Review a restricted access decision

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Review a restricted access decision

This article provides guidance for all NDIA staff (planner delegate, payments officer, internal review delegate, complaints officer, supporting officer, participant support officer, access delegate, technical advisors, National Contact Centre, liaison officers (HLO/JLO), complex support needs (CSN) planner, national reassessment delegate) to:

 refer a restricted access decision to be reviewed  action a request to review a restricted access decision.

Recent updates

December 2023

Updates include:

 removal of partner staff, as they no longer have restricted access permissions  removal of information that person reviewing restricted access decision needs to be

located in the same state as person requesting the review  added information that Network Support Team are responsible for informing the

participant of the restricted access outcome  minor continuous improvement enhancements.

Before you start

You have:

 received a request from a participant to review a restricted access decision  checked for a conflict of interest using the NDIA Conflicts of Interest and Outside

Employment Policy

 checked consent and authority if the request is from a representative for the

applicant or participant. Read article Check evidence to act on behalf of another

person

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 explained restricted access to the requester and helped them understand the

restricted access criteria using Our Guideline – Your privacy and information,

section What if you need extra privacy protections (restricted access)?  read and understood article Understand restricted access.

Review a restricted access decision

Refer a restricted access decision to be reviewed

Restricted access decisions are not a reviewable decision under the National Disability Insurance Scheme Act 2013 (NDIS Act). If the restricted access requestor doesn’t agree with the request outcome, assign the case to the restricted access queue for the Network Support Team to review.

Action a request to review a restricted access decision

If you’re a team member who has restricted access permission in the Network Support Team, you can review an outcome decision for a restricted access case.

To review the decision, you must:

 not be involved in the original decision  not have a conflict of interest.

If there is a conflict of interest, you must ask for a replacement to do the review. For more information, see the NDIA Conflicts of Interest and Outside Employment Policy.

You must review the request and any evidence supplied. Once a decision is made, the Network Support Team will inform the person who requested the review of the outcome. If the decision is for the participant to have restricted access, add a new restricted access case using article Record a request to apply for restricted access.

Next steps

If the applicant, participant, or their representative wants to submit a new request for restricted access, see article Record a request to apply for restricted access.

Article topics and case names – internal use only

Topics

This article relates to the following topics:

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e t_privacyandinformation

Version control

Version Amended Brief Description of Change Status

by

1.0 EMN960_ | Director review and approval APPROVED | 2022-11-07

1.1 BJW159_ ‘| Updated for new build 1.13. Removal of RA DRAFT 2023-05-23

manager role. New template format.

Keg TCM150 |Peer review DRAFT 2023-05-29

13 BJW159 | Updates following peer review. Also updated DRAFT 2023-05-30

roles to those with RA capabilities. Updated RAM to team leader who is RAO from the network support team.

1.4 TPO642_ |AD review. DRACT 2023-06-06

1.5 BJW159_ | Transferred into new template. DRAFT 2023-06-07

1.6 BJW159 | Updates following Domain owner review and DRAFT 2023-06-19

endorsement.

2.0 EMN960__| Director approval. APPROVED | 2023-06-19

Updated to reflect new RA process, including removing Restricted Access Manager (RAM) role. RA reviews will now be undertaken by a team leader within the network support team.

2.1 DFB448 | New draft incorporating Cl and restricted DRAFT 2023-10-25

access enhancements for 1.16 release

2.2 TPO642 |AD review DRAFT 2023-10-26

2.3 DFB448 |Copy for BIL and Domain review DRAFT 2023-10-31

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Version Amended Brief Description of Change Status

by

2.4 DFB448 | Actioning BIL feedback. Domain DRAFT 2023-11-16

endorsement received.

2.5 CNP536 |AD Review DRAFT 2023-11-17

2.6 DFB448_ |Actioning EL1 Feedback DRAFT 2023-11-20

3.0 EMN960 |Class 1 Approval APPROVED | 2023-11-20

1.16 Feature release and Cl updates

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