Home modifications guidance for builders and designers

Advice Support Tool

Theme: DRHS Sub-Theme(s): air conditioning

References: NDIS Act 2013 Section 34 1. (a) - (f) and 2. NDIS Support for Participant Rules 2013 Aur Guidelines - DRHS Our Guidelines - HMOD sop _DisabilityRelatedHealthSupports.docx (ndia.gov.au) sop_IncludeMinorHomeModificationSupportsInPlans.docx (ndia.gov.au) Minor HMOD budget levels Minor HMOD assessment template

DOCUMENT 1

note: All criteria need to be met for the supports to be funded through the NDIS.

Criteria for reasonable and necessary supports	Is criteria-met?	Considerations (including evidence used)
34.1(a) Enabling the participant’s goals and objectives
p {supports will assist the participant to pursue
Yes	The participant may not have a specific goal regarding thermoregulatory dysfunction however, consideration should be given to factors which would impact quality of life and ability to undertake usual daily routines:
No	`redacted`

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MR25/00038 | FOI 24/25-0317

Criteria for Reasonable and Necessary Supports

The following table outlines criteria related to assessing whether proposed supports meet requirements.

Table: Assessment Criteria

Criteria	Is criteria met?
34.1(b) Assist the participant’s social and economic participation (Supports will assist the participant to undertake activities to facilitate their social and economic participation )	☐ Yes → The participant may not have a specific goal regarding thermoregulatory dysfunction ☐ No → s47E(d) - certain operations of agencies
34.1(c) Value for money (supports represents value for money, ie the costs of support are reasonable, both in terms of the benefits achieved and the cost of alternative support)
Consider Part 3.1 (a) – (f);	☐ Yes → What other supports have been considered for this participant? s47E(d) - certain operations of agencies ☐ No →

Are there comparable support options which would achieve the same outcome at a substantially lower cost? What alternative supports were considered?

Does the requested support exceed the standard considered by the NDIS to be a ‘complete solution’? redacted

is there evidence that the support will substantially improve the life stage outcomes and be of long-term benefit to the participant?

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(supports will be, or are likely to be, effective for desired effect and beneficial for the

participant, having regard to current good practice)

Consider NDIS Support for Participant Rules 2013 Part 3.2 and 3.3

What are the expected benefits of the support provision?

How will effectiveness of achieved outcome be measured?

When will effectiveness of achieved outcome be achieved?

Criteria for reasonable and necessary Is criteriamet? | Considerations (including evidence

supports

Is there evidence that funding support is

likely to increase independence and reduce

funded support costs in the long-term? Ge the request is for ducted air conditioning/heating or split

Is there evidence the support will increase system air conditioners in additional

the participant’s independence and reduce rooms?

the participant’s need for other kinds of

supports?

————— ne 1 DE Eee a CORES

————— Suitable for the space Siam

————

Is there evidence the quoted support cost is

comparable to expected cost of same kind

of supports ? S47E(d)-certain operations of agency

SS ae In line with the Minor HMOD guidance, Minor HMOD budget levels are used to determine the funding where a quote has not been Provided. s47=(@)seertaneperatons ovagencies

34.1(d) Support is effective or beneficial 0 Yes ?

for the participant

ONo —~>

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Criteria for reasonable and necessary Is criteriamet? | Considerations (including evidence supports used) Are there other supports required to achieve

or maximise the reported support outcomes for participant? a e ls the requested air conditioner

suitable for the space ===“

e For requests related to portable air conditioning, would the unit be sufficient to cool the room in

question? j7s)seetsmoesstensoranences

(a FS ae | ——————s | ——————eee ——SSSSaaaaaeers | e How does the person manage

their thermoregulatory needs outside of the home setting?

34.1(e) Support coordinates with but Ol Yes ?

does not replace informal support

(funding or provision of supports takes Ne: — >

account of what it is reasonable to expect families, carers, informal networks and the community to provide)

Consider NDIS Support for Participant Rules 2013 Part 3.4

e = Inline with Minor HUOD guidance for builders and

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MR25/00038 | FOI 24/25-0317

| Criteria for reasonable and necessary supports | Is criteria met? | Considerations (including evidence used) | how designers, there may be some aspects of the scope of works which the NDIS will not fund (e.g., electrical or switchboard upgrades) that the participant may need to fund privately. ||Yes —— | 34.1(f) Support is most appropriately funded by the NDIS
(supports are not more apropriately funded or provided through other general service systems or universal service obligations)
Consider NDIS Support for Participant Rules Schedule 1.
The request is directly related to the participant’s disability and not a separate health issue that the participant has not met access to the NDIS for.
§47E(d)- certain operations of agencies.

Support will not cause harm (Supports will not be funded if it is likely to cause harm to the participant or pose arisk to others, or the support would be contrary to a law of a jurisdiction) || Yes > No —~> Consider NDIS Support for Participant Rules Part 5.1 and 5.3.

| Support is directly related to the participant’s disability | O Yes ?| The participant has a thermoregulatory dysfunction which is part of the diagnostic.

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Criteria for Reasonable and Necessary Supports

The following table outlines considerations when determining if a support is reasonable and necessary.

Criteria
(Supports will not be funded under the NDI`redacted`if they do not relate to the participant’s disability or are day-to-day expenses or income replacement)
Consider NDIS Support for Participant Rules Part 5.1 and 5.2

Is criteria met? Considerations (including evidence used)

ONo ——> profile/symptomology of their diagnosed disability, and this is recognised through quality peer reviewed research (e.g., Multiple Sclerosis).

is there medical clinical support provided from the participants treating specialist relevant to their

Support does not duplicate other supports | Yes → s47E(d)- certain operations of agencies

OX No

(supports do not duplicate other supports delivered under alternative funding through the NDIS such as Information Linkages and Capacity Building ILC funding.) Consider NDIS Support for Participant RulesPart 5.1. Are all of the above criteria met for all OOYes ONo

Version Control

The following table outlines version control information:

Version #	Status	Date	Modified by	Brief Description of Modification
V1.0	Cleared	11/09/2023	CM0093	Production of initial V1.0
			JIF775	Transferred to Key Advisor Advice Resources repository

note: Document uncontrolled in hard copy