Advice Support Tool

Theme: Disability Related Health Support Sub-Theme(s): Epilepsy

References: NDIS Act 2013 Section 34 1. (a) - (f) and 2. NDIS Support for Participant Rules 2013

Applied Principles and Tables of Support to Determine Responsibilities Disability Related Health Supports Operational Guideline

Our Guidelines — Epilepsy Support sOP — Disability Related Health Supports

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

Criteria	Is criteria met?	Considerations (including evidence used)
34.1(a) Enabling the participant’s goals and objectives
p Yes

Does the participant require support to manage their epilepsy due to the functional impact of their disability? No | j . (support will assist the participant to pursue the goals and objectives in their plan) The participant may not have a specific goal outlining epilepsy support is required, however, consider how epilepsy support may underpin and assist the participant to pursue stated plan goals. s47E(d) - certain operations of agencies

| 34.1(b) Assist the participant’s social and economic participation | yes | The support itself may not specifically be utilised to assist economic and social participation; consider the integral impact of having epilepsy support upon the participantsocialandeconomicparticipation.| No | |(support will assist the participant to undertake activities to facilitate their social and economic participation)|

| 34.1(c) Value for money: | o yes | Consideration: AT versus line of sight support. (support represent value for money, i.e., the costs of support are reasonable, both in terms of the benefits achieved and the costofalternativesupport)| no | Consider whether there has been exploration/trial of AT. Version 1.0 24/08/2023 Page 1 of 5

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MR25/00036 | FOI 24/25-0317

The criteria for reasonable and necessary supports: Consider NDIS Support for Participant Rules 2013 Part 3.1 (a) – (f); Are there comparable support options which would achieve the same outcome at a substantially lower cost? What alternative supports were considered? Is there evidence that the support will substantially improve the life stage outcomes and be of long-term benefit to the participant? Is there evidence that funding support is likely to increase independence and reduce funded support costs in the long term? Is there evidence the support will increase the participant’s independence and reduce the participant’s need for other kinds of supports?

34.1(d) Support is effective and beneficial for the participant:

(support 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? are there other supports required to achieve or maximise the reported support outcomes for participant?

Criteria	Is criteria met?	Considerations (including evidence used)
Consider NDIS Support for Participant Rules 2013 Part 3.1 (a) – (f);		s47E(d) - certain operations of agencies
Are there comparable support options which would achieve the same outcome at a substantially lower cost? What alternative supports were considered?	If AT has been considered but not recommended. have reasons been outlined why they are not recommended?
Is there evidence that the support will substantially improve the life stage outcomes and be of long-term benefit to the participant?.	If AT has been recommended. is there evidence it has it been successfully trialled?
Is there evidence that funding support is likely to increase independence and reduce funded support costs in the long term? .	If registered enrolled nurse support is requested for seizure monitoring and/or management (rather than disability support worker), has evidence been provided that the support cannot be delegated to an appropriately trained disability support worker?
	Yes >	Has a current `redacted: FTEs e=tsnieratstions ot eaersies`
	No -> [epilepsy management plan (EMP) been provided to the NDIS? If yes, has the epilepsy management plan been authorised by the participant’s relevant medical practitioner e.g., GP, neurologist, paediatrician?

If the epilepsy management plan indicates the participant has an emergency medication management plan (EMMP), has a copy of this been provided to the NDIS? Has a seizure log or other record of the participant’s seizure activity been submitted to the NDIS? | s47E(d) - certain operations of agencies

MR25/00038 | FOI 24/25-0317

Criteria for Reasonable and Necessary Supports - s47E(d)

e Consider NDIS Support for Participant Rules 2013 Schedule 1.

e 34.1(e) Support coordinates with but does not replace informal support:

(Funding or provision of supports takes 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 34.1(f) Support is most appropriately funded by the NDIS:

(Support is not more appropriately funded or provided through other general service systems or universal service obligations). Consider NDIS Support for Participant Rules 2013 Schedule 1.

Is criteria met?	Considerations (including evidence used)
Yes →
No →	>NDIS funded supports should not be used to avoid hospital admissions; s47E(d)- certain operations of agencies

Refer to the Applied Principles and Tables of Support to Determine Responsibilities

MR25/00038 | FOI 24/25-0317

Criteria for Reasonable and Necessary Supports

The following table outlines criteria used in assessing reasonable and necessary support.

Criteria
Is criteria met?
Considerations (including evidence used)

e If CB Relationships funding is required, refer to the relevant advice support tool template for specific wording.

Support will not cause harm:

_(support will not be funded if it is likely to cause harm to the participant or pose a risk to others, or the support would be contrary to a law of a jurisdiction)_ Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.3 -\ Yes
-\ No >!

Does the participant have funding in the CB - Relationships budget?
s47(d) – certain operations of agencies

_(support will not be funded under the NDIS if they do not relate to the participant’s disability, are day-to-day expenses or income replacement)_ Consider NDIS Support for Participant Rules 2013 Part 5.1 and 5.2 \Yes > | Is the support associated with an impairment that would meet NDIS eligibility criteria if tested against section 24? -\ No >| The participant may have entered the NDIS with an assessed impairment that was not epilepsy. Supports for impairments not considered at the access decision must be assessed against section 34.

Support does not duplicate other supports:

_(supports do not duplicate other supports delivered under alternative funding through the NDIS such as Information, Linkages and Capacity Building (ILC) funding.)_ -\ Yes ? -\ No >

Criteria for Reasonable and Necessary Supports

Consider NDIS Support for Participant Rules 2013 Part 5.1

are all the above criteria met for all supports? □ yes → ☐ no →

Version Control

A table showing version control information:

Version #	Status	Date	Modified By	Brief Description of Modification
v1.0	cleared	01/09/2023	lfh743	production of initial v1.0
v1.0	cleared	05/09/2023	jif775	transferred to key advisor advice resources repository

note: document uncontrolled in hard copy

vErsion 1.0 page 5 of 5 page 114 of 442

Advice Support Tool — Disability Related Health Support: Epilepsy