Check eligibility - List B condition | FOI document library

FOI 24/25-1473 DOCUMENT 22

Check eligibility - List B condition SGP KP Publishing

             Exported on 2025-04-02 05:12:03

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FOI 24/25-1473

SGP KP Publishing – Check eligibility - List B condition

1 Recent updates …………………………………………………………………………………………………….. 4 2 Before you start …………………………………………………………………………………………………….. 5 3 Overview ………………………………………………………………………………………………………………. 6 4 Check for a List B condition ………………………………………………………………………………….. 7 4.1 How to find evidence that a person has a List B condition? ……………………………………….. 7 4.2 If the person has a List B condition ………………………………………………………………………… 7 4.3 If the person doesn’t have a List B condition ……………………………………………………………. 7 5 Next steps …………………………………………………………………………………………………………….. 8

Table of Contents – 2

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SGP KP Publishing – Check eligibility - List B condition

This article provides guidance for all NDIA staff and partners to check for a List B condition.

Recent updates – 3

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SGP KP Publishing – Check eligibility - List B condition

1 Recent updates

24 February 2025 Guidance updated to reference the correct sections of the NDIS Act.

Recent updates – 4

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2 Before you start

You have:

   read Our Guideline – Applying to the NDIS (external)
   read article [Understand disability requirements](/library/documents/0f965ec93d25-foi-24-25-0883-disclosure-log-documents/document-005__understand-disability-requirements/)
   read article [Understand early intervention requirements](/library/documents/0f965ec93d25-foi-24-25-0883-disclosure-log-documents/document-004__understand-early-intervention-requirements/)
   considered the age and residence requirements using article Check eligibility – age and
   residence requirements.

Before you start – 5

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3 Overview

To be eligible for the NDIS, the person must meet the requirements for:

  age
   residence
    disability, early intervention, or both.

When a person gives us evidence that they’ve been diagnosed with one or more conditions on List B: Conditions that are likely to result in a permanent impairment (external), they’ll meet some of the disability requirements and early intervention requirements.

Overview – 6

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4 Check for a List B condition

4.1 How to find evidence that a person has a List B condition?

A person may inform us that they have a List B condition, or we might identify it when reviewing their disability evidence.

Before making an eligibility decision, make sure you review the application and any disability evidence for any diagnosed List B: Conditions that are likely to result in a permanent impairment (external).

4.2 If the person has a List B condition

If the person has evidence of a List B condition, only some of the disability and early intervention requirements are met.

The following disability requirements are met:

  The person has a disability that us caused by one or more impairments (s24(1)(a)).
  The person's impairment or impairments are likely to be permanent (s24(1)(b)).

The following early intervention requirement is met:

  The person has one or more impairments that are likely to be permanent (s25(1)(a)).

You’ll need to then think about the remaining disability and early intervention requirements using articles:

   [Understand disability requirements](/library/documents/0f965ec93d25-foi-24-25-0883-disclosure-log-documents/document-005__understand-disability-requirements/)
   [Understand early intervention requirements](/library/documents/0f965ec93d25-foi-24-25-0883-disclosure-log-documents/document-004__understand-early-intervention-requirements/).

4.3 If the person doesn’t have a List B condition

If the person doesn’t have a List B condition, think about all of the disability and early intervention requirements using articles:

   Understand disability requirements
   Understand early intervention requirements.

Check for a List B condition – 7

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5 Next steps

If you’re an access delegate:

   to make an access decision, continue to article Make an access decision – pre-
     legislation changes or [Make an access decision – post legislation changes](/library/documents/0f965ec93d25-foi-24-25-0883-disclosure-log-documents/document-001__make-an-access-decision-post-legislation-changes/).
   to make an eligibility reassessment decision, continue to article Finalise eligibility
   reassessment decision.

Next steps – 8

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