What Types of Support can’t be Funded or Covered Under the NDIS Plan?

What Types of Support can’t be Funded or Covered Under the NDIS Plan?

The National Disability Insurance Scheme (NDIS) is a Governmental support system for disabled Australians. However, while the NDIS provides funding for a wide range of disability-related supports and services, it can’t fund or cover certain types of support under the NDIS plan. Understanding these exclusions is important for individuals and families relying on the NDIS for support. This is because it can help them better plan for and navigate their care and funding needs. If you are wondering which types of support the NDIS can’t fund, here is guidance to understand better.

What NDIS Can’t Fund Or Cover In Your Plan

The NDIS is a government-funded initiative that provides support and funding for people with disability. However, as per the law for NDIS, there are some supports they can’t fund or cover in your plan. They include the following:

Supports Duplicating Other Supports Funded Through NDIS

The NDIS is a specific funding model designed to ensure participants receive the necessary support reasonably and necessary for their daily living and well-being. As a result, the NDIS can’t fund supports that duplicate other supports provided by the NDIS under alternative funding.

If a participant is already receiving support from other government-funded schemes or programs, such as state or federal government funding or insurance schemes, the NDIS may not fund the same support again. This is because the NDIS is responsible for the appropriate and efficient use of its funding. It doesn’t want to duplicate services already being provided.

Supports That Aren’t Legal

The NDIS can’t fund any support considered illegal under Australian law. This is because one of the key principles of the NDIS is to promote participants’ health, well-being, and safety. Funding support that is not legal would be contrary to this principle and potentially harmful to the participant.

The NDIS focuses on supporting participants who comply with all relevant laws and regulations. If the NDIS funds illegal support, it would violate its legal obligations and potentially face legal repercussions.

However, while the NDIS is responsible for ensuring the legality of the support, they aren’t responsible for ensuring all your support is legal. It’s not their duty to ensure all your support in your NDIS Plan complies with the relevant legal and administrative requirements.

Supports Not Related To Your Disability

The NDIS focuses on funding support services to Australians with permanent and significant disabilities. The scheme aims to help disabled people live ordinary lives and participate in everyday activities. As a result, the NDIS can only fund support directly related to the participant’s disability.

There are a few reasons the NDIS can’t fund support unrelated to a person’s disability. Firstly, the NDIS gets its funds from the taxpayers’ money, and it’s important to ensure efficient and effective use. As such, the NDIS is designed only to cover expenses necessary to help a participant manage their disability and achieve their goals.

The NDIS focuses on providing support tailored to the participant’s individual needs. The support services provided are developed in consultation with the participant. This considers their unique needs and goals. This ensures the participant receives the appropriate support required to manage their disability.

Supports That Are Income Replacement

Income replacement refers to a situation where a disabled person can’t work or earn a living due to their disability. In this case, the person may receive financial support through disability pensions, insurance payments, or other income replacement benefits.

According to the NDIS, it can only fund income replacement payments if it’s within the scope of its objectives. The NDIS aims to provide funding for reasonable and necessary support to help disabled people achieve their goals and participate in the community. The scheme doesn’t intend to replace the income that a person would have earned if they weren’t disabled.

Instead, the NDIS provides funding for supports that will assist disabled people to participate in the community and reach their goals. For example, the NDIS may fund supports such as personal care, therapy, equipment, and home modifications. These services and equipment will improve a person’s independence and ability to participate in activities of their choice.

Supports Related To Day-To-Day Living Costs

The NDIS can’t fund supports related to an individual’s day-to-day living costs that don’t relate to their disability needs. Meaning the NDIS can’t find things like:

  • Your mortgage payments
  • Everyday utilities like electricity, internet, or gas,
  • Rent
  • Groceries

However, there are instances when the NDIS can fund costs related to your day-to-day living.

  • If the costs are a result of your disability needs.
  • If you have additional living costs directed to your disability support needs or
  • If your living costs are directed to other support plans funded in your plan, and
  • You wouldn’t incur the cost if it weren’t in your plan.

Supports That Could Cause Harm To You Or Other People

One of the guiding principles of the NDIS is to ensure the participants receive safe support and services that don’t pose a risk of harm to themselves or others. For example, suppose a participant requests a support worker with a history of violent behaviour or a criminal record. In that case, the NDIS may not fund that support as it may pose a risk of harm to the participant or others. Similarly, suppose a participant requests a support service involving unsafe equipment without proper testing. In that case, the NDIS may not fund that support as it may pose a risk of harm to the participant or others.

It is important to note that the NDIS takes a person-centred approach and considers each participant’s individual needs and circumstances when making funding decisions. For example, suppose a participant requires support or service with a potential risk of harm. In that case, the NDIS will work with the participant to find alternative solutions that are safe and effective.

Additionally, people with disability have a duty and responsibility to their providers to ensure the supports funded by NDIS are safe, used correctly and safe for others. Moreover, if any risks arise, you and your provider should be ready to manage them.

While the National Disability Insurance Scheme (NDIS) aims to provide comprehensive support and assistance to disabled people, the plan doesn’t cover some support. Additionally, certain items or services deemed unreasonable and necessary get excluded from funding. It is important for individuals and their families to carefully consider their needs and expectations and seek other support sources where necessary. Overall, the NDIS remains a valuable resource for many Australians living with disability, but it is essential to be aware of its limitations and to plan accordingly.

If you wish to learn more, contact us at 1800 63 63 77.



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