The National Disability Insurance Scheme (NDIS) is designed to provide people living with disabilities the support they need to live fulfilling and independent lives. However, there may be times when the funding allocated in your NDIS plan does not meet your needs. If you find yourself in this situation, it is important to know that there are steps you can take to address the issue and ensure you receive the support you require.

1. Assess Your Current Plan

Before taking any further steps, it’s important to review your current plan thoroughly to ensure you understand the funding allocations and how they align with your support needs. Check the following:

  • Are you using your funding efficiently?
  • Are there areas where funding could be reallocated to better suit your needs?
  • Are there supports you haven’t yet explored that might assist you within your existing budget?

If you’re unsure, your Support Coordinator or Local Area Coordinator (LAC) can help you understand your plan better and explore all available options.

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2. Keep Track of Your Spending

Keeping accurate records of your NDIS spending is crucial. Regularly monitor your budget to see if you are using the funds faster than expected. Key tips include:

  • Reviewing monthly spending statements.
  • Using the NDIS portal or myplace participant portal to track your budget.
  • Speaking with your provider, or if you are an Enhanced Lifestyles customer, your Customer Relations Officer (CRO) or provider about cost-effective options.

If you are running low on funding well before your plan review date, it might indicate a need to reassess the supports you are receiving.

3. Communicate with Your Support Coordinator or LAC

Your Support Coordinator or Local Area Coordinator (LAC) is there to help you navigate the NDIS. If you feel your funding is inadequate, they can:

  • Assess your current needs and compare them with your plan.
  • Help you explore available supports and identify potential funding gaps.
  • Advise you on the best course of action moving forward.

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4. Request a Plan Review

If your current plan does not meet your needs, you have the right to request a plan review, but please note, only one plan can be active at a time. There are two types of plan reviews you can consider:

a. Internal Review of a Decision

If you believe your plan does not accurately reflect your needs, you can request an internal review within 90 days of receiving your plan.

You will need to provide supporting evidence, such as medical reports, therapy assessments, and letters from support providers.

b. Change of Circumstances Review

If your circumstances have changed significantly (e.g., a change in living arrangements, increased support needs), you can request a plan reassessment at any time. The NDIA will assess whether a change to your plan is necessary based on your new situation. Please be aware that plan review requests require time to process and may not be completed quickly.

5. Gather Supporting Evidence

To strengthen your case for additional funding, gather as much relevant evidence as possible. This may include:

  • Reports from healthcare professionals (e.g., occupational therapists, physiotherapists, psychologists).
  • Statements from your support providers outlining the need for increased services.
  • Your own documentation of how your current supports are insufficient to meet your goals.

Providing thorough evidence will help demonstrate to the NDIS that your support needs have changed or that the initial plan did not fully capture your requirements.

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6. Explore Alternative Funding Options

If you are unable to obtain additional funding immediately, consider exploring other options, such as:

7. Prepare for Your Next Plan Meeting

If you are coming up to your scheduled plan review, preparation is key to securing adequate funding for the next period. Steps to prepare include:

  • Listing all current supports and their impact on your goals.
  • Identifying any unmet needs or challenges you’ve faced.
  • Discussing future goals and how additional support can help achieve them.

Being well-prepared for your planning meeting will ensure you advocate effectively for the right level of support.

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8. Seek External Support

If you’re struggling to navigate the review process, consider seeking advocacy support. Disability advocacy organisations can assist in:

  • Providing guidance on your rights under the NDIS.
  • Helping you articulate your needs and advocate for appropriate support.
  • Assisting with preparing documentation for reviews and appeals.

Some organisations that may help include:

9. Lodge a Complaint if Necessary

If you believe your concerns have not been addressed fairly, you have the right to lodge a complaint with the NDIS Quality and Safeguards Commission. They can investigate issues related to service quality, plan decisions, and participant experiences.

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Conclusion

If your NDIS plan funding isn’t enough to meet your needs, it’s important to take proactive steps to address the issue. Reviewing your plan, gathering evidence, collaborating with your support team, and requesting a review can help present a strong case and increase the likelihood of securing the appropriate level of support. Remember, the NDIS is designed to be flexible and responsive, and advocating for yourself or your loved one is key to making the most out of your plan.

If you have any questions or need further support, reach out to Enhanced Lifestyles or your Support Coordinator for guidance. We’re here to help you navigate your NDIS journey with confidence!