AAT Case Management Guide
Disability Related Health Supports
OFFICIAL For Internal Use Only
- a nurse or support worker to monitor seizures
- assistive technology (such as alarms or seizure monitors)
- support coordination
NDIA Posture The NDIA will fund all reasonable and necessary disability-related health supports which would not more appropriately be funded by any other mainstream service delivery system.
How do we work out who should fund or provide your supports? NDIS
The NDIA must first consider whether a particular support would be more appropriately funded by any other mainstream service system.
The nature and level of evidence then required to inform the NDIA position will depend on the particular disability and support in question.
For example, funding for:
- dysphagia supports — will be informed by evidence provided by a speech pathologist
- nutrition supports — will be informed by evidence provided by a dietitian or other suitably qualified health professional
- continence supports — will be informed by evidence provided by a continence nurse, or other suitably qualified health professional
- wound and pressure care supports, podiatry supports, and epilepsy supports — will be informed by evidence provided by a suitably qualified health professional
Persons Giving Expert and Opinion Evidence Guideline Administrative Appeals Tribunal (AAT)
Matters concerning the provision of disability-related health supports will turn on the facts of each particular case, and the evidence available. The NDIA will seek to ensure the best possible evidence is made available to help guide the AAT towards the best possible outcome for the participant.
Where a participant also receives support from any other mainstream service delivery system, the NDIA expects that the participant ensures NDIS funding is not used to fund support(s) of the kind funded by that other mainstream service delivery system.
Other considerations
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FOI 24/25-0753
AAT Case Management Guide
Disability Related Health Supports
OFFICIAL For Internal Use Only
| Previous matters that may advise the NDIA position | Funding for general support to maintain an eating plan, as well as thickened fluids and nutritional supplements constitutes a reasonable and necessary support. The AAT set aside the decision under review. Additional funding for continence products was not a reasonable and necessary support, as existing plan funding for continence products remained unused. In the absence of any evidence supporting the participant’s request for specialised shoes, the AAT could not be satisfied that it would be reasonable or necessary for the NDIA to fund that support. The AAT Affirmed the decision under review. | Burchell and National Disability Insurance Agency [2019] AATA 1256 Hoolachan and National Disability Insurance Agency [2019] AATA 4798 |
|---|---|---|
| Document admin | Assistant Director, Policy, Continuous Improvement | 10 September 2024 |
| Approved | Director, Continuous Improvement | 10 September 2024 |
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