The National Disability Insurance Scheme (NDIS) is a no fault insurance scheme, which is the new way of providing individualised support for people with permanent and significant disability, their families and carers.

The scheme is designed to empower people with disability who meet the eligibility criteria in making choices about the supports they need based on a plan that includes support needs, goals and aspirations.

About the NDIS

The participant experience

NDIS Information Sessions in September

These 'Community Conversations' sessions will provide an opportunity for people with disability, their families and carers to have a short one on one conversation with someone from the NDIS and the local partners in the area, Brotherhood of St Laurence about the NDIS and how to best prepare for an NDIS planning conversation.

They are intended to provide an alternative way of sharing information with people who may not wish to attend the larger ‘Getting Plan Ready’ community information session.  NDIS and Brotherhood of St Laurence staff will be available at the below locations and times during September. These sessions are informal, you are not required to register to attend these sessions, but should be prepared for possible short wait times during busy periods.

Werribee – Monday 3 September from 9:00am – 5:00pm
Werribee Plaza, 250 Heaths Road, Hoppers Crossing, 3030

Altona Meadows – Wednesday 5 September from 10:00am – 1:00pm
Altona Meadows Library, 2 Newham Way, Altona Meadows, 3028

Melton – Thursday 6 September from 10:00am – 1:00pm 
Melton Library & Learning Hub, 31 McKenzie Street, Melton, 3337

Moonee Ponds – Friday 7 September from 10:00am – 1:00pm
Sam Merrifield Library, 762 Mount Alexander Road, Moonee Ponds, 3039

Melbourne – Monday 10 September from 10:00am – 1:00pm
Library at the Docks, 107 Victoria Harbour Promenade, Docklands, 3008

Altona North – Tuesday 11 September from 10:00am – 1:00pm
Walker Close Community Centre, 180 Millers Road, Altona North, 3025

Essendon – Wednesday 12 September from 10:00am – 6:00pm
DFO Essendon (between Osh Kosh B’Gosh & Lorna Jane), 100 Bulla Road, Essendon, 3041

Which organisations are responsible for delivering the NDIS?

National Disability Insurance Agency

The NDIS is delivered by the National Disability Insurance Agency (NDIA) which is the independent Commonwealth Government agency responsible for implementing the NDIS nationally.

The NDIA makes decisions about whether someone is eligible to become an NDIS participant and, if so, how much funding they will receive. This is based on legislation called the NDIS Act 2013 which sets out what supports and services are considered reasonable and necessary for the NDIS to fund.

 

Early Childhood Early Intervention (ECEI) Partners

Early Childhood Early Intervention (ECEI) helps children aged 0-6 years who have a developmental delay or disability.

ECEI Partners employ ECEI Coordinators who help children and their families access supports and services that are tailored to the child’s needs. ECEI Coordinators will also help with connection to other services such as community health services, playgroups or other activities available in the area.

In Victoria, these partners are:

 

Local Area Coordination (LAC) Partners

Local Area Coordination Partners employ Local Area Coordinators (LAC) who help people understand and access the NDIS. They also work with NDIS participants to develop and use their NDIS plan.

For most people aged seven years and older, a LAC will be their main point of contact for the NDIS.

A LAC will connect people with disability to supports, services, activities in their community and other government services. LACs also work in communities to help them become more accessible and inclusive for all people with disability.

In Victoria, these partners are:

  • Brotherhood of St Laurence in the North East Melbourne, Hume Moreland, Bayside Peninsula, Brimbank Melton, and Western Melbourne Service Areas; and
  • Latrobe Community Health Service in the Central Highlands, Ovens Murray, Wimmera South West, Barwon, Inner East Melbourne, Inner Gippsland, Outer Gippsland, Outer East Melbourne, and Southern Melbourne Service Areas; and
  • Intereach in the Loddon, Mallee, and Goulbourn Service Areas.

Visit the NDIS locations page or call 1800 800 110 to find the most up to date ECEI and LAC Partner address and contact details.

Who can access the NDIS?

To access the NDIS in Victoria, a person must live in an area where the NDIS is available. In addition, they must also:

  • meet residency requirements by living in Australia; and be an Australian citizen OR hold a Permanent Visa OR hold a Protected Special Category Visa
  • be aged under 65 at the time they apply to access the Scheme; and
  • demonstrate they have a permanent disability that affects their everyday life.

If they are already receiving disability support services from their state or territory government, they will be contacted as the NDIS becomes available in their area.

You may meet the early intervention requirements:

  • if you have an impairment or condition that is likely to be permanent and there is evidence that getting supports now (early interventions) will help you by:
    • reducing how much help you will need to do things because of your impairment in the future an
    • improving or reducing deterioration of your functional capacity or
    • helping your family and carers to keep helping you and
    • those supports are most appropriately funded through the NDIS, and not through another service system.

OR

  • you are a child aged under 6 years of age with developmental delay which results in:
    • substantially reduced functional capacity in one or more of the areas of self-care, receptive and expressive language, cognitive development or motor development and
    • results in the need for a combination and sequence of special interdisciplinary or generic care, treatment or other services which are of extended duration, and are individually planned and coordinated; and
  • those supports are most appropriately funded through the NDIS, and not through another service system.

Access Request Form

To join the NDIS, a person will need to provide evidence of their primary disability.

In a defined support program

If they are already receiving disability support services from their state or territory government, they will be contacted as the NDIS. In these cases, most will not need to provide evidence of their disability or submit an Access Request Form.

Not receiving any disability supports

If they are not currently receiving any disability supports, but wish to join the NDIS, they or their guardian (including carer or nominee), will need to complete an Access Request Form. This Form can be obtained by contacting NDIA on 1800 800 110 and ask for an Access Request Form.

Who can provide this evidence?

Depending on the primary disability, their treating health professional should provide this evidence, e.g. General Practitioner (GP), Paediatrician, Occupational Therapist, Speech Pathologist, Psychologist, Physiotherapist, etc. They must also have been your treating health professional for at least six months.

It’s important to also note that health professionals do not have to refer a patient to a specialist to obtain supporting evidence. A health professional can summarise or attach existing medical reports which describe the diagnosis/ condition and the impact of the disability on the person’s daily function.

What kind of evidence is required?

It is important to summarise the effect of the disability on the person’s day to day function in all relevant domains, including mobility, communication, social interaction, learning, self-care and/or their ability to self-manage.

To avoid requests for additional evidence about a person’s disability, please include information regarding treatments that have been completed or planned, permanency or the impairment and the impact(s) the impairment has on the person’s function capacity.

Some practical examples are found on page three of of the GP and Health Professionals Guide to the NDIS.

Where can I go for more support?

If you need help to get your evidence together, Local Area Coordinators (LAC) are available to assist you. It’s important to remember that the person helping you to gather your disability evidence will not be able to tell you if you meet the NDIS requirements; only the NDIA can make this decision.

Frequently asked questions (FAQ)

Billing through Medicare

When GPs provide any details about a patient without an associated consultation and without the patient present, a Medicare rebate is not payable under subsection 19(5) of the Health Insurance Act 1973.

However in providing this information, it is reasonable to expect that GPs will perform an examination of some description to assess or confirm the patient’s current medical condition. With this examination, the time taken for GPs to provide details and information for the purposes of the NDIS, may be claimed under a Medicare item if it is part of the consultation.

Consistent with the operation of the Medicare Benefits Schedule generally, it is at the GP’s discretion to select the Medicare item number that most appropriately reflects the nature of the consultation.

Additional Resources

NDIS Guides for Physicians and Paediatricians
NDIS Glossary
NDIS Factsheets and publications
Providing evidence of disability
NDIS General Practice Toolkit
Victorian Department of Health and Human Services – Advice for service providers
Centre for Culture Ethnicity and Health NDIS resources for CALD communities

More information

Who to contact at NWMPHN

For information on NDIS contact Natalie Eykman, Business Development Coordinator.

Phone: (03) 9347 1188

Email: natalie.eykman@nwmphn.org.au

NDIS contact details

Phone: 1800 800 110 (8.00am to 8.00pm Monday to Friday)

Website: www.ndis.gov.au

Email: enquiries@ndis.gov.au

TTY users
Phone: 1800 555 677 then ask for 1800 800 110

Speak and Listen (speech-to-speech relay)
Phone: 1800 555 727 then ask for 1800 800 110

Translating and Interpreting Service (TIS)
For people who need help with English phone 131 450

Internet relay users
Visit the National Relay Service website and ask for 1800 800 110.