An NDIS plan isn’t set in stone. As things change for a participant, their plan may also need to change. In ther cases the participant may feel a funding decision has been made in error and seek a review or appeal.
There are three reasons why an NDIS plan may need to change:
- The participant is unhappy about a funding decision
If a participant is unhappy with a funding decision in their plan they can request for that decision to be reviewed. Participants have three months from the date of their plan to request an internal review by the NDIA and provide further information to inform the review. Requests for an internal review can be made in writing, over email or over the phone. Find out more here. You can use this form to submit the request, but it’s not compulsory.
If the internal review finds that a funding decision was made in error, the NDIS plan can be changed.
- The participant wants to appeal an internal review
If the participant is unhappy with the outcome of an internal review, they have the option to appeal through the external and independent Administrative Appeals Tribunal. This can only take place after an internal review of a decision has taken place. Participants can get free support through funded advocates to assist them in the appeal process and may also be able to get access to funding for legal services.
If the appeal is successful, the NDIS plan will be changed.
- The participant’s circumstances have changed
There are several things which may change for a participant which will influence the supports needed from the NDIS. This includes:
- Changes to a participant’s disability needs including a new diagnosis
- Increased or decreased care or support provided by family and friends
- New living arrangements such as living with new people, moving into a facility or homelessness
- Job changes
- If the participant receives compensation for an accident or illness related to their disability
Participants can request a plan review at any time by completing the change of circumstances form. The form can be submitted in writing, over the phone or in person. Find out more information here. Ideally the request should be made as soon as possible following the change in circumstances.
It’s critically important that a participant’s NDIS plan meets their needs. It’s up to the participant, their family and friends, and their Plan Manager to be diligent about the plan and make sure the participant has access to the correct funding and supports at all times. If participants aren’t proactive about their plan, they may miss out.
By Raheel Chaudhry, Director, RMC Plan Managers