for the making of Rules and Requirements for Registered Providers of Support. This includes:

• Scheme objectives

• Compliance

• Business Practices & Service Delivery

– Service Agreements

– Withdrawal or termination of services by the Registered Provider

– Insurance

• Identification as a NDIS Scheme Provider and use of the NDIS logo

• Conflict of Interest

• Pricing and Payments

• Specialist Disability Accommodation

• Maintenance, Records & Audit

• Complaints

• Interpretation

Planning and Coordination

Local Area Coordinator Planner Support Coordinator

The Local Area Coordinators (LAC) are contracted by the NDIA

NDIA Staff NDIA Registered Service Providers

Conducts information gathering for participants who are streamed as general, supported and intensive

Conducts information gathering for participants in large residential centres & those who are streamed as super-intensive

Does not conductInformation gathering

Does not make reasonable and necessary decisions or approve plans

Makes reasonable and necessary decisions in accordance with the NDIS Act 2013, and approves plans

Does not come into contact with NDIS participants untilthey have an approved plan

Supports participants who are streamed as general or supported to implement and review their plans.

Do not support participants to implement their plans

Support participants who are streamed as intensive and super-intensive to implement and review their plans

What is Support Coordination?

• Assistance to strengthen participant’s abilities to

coordinate and implement supports in their plans and to

participate more fully in the community. It may include: – Initial assistance to link participants with providers

– Coordination of funded, mainstream and community supports

– Building on informal supports and resolving points of crisis

– Parent training and developing participant resilience in their own

network and community

– Developing participant capacity for social and economic

participation

Three levels of Support Coordination

Level 1: Support Connection

Level 2: Coordination of Supports

Level 3: Specialist Support Coordination

Finan

cial Interm

ediary

No assistance required

Some assistance required

to start plan, link to providers and monitor plan

progress

Assistance to start plan, monitor plan

(including active plan management) and

address barriers

As above, but with the requirement for a

specialised framework necessitated by specific

high level risks/needs

Sup

po

rt r

equ

ired

fo

r p

lan

imp

lem

enta

tio

n

• Facilitate implementation of all supports in the plan, including

informal, mainstream and community, as well as funded supports

• Strengthen and enhance the participant’s abilities to coordinate

supports and participate in the community

• Assist participant engagement with mainstream services, including

ensuring they meet their obligations (ie: housing, education, justice,

health)

• Build the capacity of the participant to achieve greater independence

to self-direct services and supports in the longer term

• Be available – especially in times of ‘crisis’

• Provide the NDIA with reports on outcomes and success indicators

within the agreed reporting frequency

Roles of a Support Coordinator (all levels)

• Time limited assistance to strengthen participant’s ability to connect

with informal, mainstream, community and funded supports

• Assistance to increase capacity to maintain support relationships,

resolve service delivery issues, and participate independently in

NDIA processes

• First plan – up to 12 months:

– activate plan

– monitor quality and spend of services

– manage flexibility within the plan

– prepare for review

Support Connection

• Stabilised disability and support needs, with some capacity to

implement plan

• Ability to develop skills and build capacity to exercise choice

and control

• Little experience or knowledge of disability services

• Additional support required to enhance ability to make informed

decisions

• Seeking a new accommodation support arrangement

• Living in a locality with poor service provision/options

Participants who may benefit from

Support Connection

• Assistance to strengthen participant’s abilities to connect

to and coordinate informal, mainstream, community and

funded supports in a complex service delivery

environment

• Includes resolving points of crisis, developing capacity

and resilience in a participant's network and coordinating

supports from a range of sources

• It is a more intensive engagement than Support

Connection

Support Coordination

• Severe and multi-faceted disability requiring multiple supports

• Young people in nursing care

• Conditions of a degenerative nature and supports requiring

regular active management and ongoing adjustment due to the

participant’s changing needs

• Episodic mental or ill health support needs

• Regular crisis management

• Poorly resourced family or limited/no informal support network

• Child protection or criminal justice involvement

Participants who may benefit from

Support Coordination

• Support Coordination within a specialist framework necessitated by

specific high level risks in the participant’s situation

– time limited support with a focus on addressing barriers and

reducing complexity in the support environment, while assisting

the participant to connect with supports and build capacity and

resilience

• Includes all features of Support Coordination and must include:

– clear goals for the duration of the “Request for Service” that aim

to decrease the need for this high intensity support

– developing a plan with the participant and training support

workers in its implementation and maintenance

– monitoring plan milestones and outcomes

Specialist Support Coordination

Participants who may benefit from

Specialised Support Coordination

• Severe and complex disability - extensive liaison with

mainstream systems - expert assistance to navigate the health

interface

• Significant reluctance to engage with required supports –

usually relevant to therapeutic framework

• Requirement for support coordination within a specialised

framework/plan – eg. behaviour support

Service Agreements

• It is recommended that Service Agreements between the participant and

provider include:

– the supports that will be provided and the cost

– how, when, and where the supports will be delivered

– how long the participant requires the supports to be provided

– how the participant and provider will deal with problems that may arise

– the participant’s responsibilities (such as giving notice if they cannot attend

an appointment)

– the provider’s responsibilities (such as provide supports that suit a

participant’s needs)

– what notice is needed to change or end the Service Agreement

• A Service Agreement is different from a participant’s plan which is developed

with an NDIS planner. The Service Agreement should reflect the participant’s

plan and the NDIA encourages referring to the plan in the Service Agreement.

NDIA resources available at :

www.ndis.gov.au/providers

• Provider toolkit :

– Registration information

– Terms of Business

– Guide to suitability

• Price guide and support lists

• Specialist Disability Accommodation

Decision Paper

• Updated Operational Guidelines

(incl. supports that can be funded)

• Market information incl. provider

and participant dashboards;

quarterly reports

NDIS ready

Stay informed through our

online resources :

• www.ndis.gov.au/ndis-ready

• Sign up for Provider Newsletter

• Webinars

• Social media

• Check state information

Participate in local engagement

events :

www.ndis.gov.au/news/events/all

Questions?