Case Management Guide: Disability Related Health Supports

OFFICIAL For Internal Use Only

Case Management Guide

DOCUMENT 7

Disability Related Health Supports

Field Category Reference Documents
Title Disability Related Health Supports
Purpose This document is part of a suite of guidance documents for Case Managers to use in formulating their approach to managing individual matters before the Administrative Review Tribunal (ART).

This Guide applies nationally to the conduct of all matters within the ART Case Management Branch.
What are disability-related health supports? Disability-related health supports are health supports which directly relate to the functional impact of a participant’s disability on their functional capacity. Disability-related health supports help the participant partake in their day-to-day life, become more independent, and pursue their goals. Disability-related health supports

How do we decide what disability-related health supports we fund? | NDIS
Policy statement The ART process is often seen as stressful and adversarial by participants and prospective participants of the Scheme. The NDIA will adopt a participant-focused approach to resolving disputes before the ART, and will work directly with participants and prospective participants to provide better and earlier outcomes, where possible.

The role of the NDIA is to assist the ART in reaching the correct and preferable decision, including by assisting participants and prospective participants in reaching the best possible resolution by agreement.

The NDIA will fund all reasonable and necessary supports which meet all of the NDIS funding criteria. This means that the NDIA will fund all disability related health supports which:

- are NDIS supports;
- directly relate to a participant’s disability;
- help increase a participant’s social and economic participation;
- are effective and beneficial; and
- represent good value for money, in comparison to other supports which the NDIA may fund.
NDIA Dispute Resolution Policy

Appendix B to the Legal Services Directions 2017

Sections 10 and 34(1) National Disability Insurance Scheme Act 2013

Schedule 1 and 2 National Disability Insurance Scheme (NDIS Supports) Transitional Rules 2024

What does NDIS fund? | NDIS

NDIA-ART CM-GDE-021-FINAL

OFFICIAL

Page 22 of 44

Page 1 of 5