Create a plan reassessment (s48) request

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Create a plan reassessment (s48) request

OFFICIAL DOCUMENT 12 FOI 23/24-1198 SGP Knowledge Article Template For Internal Use Only

The contents of this document are OFFICIAL.

This article provides guidance for a local area coordinator, early childhood partner, planner delegate, payments officer, review officer, complaints officer, participant support officer, access delegate, National Contact Centre, liaison officers (HLO/JLO), planner (non-partnered area) or technical advisor to:

  • create a plan change case
  • create a plan reassessment (s48) request
  • add a subject to the plan change case.

Note: This article is for plan reassessment (s48) requests only. Don’t use this article for a plan variation requests (s47A) or a participant requested plan change where the legislative type hasn’t been specifically requested.

You’ll need to go to article Create a plan variation (s47A) request or Create a participant plan change request where the legislative type isn’t specified.

Recent updates

22 April 2024

  • New article created from content split out of article Create a plan change request.
  • New section added with instructions to include a subject on the plan change case.

Before you start

You have:

  • received a plan reassessment (s48) request from a participant or their authorised representative or are creating a CEO initiated s48
  • completed steps in article Prepare to submit a plan change request
  • read and understood Our Guideline – Changing your plan (external).

Create a plan change case

You can receive a plan change request verbally, in an email or in a change of circumstances form. The change of circumstances from doesn’t have to be completed to submit a plan

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change request. To request changes to a participant’s plan, you’ll need to create a plan change case. A plan change case can also be initiated from other cases such as a check-in.

To create a plan change case:

  1. From the Person Account, select the Cases tab.
  2. Select New.
  3. Select Plan Change from the list of case types.
  4. Select Next.
  5. Select Case Origin from the drop-down list.
  6. Confirm the Status is set to Draft. The plan change case should remain in Draft status as the default status when creating the case.
  7. Add Internal Comments about the case, if required.
  8. Select Save. You have now created the plan change case.

Create a plan reassessment (s48) request

A participant’s plan can be reassessed at any time if there’s a change in their situation. This is also referred to as a change in circumstances. To make sure you’re creating the right request, go to article Understand internal review and plan change request categories.

Use these steps for a participant requested or CEO‘s own initiative reassessment request:

  1. From the Plan Change case, select the Request tab.
  2. Select the Requested Date of the plan change. This will default to today’s date.

Note: Plan change requests can be backdated.

  1. Under How is the request being initiated?, select either:

    • Participant requested - S48: Only use this option when the participant specifically requests a plan reassessment. If we decide to complete the plan reassessment this will mean the participant receives a new plan, following a change of circumstances, or when multiple minor changes to the plan are needed. • CEO‘s own initiative - S48: These requests should only be created by delegates who have authority to make a CEO initiated decision. Use this option when you’ve decided this is plan change type required. This is to create a new plan, include a significant increase to funded supports, or make multiple minor changes.

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  1. Select Who is requesting the plan change?. If selecting Related Party, you’ll need to select the authorised representative making the request from the list that appears.

Note: NDIA will be the only option if creating a CEO’s own initiative request.

  1. Select Next.

Change in Situation

  1. Select the Change in Situation from the drop-down list.

  2. Select Date (calendar) for When did this change happen?.

  3. Provide details of the situation in the free text field.

  4. If the new plan requires a change in fund management, select the checkbox next to Change to fund management required.

  5. If required, Provide Reason for fund management change in the free text field.

  6. If you need to provide an additional change in situation request, select Add on the right hand side of the Request screen and complete the above steps until all change in situation requests are recorded. Otherwise, select Next.

  7. If applicable, use the Documents tab to add any documents relating to the change in situation. Refer to articles Add documents to a case and [Add and link evidence to a case](link_to_add_and_link_evidence).

  8. Select Next.

Risk Matrix

Check for any risks associated with the plan change request which could impact on the participant, nominee or NDIS.

If you don’t identify any risks:

  1. Select No.

  2. Select Next to progress the case.

If you identify a risk:

  1. Go to article [Identify and escalate risks in plan change request](link_to_identify_and_escalate_risks) to complete this section.

Request Confirmation

  1. If required, select a section to review from the Steps workflow.

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  1. You’ll need to add a subject to the plan change case. This is to make sure cases can be routed efficiently. Go to section Add subject to the plan change case in this article before going to the next steps.

  2. Select the checkbox next to I confirmed the information recorded is accurate (mandatory in order to proceed for submit).

  3. Select Submit.

Note: Don’t manually move the case status from Draft. Refresh your browser after the plan change request has been submitted. The case status will automatically change to New.

Add subject to the plan change case

To assist delegates with managing work, you’ll need to add a subject to the plan change case before submitting the plan change case.

From the Plan Change case:

  1. Select the Details tab.

  2. Under the System Information heading, select Edit Subject (pencil).

  3. Add the correct subject to the Subject field using the list below. Make sure you record the subject exactly as it’s shown in the list below.

Note: If there’s multiple subjects, you should select the most urgent. If Exhausted Funds or Breakdown of Informal Supports are a factor, that this is the subject used.

Subject Description
Assistive technology Requests for the supply of Assistive Technology or equipment
Vehicle modifications Requests/quotes for vehicle modifications
Home modifications Requests/quotes for home modifications
Plan management Any request to change the way participants plan funding is managed
Plan error Identification of any error associated with funding in a participants plan
Exhausted funds/breakdown of informal supports Requests where funds have been depleted prior to the plan end date or where a participant advises they have had a breakdown of informal supports
Home and living A participant is requesting inclusion of or changes to SIL, SDA or ILO supports in their plan
Change of circumstances Any other change of circumstances the participant may have experienced resulting in a request for a change to their plan

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Other Should only be used where no other relevant theme is identified

  1. Select Save.

Next Steps

Once submitted, a plan change case will automatically be allocated to the Plan Change Routing Queue. The request information will no longer be visible under the Request tab in the Plan Change case.

  1. If you’re not the decision maker on the plan change request, there are no further steps.

  2. If you’re the delegate making the decision on the plan change:

    • Assign and review the plan change case. Go to article [Assign and review a plan change case](plan change case).

Article topics and case names – internal use only

Topics

This article relates to the following topics:

  • add: t_planchanges
  • add: t_reviewingdecisions

User roles

  • add: dc_users_accessdelegate
  • add: dc_users_complaintsofficer
  • add: dc_users_earlychildhoodpartner
  • add: dc_users_liaisonofficershlo/jlo
  • add: dc_users_localareacoordinator
  • add: dc_users_nationalcontactcentre
  • add: dc_users_participantsupportofficer
  • add: dc_users_paymentsofficer
  • add: dc_users_plannerdelegate
  • add: dc_users_reviewofficer
  • add: dc_users_plannernonpartneredarea

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  • add: dc_users_technicaladvisors

Case names

You can use this guidance for the:

  • add: dc_case_participantbudgetupdate
  • add: dc_case_planchange

Version control

Version Amended by Brief Description of Change Status Date
0.1 DCM308 Content separated out of ‘Create a plan change request’ article per feedback from SG and Service Delivery stakeholders DRAFT 2024-02-28
0.2 BCK161 Peer review DRAFT 2024-02-29
0.3 DCM308 Action peer review feedback Sent for VT Sent for AD review DRAFT 2024-02-29
0.4 EJW711 EL1 review DRAFT 2024-02-29
0.5 SGH107 Transfer BIL and SME feedback from KA Create a plan change request. Inclusion of new notes. DRAFT 2024-03-07
0.6 BCK161 Peer review DRAFT 2024-03-12
0.7 SGH107 Action peer review feedback DRAFT 2024-03-12

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Version Amended by Brief Description of Change Status Date
0.8 SGH107 Action VT Review
Number of long sentences:11 (7.28%)
Number of Passive Sentences:13
(8.61%)
Readability:55/100
Grade Level:7.2
DRAFT 2024-03-13
0.9 EJW711 EL1 review DRAFT 2024-03-19
0.10 SGH107 Action EL1 review feedback DRAFT 2024-03-21
0.11 JS0082 EL 2 review DRAFT 2024-03-25
0.12 SGH107 Action EL2 review feedback DRAFT 2024-03-25
0.13 CW0032 BM review DRAFT 2024-04-02
0.14 SGH107 Action BM review feedback DRAFT 2024-04-02
0.15 SGH107 Transfer BIL feedback DRAFT 2024-04-12
0.16 SGH107 Action BIL feedback DRAFT 2024-04-16
0.17 EMN960 EL2 feedback DRAFT 2024-04-17
1.0 JC0088 Class 3 Approval DRAFT 2024-04-18

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