Decide whether to change the participant’s impairment categories

SGP KP Publishing

SGP KP Publishing - Decide Whether To Change The Participant’s Impairment Categories Information

Recent Updates

Recent updates.

Before You Start

Before you start…

Review And Decide If There Are Any Changes In The Varying Impairments Case

Review and decide if there are any changes for varying impairments case….

Review And Decide On The Current Disability Information

• Step A: Review current disability information. Action: - Action an application when no impairment categories have been submitted (Page). - Make necessary adjustments in Update Impairment tab (Page). - Record that nothing has changed regarding impairment category details within this tab (Page)..

Send Decision Letter

Send a decision letter to all parties involved with relevant documentation provided on page number…..

SGP KP Publishing - Decide Whether To Change The Participant's Impairment Categories Information

FOI 25/26-1857 SGP KP Publishing \u00ad Decide whether to change the participant’s impairment categories information

Guidance For An Access Delegate:

• Review the application in the Vary Impairment Categories Case.
• Review And Decide The Participant’s Disabilities.
• Review The Impairment Categories In The Update Impairment Tab.
• Decide Whether To Change The Participant’s Impairment Categories Information.
• Send A Decision Letter.

FOI 25/26-1857

SGP KP Publishing - Decide whether to change the participant’s impairment categories information

Recent Updates

Guidance Updated on: December, Tuesday

• Add a link to two newly published articles titled ‘Understand Highly Likely & Commonly Associated Impairment Categories’ as well as another article called ‘Understanding Disabilities Tab within Person Accounts’.*
• Clarify that it is necessary for participants who are no longer experiencing their impairments or conditions (if applicable) must have this updated with an end date.

FOI 25/26-1857

SGP KP Publishing - Decide whether to change the participant’s impairment categories information

Before You Start

Impairment categories information, called ‘Notice of impairments’ in section 32BA of the NDIS Act. A participant can apply at any time for changes their impairment category status—adding or removing an impairment is included within this scope; however, terminology varies between legal documents (‘vary’) versus public communication (‘change’). Any alteration necessitates a delegate decision as per Section 4(1)(a) (the Act). The determination on varying these details falls under reviewable decisions outlined similarly elsewhere (”Section”). The case involves deciding if altering current impairment categorization aligns with guidelines:

• Our Guideline: Applying to the NDIS includes sections regarding outcomes after making such determinations and weighing evidence related disabilities; Articles referenced include:
  • Impairment Categories Guide,
  • Descriptions of Impairment Categories,
  • Understanding Highly Likely & Commonly Associated Impairment Categories.

SGP KP Publishing - Decide whether to change the participant’s impairment categories information

Review the application in the Vary Impairment Categories case

A Vary Impairment Categories case is created to submit a participant’s application to change their current impairment categories information. When submitted, a delegate will decide whether to change the participant’s current impairment categories information.

• From the Vary Impairment Categories case, select the Details tab.
• Check that Case Reason is Request To vary .
• Select the Request tab. Review The Application details. Note: if you need to Withdraw A Vary Impairment Categories case use article Withdraw Variy Impairment Categories you may need withdraw this case If: • Participant or Their authorised representative has requested withdrawal • Participant Is deceased • Case Has been Created In error Agency Has decided to With draw This case as appropriate.

SGP KP Publishing - Decide whether to change the participant’s impairment categories information

Review and decide the participant’s disability information

Step-by-step guide for reviewing a participant with an open Enquiry or SAP CRM cases:

Review all available evidence

• Evidence related to participants’ impairments is found within these sections:
  • Vary Impairment Categories case under ‘Evidence’ tab.
  • Person Account in Documents tab.
  • Enquiries Cases in 'Cases'tab.
  • In SAP CRM. Use article Check for outstanding eligibility information on PACE to link new evidence using article Add & Link evidence.

If there are any open Enquiry cases,

close them if they can be completed as follows:

1. Select Complete Case at Closure Reason.
2. At Completion, select Completed – Another Case Commenced. Enter this template into Comments: The updated disabilities will consider the Vary Impairment Category case.

Deciding on Disability Information

You may view details of their disability via Person Accounts. Referencing article Understand Disabilities Tab. In the Vary Impairment Categories tab go over Update Disabilites tab. If requests exist regarding updating current disability info., refer back to section Review and decide Requests to update Current Info.; otherwise proceed per section Review and Decide Current Disability.

SGP KP Publishing - Decide whether to change the participant’s impairment categories information

Step-by-step guide on reviewing updates to current disability information:

Verify Disability Requests (Step-By-Step)

Select ‘Verify Disability’ from options when viewing pending delegate verification.

The Disabilities screen opens up next,

Check if evidence confirms treatment professional details are verified using article Check treating professional details.

SGP KP Publishing - Decide whether to change the participant’s impairment categories information

I’ve added <disability> to the participant’s record because the evidence shows that the disability meets the <disability/early intervention requirements/disability and early\nintervention requirements>.

Disability updated Based on the available evidence, I’ve updated disability to explain updates made >because reason>.

Disability declined \nI’ve declined the request to add< disabilit y>totheparticipant’ srecord becaus eI’m unable t o verify th eevidencethatrelatestodisabili ty.12.ContinuetosectionReviewanddecidethecurrentdisable dinformation.#### 4 .2 .2 Revi ew an d deci dethecurre ntd is abilit yi nf ormat ion##### R ev iewt he pa rtic ipant ’s C urr en td isi abl it ie sa nd H istor ic al di sab ilitie s ag ainst tehevidencea vail able.I fyou:###### do nt needtot makeanych ange stothepartici pant ‘scu rrentdi sbilities ,continuetosectionR eviewtehi mpa irm entcat egoriesinthead upteImpairmenttab.###### do nee dt oupdateh etheparticip ant’scu rr enddiss abilities,u searticleRe viwandaupdateht ep articipant’sdsabilities in tehvaryim pair mentcategoriescase.N otet :if ad is abilityno l ongermeets thee ligibilityc rit eria,selectthisoptio natSelecteligibil itycriteria thedisability/conditionmeetst.Don’taddanEndDate.Yous houldonly addaneenddat e ifitisnolongerappropriatetolistthe

disabilit yont ehparticipant’ sr ecord,f ore xample,i ft w asaddedine rrorort hey non o longerexperiencetheimp airmen t.2.If youneedtoadda new disabilityusearticlereviewandup dateth e participant' sd iabili tiesinvaryi mpai rem ents cat ego riescas.e.##### Note:t he RequestStatus willautomaticallyappearasVerifiedbecauseyou’readeleg ate.

3.UnderDelegateactionat Select eligibility criteria th edis ability /condit ion meets , selectthecorrectoptionfromthed rop-downlist,t hen sele ctSaveintehDisa bilitie sscre en.###### Notet:thead sabilitymaynot meetteheligibilit ycriter iaforNDISf unding.Theel igib il icrit eraisa ndis ablityor earlyinte rv entionrequirements.T hedisabletyw illstill ber eco rded ont hepartici pantsrec ordevenifitin’s n otrelated totparticipant’seligibil itye f the NDIS.Ift hisapplies,selectDoesno tm ete any elig ibil itycriteria4 .Ifyoudecideno neofthe part ici pant ’sdi sabilitiesmeet teh eligibilityc rit eria forN DISfu nd ing,s ele c tu pdate andcompletestep5foreachdisabilityl isted.

Save in teh Update Disabilities tab.Reviewand decidetheparticipant’ sd is abilityinformation –9Page of63

SGP KP Publishing - Decide Whether To Change The Participant’s Impairment Categories Information

Step-by-Step Guide for Updating Impairment Categories:

Selecting Tabs & Checking Requests (Steps 1–4)

• Select Request Tab:
  • Go directly to step or [next step](if No is selected). o If Yes has been chosen,

    Proceed with [this action].

o Otherwise proceed.

• At Does the request specify which impairment category to vary? o If Yes, go straight ahead and move on from here (go_to_step_3). o If not specified yet (No) then skip further steps until you reach the next one where it’s relevant, as indicated below: There won’t be any requests listed at UpdateImpairmentCategoryRequests because no specific criteria were provided in this case.(This means that there are no defined categories to end or add.)

Reviewing Current Status of Impairments (Steps 5 – End)

* **Review Updated Category List**

    Use articles like [ImpairmentCategoriesGuide](http://www.example.org/guide/)and[DescriptionsOfImpairmencategories](http://www.example.org/descriptions/). Check if these still apply based upon what’s currently known about their impairments. Consider other possible conditions too by reviewing historical data via [Viewimpairmcntcategoriesinthepersonaccount](http://www.example.org/viewperson).
  + Look into whether additional applicable categories exist beyond those already noted within current applications.
 * Discuss decisions made regarding participant information with your team leader or quality officer for guidance when needed; alternatively seek TAPIB advice directly should more support prove necessary during decision-making process.

o When no impairment category is found under Update tab, go straight ahead and follow instructions outlined here:

Action an Application Without Any Listed Categories (Step10-End) If none have been submitted, proceed as follows: The participant can submit a request without specifying the exact changes they desire - just stating general intent behind updating their record.(Only use this section if there are no listed categories at Update)

SGP KP Publishing - Decide whether to change the participant’s impairment categories information

Category Requests.

This means the requestor hasn’t specified which impairment categories they’d like ended or added.

Make changes in the Update Impairment tab

Continue in the Update Impairment tab. If none of the participant’s current impairment categories apply and: o A new impairment category applies follow steps (\text{steps}~4) end all current impairments add an additional one, o No other impairment categories are applicable do not make any changes instead go section Decide whether to change their impairment categories then refer for eligibility reassessment.

If you need to end an impairment category at Current Impairment Categories Select End Impairment Category confirm that it matches criteria selected checkbox Save message will display as completed otherwise error message appears if trying submit without adding a new category first.

SGP KP Publishing - Decide whether to change the participant’s impairment categories

Steps for Updating Participant’s Impairments:

• Repeat steps 3 & 4, until all impairments categorized apply.

A message appears when submitting a request: “Submitted Request Updated.” Please provide justification (e.g., reason why updating). Enter details about adding or ending an impairment category using these templates provided below, depending if it was added (Impairment Category Added) with relevant criteria met within its scope; or ended because there are none meeting requirements(Impairment Category Ended). Select Submit after entering justifications which takes one back into Details Tab where they can review their selections before finalizing updates via another submit button.

FOI 25/26-1857

SGP KP Publishing - Decide whether to change the participant’s impairment categories information

• Select the I acknowledge and agree that no changes to impairment categories are applicable for this participant checkbox.
• Save: The No Updatesto Impairment Categories screen will close.
• Submit,then go to section Decidewhether t ochange th eparticipant’simpairm entcategoriesinformation.Reviewth ei mpair mentcat egoriesintheadu pdateImp airme nttab–13Pageof.

Decide Whether To Change The Participant’s Impairment Categories Information

From Varying Impairment Categories Case Select Decision Tab.

If You Did Not Make Any Updates To Current Impairment Categories:

• Read Acknowledgement Under Impairment Category Requests And Confirm That No Changes Are Needed At This Time By Checking I Acknowledge Agreement Box Then Go Step 19;

If Made Changes To Current Impairment Categories Select Record Decision First Request Only Reviewable Indicator Should Be Set As Reviewable Under NDIS Act S99;

At Decision Outcome Choose Approved Or Declined Note Check Request Type Field For End Add Action On Impairment Category Selection Of Decline Will Keep Existing One Adding It Won’t Work Without Additional Approval Use Section Record No Changes In Update Impairment Tab Always Select Declined Everytime Next Justification SubJustify Evidence Name Enter Document Title Used Making Decision Evidence Type Can Either Be Document Other Link Relevant File Using EvidenceLink Explanation Provide Reason Your Choice Following Templates:Impairment Added Shows Participant Has More Than One Condition Meeting Disability Early Intervention Requirements Else Impairments Found Don’t Meet Criteria Both Conditions Within Same Group

SGP KP Publishing

Decide whether to change the participant’s impairment categories information

Impairment category not ended

Evidence shows that the participant has one or more impairments that meet the <disability/early intervention requirements/disability and early intervention requirements> for the impairment category. I have not ended the impairment category as it remains correct for the participant.

Steps:

• If used multiple pieces evidence make Add repeat step until all added (line break) Select Next At Confirmation select Done If there are several requests Repeat from Step Until All reviewed If incorrect option at Decision Outcome can edit before Submit Decisions: Select Record Decision, then choose Correct Option From Drop-down List Then Next - Justification Choose Sub-Justification And When Selected Fields Will Update Based On New Decision Outcome Next Evidence At Evidence Then Next Confirmation Select Done Submit Decisions Go To Section Send a decision letter Note if no impairment categories apply complete steps in section send A decision Letter Then go next steps refer Participant For An Eligibility Reassessment The letter will communicate a decision Not to Change the participants impairment Categories Information

#Send\na\ndecision\nletter

• In \the Decision tab, sel ect Generate correspondence.

At Recipient Details , an list o f persons who wil l recei ve t he decisi on corres pondenc e wi ll display . Select Nex t. * A t Do y ou want to pre vi ew th e docu ment b ef ore sen ding it ? sel ec t Yes. * 4 A t Sel ecta nRecipie nt fo r pr ev iew? sele ctth epers onyou wis h to prev ie w corresp one ndanc e and se lect N ex t.A let ter p revi euwwi ll ge ner ate. 5 Reviewt hei nf or mat ion in tl ette rp revieu wt o conf irmit s c ortect.If ti neform ation is incorrect, select Previousto updatethe fie ldst hat pop ulatethe lett er.Ifti nef ormationis correct,s el ectN ext. * 6 At Co respond ence Conf irmatio,nselect Submit Corres pon dence. An aut omatic decision letter will be sent toi the appl icantortheir auth ori sedrepresentative. Note: if you receive an error message,u ses art icleCorresponden ceerror messages. 7At Correspond enc esummary ,sel ect Next.The case wil l nowbe closed.

SGP KP Publishing - Decide whether to change the participant’s impairment categories information

Next Steps

• Use Notify participant about their impairment categories to notify the participant your decision regarding changing or not changing their impairment category.
• If no impairments apply (including current ones), continue with When to refer a person for re-assessing their disability status.
• To request further assessment on disabilities, follow instructions in articles Complete an eligibility reassessment and sections Create Eligibility Reassessment Case & *Complete Eligibility Reassessement Referral.\nNote: You can initiate this process but it cannot commence until at least one year and four months after initial access approval.

FOI 25/26-1857

Scope: any documents recording the number of NDIS participants whose ‘secondary disabilities’ have been ‘end dated’ in the system since January 30th,

Of the eligible at Jan 2024 who remain Sept:

• 1 has had secondary disability end-dated between and Sep.
• 4,