Understanding your NDIS funding
The NDIS is designed to provide you with funding for necessary supports and services to improve your everyday life. The amount of funding you receive is based on your individual plan and needs to last for the entire duration, typically 12 months after your plan started. It does not roll over into your next plan so any funding that is not used will be lost. As a result, you may receive less funding in your next plan as NDIS may see it as an indicator that your disability and the amount of support you require has changed over time.
How NDIS pricing works
The price guide for NDIS providers is designed to give you more choice of providers and get your money’s worth for the services you need. It sets the price for some supports, such as 1-to-1 assistance with self-care activities and 1-to-1 assistance to access community, social and recreational activities.
The NDIS price guide is updated annually by the NDIA (National Disability Insurance Agency), effective 1 July each year. For the latest price guide and support catalogue, please visit the NDIS website by clicking here.
Sensible Care can help you make the most out of your funding
Participants are either fearful of overspending or overspend unintendedly, and as a result, do not receive the supports needed. Those cautious of overspending often do not spend their funding and lose it. Those that overspend may occur for reasons such as illness, providers not monitoring shift bookings and/or support coordinators not understanding pricing.
At Sensible Care, we have in-house funding management expertise and dedicated care coordinators and consultants to support NDIS participants. This way, we are able to help you get more out of your funding and get more hours of support.
Your care coordinator will get to know you to identify the support services needed to achieve your goals. We will then work with you to help you understand your budgeting options to maximise the supports you need when you need them.
Please contact us find out how we can help you to maximise the value you get from your funding today.
How payment works
If you are receiving NDIS funding, how Sensible Care is getting paid for the support services provided depends on the way your NDIS funding is being managed. There are three funding management options which are NDIA-managed, plan-managed or self-managed. Below is an explanation about the differences between these options:
- NDIA Managed Plans
Sensible Care will negotiate all terms with you (or your representative) and arrange payment with the NDIA directly.
- Self-Managed Plans
Sensible Care will negotiate all terms with you (or your representative) and arrange payment with you via the portal.
- Plan Managed
Sensible Care is a registered provider for management of funding for supports in participants' plan. Therefore, whilst Sensible Care can provide you with care and support services, we can also plan and manage your funding. We have policies and processes to mitigate any conflict of interest in this case. Either your plan is managed by us or a third-party provider, we will negotiate all terms with you (or your representative) and arrange payment internally or with a nominated third-party provider.
Other funding options
If you’re not covered under the NDIS yet, or if you just need additional support over and above your current funding, we can provide services through a range of different funding options, such as privately funded services and insurance payouts.
Privately funded services
If you have once-off requests such as travel or holiday assistance, require help during extended periods of respite or if you need additional services that are not covered under your NDIS budget, you can choose to privately fund extra services. Please give us a call to discuss how we can help you to achieve the best value outcome.
If you have experienced total or permanent disability and provided with third-party insurance payments, our specialist consultants are here to help you. Please get in touch if you have any questions or need further advice.