What is and is not funded by the NDIS?

What is and is not funded by the NDIS?

Approved list of NDIS supports

From 3 October 2024, participants will only be able to use their NDIS funds for items listed as approved supports. There is also a list of things NDIS funding cannot be used for. In some circumstances participants may be able to request a substitution from the replacement support list.

This change has occured recently as a result of new legislation. As a Plan Manager, we will keep on top of what is permitted to be claimed and guide you accordingly.

It can be frustrating and hard to know what is supported by the NDIS. We take a flexible and personal approach in answering what can be claimed.

You can view these lists below:

What does the NDIS fund?

NDIS would typically fund a requested support if it:  

  • Is related to your disability needs; AND
  • Meets ALL of the following as outlined in the NDIS Funding Criteria:
    • it will help with your individual goals and aspirations
    • it will help your social and/or economic participation
    • it is value for money, which means that:
      • the cost of the support is similar to or cheaper than alternative options that can provide you with the same outcome; and/or  
      • purchasing the support is likely to reduce the costs of funding for other supports in the long term.
    • it is effective and beneficial for you
    • it helps to maintain your informal supports
    • it is the responsibility of the NDIS to fund

What doesn’t the NDIS fund?

NDIS would typically not fund a requested support if:

  • it is likely to cause harm to you or others
  • it is not related to your disability
  • it provides the same benefit as another support already funded by the NDIS in your plan; or
  • it relates to a day-to-day living cost (for example, rent, groceries or utility costs like your water bill) that are not directly related to your disability support needs.
  • it is being used as income replacement.

How do you seek approval for exceptions?

In some specific circumstances, the NDIS can fund supports that are not NDIS supports. NDIS call these replacement supports – which should be actually called Approval for Exceptions.

When the NDIS says replacement support, they mean a service, item or equipment you would like to use instead of the NDIS support or supports in your plan. Only some supports can be replaced and only if the NDIS agree in writing can you can buy this support. A replacement support isn’t an extra support. It replaces an existing NDIS support or supports in your plan. 

To find out what can be considered as a replacement support: 

Download Replacement Supports

Download Application for Exceptions – Application for replacement support form. (.docx)

Summary of legislation changes

Refer to the table which highlights the legislative changes that have now come into effect on 3 October 2024. The NDIS will continue to share updates.

https://www.ndis.gov.au/changes-ndis-legislation/summary-legislation-changes

Source:

NDIS: What does NDIS fund? 2 Oct 2024

National Disability Insurance Scheme (Getting the NDIS Back on Track No. 1) (NDIS Supports) Transitional Rules 2024 Legislation