Understanding and accessing the NDIS as an adult

Navigating the National Disability Insurance Scheme (NDIS) can be a life-changing experience for individuals with permanent or significant disabilities who require support. 

Although the scheme can be challenging to navigate, it can enable you to access support that can vastly improve your quality of life or that of an autistic adult you know. Understand who is eligible for the NDIS, how the scheme works and how to get started with the application process.

NDIS funding and supports for participants are constantly changing. What might have been funded previously may have changed under the new NDIS legislation. It's important to ensure that you are up to date with the current information and updates.

Information on this page is current as of November 2024.

Understanding NDIS eligibility

The first step in accessing NDIS funding is understanding the eligibility criteria. To be eligible, you must meet the following requirements:

• Age requirement: You must be under 65 years old.
• Residency status: You must live in Australia and be an Australian citizen, hold a permanent visa, or have a Special Category Visa.
• Disability requirement: You must have a permanent or significant disability that requires support from another person.
• Future support needs: You need current support to reduce future needs.

These criteria ensure that the NDIS supports those who require it most and provides a foundation for long-term planning and support.

Completing an access request form

Applying for NDIS funding involves completing an Access Request Form. This form requires detailed information about your disability and the support you need. Providing comprehensive and accurate information is important to make sure your application is processed smoothly.

Who can provide evidence of your disability?

Evidence of your disability must be provided by a qualified health professional who has treated you for a significant period, usually at least six months. The following health professionals can provide this evidence:

• General Practitioner (GP)
• Orthopaedic Surgeon
• Occupational Therapist
• Speech Pathologist
• Neurologist
• Psychologist
• Psychiatrist
• Physiotherapist

Having evidence from a long-term treating health professional helps certify the information is accurate and reflects your needs.

How to apply for the NDIS

There are multiple ways to apply for the NDIS, making the process accessible and flexible depending on your preferences.

Downloading and submitting the Access Request Form

You can download the Access Request Form from the NDIS website. Once completed, the form can be submitted via email to NAT@ndis.gov.au or mailed to GPO Box 700, Canberra, ACT 2601. 

Make sure all necessary documentation is attached to avoid processing delays. Visit this link to learn more about the Access Request Form.

Verbal access request

Alternatively, you can request verbal access by calling 1800 800 110. During this call, you can ask to be connected with your Local Area Coordinator (LAC), who will assist you in gathering the required information for your Access Request.

Role of the Local Area Coordinator (LAC)

Your LAC is an essential point of contact within the NDIS. Although they do not work directly for the National Disability Insurance Agency (NDIA), they are contracted through local partners. Your LAC will help you navigate the NDIS system, from gathering necessary documentation to developing your NDIS plan.

NDIA access lists

The NDIA uses access lists to determine eligibility for the NDIS. These lists include conditions that automatically qualify for the scheme, streamlining the application process for those conditions. Familiarising yourself with these lists can clarify what evidence you need to support your application.

Developing your NDIS plan

Once your eligibility is confirmed, the next step is developing your NDIS plan. This plan is tailored to your needs and goals, ensuring you receive the appropriate support to achieve your objectives.

What is an NDIS plan?

An NDIS plan is a documented agreement outlining the 'reasonable and necessary' supports you require. These supports are intended to help you achieve your goals and improve your quality of life. The plan includes:

• Goals: Your personal aspirations and objectives.
• Formal supports: Services provided by registered NDIS service providers.
• Informal supports: Support from family, friends, and community networks.

Managing your NDIS plan

You have several options for managing your NDIS plan funds:

1. Self-management: You manage the funds yourself, giving you full control over your supports and providers.
2. NDIA management: The NDIA manages the funds on your behalf, handling all payments to service providers.
3. Plan management provider: A registered provider manages your funds and supports you in managing your plan.
4. Nominee management: A trusted person nominated by you manages the funds.

This flexibility ensures you can choose the management option that best suits your preferences and capabilities.

Preparing for your planning meeting

The planning meeting is a crucial step in the NDIS process. You will work with your LAC during this meeting to develop your NDIS plan. Here are some tips to prepare for your planning meeting:

• Understand your goals: Reflect on what you want to achieve with the support of the NDIS. Consider both short-term and long-term goals.
• Document your needs: List the supports you currently use and identify any additional supports you might need.
• Gather evidence: Bring any relevant documentation from health professionals that outlines your needs and the impact of your disability.
• Consider your support network: Think about the informal support you receive from family and friends and how these fit into your overall plan.

Implementing your NDIS plan

Once your NDIS plan is approved, the next step is implementation. This involves connecting with service providers, managing your support, and tracking your progress towards your goals.

Choosing service providers

Selecting the right service providers is important for achieving your goals. The NDIS allows you to choose providers who best meet your needs and preferences. You can use the NDIS Provider Finder tool to search for registered providers in your area.

Monitoring and reviewing your plan

Your NDIS plan is reviewed annually to ensure it continues to meet your needs. During the review, you can discuss changes in your circumstances or goals and adjust your plan. Tracking your progress and challenges will help your plan remain relevant and effective.

Tips for successful NDIS participation

• Stay informed: Regularly check the NDIS website for updates and new information. Staying informed will help you make the most of the scheme.
• Communicate openly: Maintain open communication with your LAC and service providers. Clear communication helps ensure your needs are understood and met.
• Be organised: Keep all your NDIS-related documents and correspondence organised. This will make it easier to manage your plan and prepare for reviews.
• Advocate for yourself: Don’t be afraid to speak up if something isn’t working for you. The NDIS is designed to be flexible and responsive to your needs.

Getting started with the NDIS can seem overwhelming, but you can navigate the process effectively with the right information and support. Understanding the eligibility criteria, completing the Access Request Form accurately, and working closely with your LAC are essential steps. Developing and implementing a personalised NDIS plan will help you achieve your goals and improve your quality of life. Remember, the NDIS supports you, giving you the choice and control to live the life you want.