Plan conversation support tool (PCST) summary

Disclosure Log - FOI 24/25-0952 DOCUMENT 9

Plan conversation support tool (PCST) summary

Pre-requisites

Make sure you have: • read and understood article Understand and update the plan conversation support tool • understood the participant’s disability-related support needs • understood the participant’s informal, community and mainstream supports • received internal advice for any supports that need mandatory advice, this includes the Technical Advisory and Practice Implementation (TAPI) branch • made a decision to fund the supports using the NDIS funding criteria and relevant Our Guideline.

For guidance on how to use the PCST, go to article Understand and update the plan conversation support tool.

Procedure

1. Answer questions for Participant details

2. If you’re completing a:

• new plan or plan reassessment, record participant support needs in the relevant support categories

• plan variation or internal review, complete the budget update.

3. Review the PCST summary and recommendation to understand next steps

Note: Record factual and accurate information in the PCST as it forms part of the participant’s record and must be added to the case. It can be shared with the participant if they ask for a copy of their budget breakdown or ask to see information on their record through the Participant Information Access process or FOI process.

Compensation

Only complete this task if another person or entity was at fault for causing the participant’s disability and they received compensation or a lump sum payment from a judgement or settlement for their disability or impairment.

Complete the Compensation Reduction Task.

Flexible support budget Budget PCST budget PACE input amount

Assistance with Daily Life

Assistance with Social, Economic (support at work) and Community Participation

Consumables

Transport

Total

Stated support budget Budget PCST budget PACE input amount

Recurring Transport

Home and Living

Specialist Disability Accommodation (SDA)

Improved Life Choices

Improved Daily Living Skills

Behaviour Support

Relationships

Health and Wellbeing

Lifelong Learning

Increased Social and Community Participation

Improved Living Arrangements

Finding and Keeping a Job

Support Coordination and Psychosocial Recovery Coaches

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Assistive Technology (AT)

Assistive Technology Maintenance, Repair and Rental

Home modifications

YPIRAC - Cross Billing

Total

Plan conversation support tool summary Budget PCST budget PACE input amount total

Flexible support budget

Stated support budget

Total

Outcome Recommendation

The budget estimate is 0% less than the draft PACE Suggested budget is similar to the current budget. The draft PACE budget is likely budget. to meet the participant’s support needs.

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Budget update

If a question you want to answer is N/A or a cell you want to access is Return to budget summary black, check you have:

• confirmed the support meets the NDIS funding criteria
• answered all the questions when recording participant details Record participant’s details- recorded the annual draft PACE budget.

Procedure

1. Record the additional supports needed to be added or removed from the relevant support category. Note: Don’t record supports from the original funded amount.

2. Select the instalment type from the drop-down options. If you select: • Recurring, this will generate an annual amount • Regular, this will generate a monthly amount • Once-off, this will generate the total amount.

3. Select the budget update type from the drop-down options. If you select: • Increase, this will generate the increase amount • Decrease, this will generate the decrease amount.

Note: • If you’re completing a plan variation, only decrease funded supports where there’s a minor or technical error. For example, moving funding from a support category added in error to a new category added as part of the budget update. If major changes are needed, complete changes as part of a plan reassessment (s48). • Make sure you don’t decrease the funding amount below the amount that has already been paid for the support category. This will create a negative balance in the participant record.

4. Record the increase or decrease amount in PACE using article Action a budget update.

For more guidance on using the PCST to complete a budget update, go to article Understand and update the plan conversation support tool.

Support category Original funded amount PCST budget (Total) Instalment type Budget update type Increase or Decrease amount Assistance with Daily Life

Assistance with Social, Economic (support at work) and Community Participation

Consumables Transport Recurring Transport Home and Living Specialist Disability Accommodation (SDA) Improved Life Choices Improved Daily Living Skills Behaviour Support Relationships Health and Wellbeing Lifelong Learning Increased Social and Community Participation Improved Living Arrangements Finding and Keeping a Job Support Coordination and Psychosocial Recovery Coaches Assistive Technology (AT) Assistive Technology Maintenance, Repair and Rental Home modifications YPIRAC - Cross Billing

Next steps Return to budget summary

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Record participant details

Record the participant’s full name

Record the participant’s NDIS Number

Do you have evidence to show the supports meet the NDIS Yes funding criteria?

Record the budget update type New plan Select the participant’s age range N/A - What is the participant’s age range.

Confirm the participant’s Modified Monash Model (MMM)

Postcode Suburb State Record the postcode, suburb and MMM state. Region Region Code

The MMM is being updated by the Department of Health and Aged Care. This occurs every 5 years. Understand and update the plan The PCST will be updated after the new MMM data set conversation support tool. becomes available. There’s currently a work around for including missing suburbs in article:

Confirm plan duration

Plan start date. Record the plan start date using DD-MM-YYYY or DD/MM/YYYY

Select the amount of years from the drop-down options. Note: All plans including new plans, plan reassessments and internal reviews, must be 12 months or less until PACE is updated to include funding periods.

If needed, select the amount of months from the drop-down options. Otherwise, leave this blank

N/A, continue to next question.

Plan reassessment date 0/01/1900 Months (original plan period) 0.00 n/a 0.00 n/a 0/01/1900 n/a 0.00 n/a 0.00 The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Record the budget

For information about how to review Record the draft PACE budget or current plan budget. the draft budget, go to article Understand the draft budget.

Support category Budget

Assistance with Daily Life

Assistance with Social, Economic (support at work) and Community Participation

Consumables

Transport

Recurring Transport

Home and Living

Specialist Disability Accommodation (SDA)

Choice and Control

Improved Daily Living Skills

Behaviour Support

Relationships

Health and Wellbeing

Lifelong Learning

Increased Social and Community Participation

Improved Living Arrangements

Finding and Keeping a Job

Support Coordination and Psychosocial Recovery Coaches

Assistive Technology (AT)

Assistive Technology Maintenance, Repair and Rental

Home modifications

YPIRAC

The total budget: $0.00

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Assistance with Daily Life Return to budget If a question you want to answer is N/A or a cell you want to access summary is black, check you have: Record participant’s

• confirmed the support meets the NDIS funding criteria details
• answered all the questions when recording participant details
• recorded the annual draft PACE budget. Return to the budget update

Budget for assistance with daily living $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Daily personal activities Does assistance with self-care activities meet the NDIS funding Yes criteria?

Record assistance with self-care supports which meet the NDIS For information about funding criteria. This may include assistance with: assistance with self-care

• washing themselves, skin care, dressing, or grooming activities, go to article
• toileting, bowel or bladder management or menstrual care Add self-care and
• overnight supports community access
• sleepover supports. supports

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount

Assistance With Self-Care Activities - Standard - Weekday Daytime 1:1 individual support 4 Hours 13 Weeks - -

Assistance With Self-Care Activities - Standard - Weekday Daytime 1:2 support 1 Hours 1 Weeks - -

n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

How much funding quoted for on-call overnight assistance meets the NDIS funding criteria?

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How much funding quoted for assistance from a live-in carer meets the NDIS funding criteria?

Specialised home-based assistance for a child Does specialist assistance in the home that is needed due to additional requirements of a child’s disability meet the NDIS funding Yes criteria? This may include support to strengthen the sustainability of informal supports.

Record the specialised home-based assistance for a child that meets the NDIS funding criteria.

Support item Quantity Unit Frequency How often Rate Support amount Specialised Home Based Assistance For A Child 8 Hours 24 Months - - n/a - n/a - n/a -

Personal Domestic Activities

Does assistance with personal domestic activities meet the NDIS funding criteria? Yes Make sure you confirm the participant owns their home or has sole or substantial responsibility for maintaining their home.

Record personal domestic activities which meet the NDIS funding criteria. This may include assistance to undertake or develop skills to maintain their home, including basic house work.

Support item Quantity Unit Frequency How often Rate Support amount Assistance with Personal Domestic Activities 5 Hours 24 Months - - n/a - n/a - n/a -

Household tasks Does assistance with household tasks meet the NDIS funding Yes criteria?

Record household tasks that meet the NDIS funding criteria. This may include:

• support to enable the participant to maintain their home environment. Such as undertaking essential household tasks that the participant can’t do on their own.
• a linen service. You should have evidence the participant is unable to do their own laundry without assistance and needs a linen service.

Support item Quantity Unit Frequency How often Rate Support amount House or Yard Maintenance 3 Hours 24 Months - - n/a - n/a - n/a -

Record funding quoted for linen services which meet the NDIS funding criteria.

Support item Quoted amount

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Linen Service

Short term accommodation (STA) and assistance, including the provision of respite care

Does Short term accommodation (STA) and assistance, including the Yes provision of respite care meet the NDIS funding criteria?

For information about Record STA and assistance which meets the NDIS funding criteria. STA and respite, go to Note: Make sure you don’t duplicate funding between STA and other Assistance with Daily assistance with daily life supports. Life

Support item Quantity Unit Frequency How often Rate Support amount STA And Assistance (Inc. Respite) - 1:4 - Weekday 5 Days 2 Years - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Record additional assistance with self-care activities in a STA which meets that meets the NDIS funding criteria. Note: additional support is where a participant needs 1:1 assistance with self-care activities in addition to the STA support. For example, where the STA support is at the 1:1 support ratio and the participant needs more than one support worker for a period of time, or where the STA is not at the 1:1 rate and the participant needs 1:1 support for a period of time.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Assistance With Self-Care Activities in a STA - Weekday Evening 1:4 support 3 Hours 24 Months - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Onsite shared supports in Specialist Disability Accommodation (SDA)

Have you confirmed there’s a home and living decision recommending onsite shared supports in SDA? Yes Note: Only the home and living team can decide if the participant meets the criteria for this support.

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For information about onsite shared supports in SDA, go to article Add Record the unplanned onsite shared supports in SDA which meet the onsite shared supports in NDIS funding criteria Specialist Disability Accommodation (SDA) funding.

Support item Weeks Rate Support amount Unplanned onsite shared supports in Specialist Disability 3 - - n/a - n/a - n/a - n/a -

Other living arrangements

Does support for other forms of assistance with daily life tasks in a Yes group or shared living arrangement meet the NDIS funding criteria?

Record funding quoted for assistance in other forms of assistance with daily life tasks in a group or shared living arrangement which meet the NDIS funding criteria

Support item Quoted amount Assistance In Living Arrangements (Host Family/Alternative Family

Residential aged care Does assistance with daily life tasks provided in residential aged care Yes facility meet the NDIS funding criteria?

For information about residential aged care, go Record assistance with daily life tasks provided in residential aged to article Add funding for care facility which meets the NDIS funding criteria. Make sure you Younger People in calculate the support using the YPIRAC Fee Calculator. Residential Aged Care (YPIRAC)

Support item Amount Assistance With Daily Life Tasks Provided In Residential Aged Care

Capacity building and training in self-management and plan management

Does capacity building and training in self-management and plan Yes management meet the NDIS funding criteria?

Record support that meets the NDIS funding criteria to strengthen the participant’s ability to self-manage their supports. Note: This includes strengthening their ability to self-manage their funds and build capacity to undertake all aspects of plan administration and management.

Support item Quantity Unit Frequency How often Rate Support amount

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Capacity Building and Training in Self-Management and Plan 5 Hours 2 Years - - Management n/a - n/a - n/a -

Disability-related health supports

Do you have reports or assessments from allied health professionals about the participant’s disability-related support needs? This may include but is not limited to:

• nurse developed care plan Yes
• mealtime management plan
• hospital discharge plan
• epilepsy management plan
• diabetes management plan.

Diabetes management supports

Does support with diabetes management meet the NDIS funding Yes criteria?

Record support with diabetes management. This may include For guidance, go to assistance from a support worker to implement their diabetic diabetes management management plan or training to implement their disability-related supports diabetes management plan.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Assistance With Self-Care Activities - Standard - Weekday Night 1:5 support 2 Hours 24 Months - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Dysphagia supports

Does support with dysphagia meet the NDIS funding criteria? Yes

Record support with dysphagia. This may include:

• assistance from a support worker to implement their mealtime management plan and recommended swallowing therapy strategies For guidance, go to
• support for the participant’s support workers to attend training to dysphagia supports implement their disability-related mealtime management plan specific to their needs.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount

Assistance With Self-Care Activities - Standard - Weekday Daytime 1:5 support 2 Hours 24 Months - -

n/a - n/a -

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n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Epilepsy supports

Does support with epilepsy meet the NDIS funding criteria? Yes

Record support with epilepsy. This may include:

• assistance from a support worker to monitor seizures and implement their Epilepsy Management Plan (EMP) or Emergency Medication Management Plan (EMMP) For guidance, go to
• support workers to attend training to implement their EMP or EMMP epilepsy supports
• assistance from a support worker to implement a ketogenic diet plan
• support worker to attend training to implement their ketogenic diet plan.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Assistance With Self-Care Activities - Standard - Weekday Night 1:5 support 2 Hours 24 Months - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Nutrition supports, including meal preparation

Does support with nutrition meet the NDIS funding criteria? Yes

Record support with nutrition. This may include:

• assistance from a support worker to administer HEN and help with For guidance, go to PEG maintenance and care nutrition supports,
• support workers to attend training to implement the HEN regime including meal under delegation of care preparation
• support with the preparation and delivery of meals.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Assistance With Self-Care Activities - Standard - Weekday Night 1:5 support 2 Hours 24 Months - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

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Podiatry and foot care supports

Does support with podiatry and foot care meet the NDIS funding Yes criteria?

Record support with podiatry and foot care. This may include For guidance, go to assistance from a support worker to implement podiatry and foot care podiatry and foot care or support workers to attend training to implement their podiatry and supports foot care support specific to their needs.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Assistance With Self-Care Activities - Standard - Weekday Night 1:5 support 2 Hours 24 Months - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Respiratory supports

Does respiratory supports meet the NDIS funding criteria? Yes

Record respiratory supports. This may include assistance from a For guidance, go to support worker to maintain respiratory health and comfort or support Guide - Respiratory workers to attend training specific to their tracheostomy and other supports respiratory needs.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Assistance With Self-Care Activities - Standard - Weekday Night 1:5 support 2 Hours 24 Months - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Other disability-related health supports

Does support with other disability-related health supports meet the Yes NDIS funding criteria?

Record support with other disability-related health supports. This may include assistance from a support worker to implement disability- related support needs.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Assistance With Self-Care Activities - Standard - Weekday Night 1:5 support 2 Hours 24 Months - - n/a - n/a -

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n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Assistance with daily life summary Budget

Daily personal activities

Specialised home-based assistance for a child

Personal Domestic Activities

Household tasks

Short term accommodation (STA) and assistance, including the provision of respite care

Onsite shared supports in Specialist Disability Accommodation (SDA)

Other living arrangements

Residential aged care

Capacity building and training in self-management and plan management

Disability-related health supports

Compensation recoverable amount to be excluded from assistance with daily life

The amount for assistance with daily life is:

Next steps Continue Return to budget summary Return to budget update

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Assistance with Daily Life

For guidance about assistance with daily life for children younger than 7, go to:

• article EC: PEC - Daily Supports • article EC: PEC - Carers - Sustaining informal supports. Short term accommodation (STA) and assistance, including the provision of respite care STA, including respite, is support for when a participant needs to live out of home for a short period. STA funding can be used for respite to support the participant and their informal supports. This gives their carers a short break from their caring role. Usually we fund up to 28 days of STA per year. Note: STA must not be used to pay for a holiday. This includes holiday costs such as flights and foodRecord Short term accommodation (STA) and assistance, including the provision of respite care Related procedures or resources Our Guideline – Disability-related health supports (external) Our Guideline – Short Term Accommodation or Respite Including Specific Types of Supports in Plans Operational Guideline - Personal care supports (ex Article - Add self-care and community access supports Article - Add or update disability-related health supports and meal preparation supports Article - Add or update disability-related health supports Appendix A – Guide to core supports Article - Add funding for Younger People in Residential Aged Care (YPIRAC) Article - Add onsite shared supports in Specialist Disability Accommodation (SDA) funding. Article - Understand interim supports when there are expected changes to a home and living situ For examples of commonly requested items, refer to: Would we fund it - Household items (external) Would we fund it - Home and living supports (external)

Next steps Return to assistance with daily life

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Disability-related health supports These are only examples of some disability-related health supports, you must talk to the participant about their individual situation and support needs to determine the appropriate level of support needed.

Diabetes management supports Personal Care hours to support the participant to implement their diabetic management plan. This includes support with the administration of routine, non-complex insulin when the participant is unable to perform the tasks due to their ongoing functional impairment. As a general guide the task to administer insulin will take 15 minutes per administration and the total time needed will depend on: • the number of insulin injections for example, one to 5 times per day • the equipment used by the participant for example, to measure blood glucose levels • their functional capacity. Personal Care hours for a support worker to attend training to implement a disability-related diabetes management plan specific to the needs of the participant. As a general guide 2 hours per year per worker however this could be provided to a group of workers at the same time.

Record diabetes management supports

Dysphagia supports Personal care: • hours to support the implementation of a participant’s mealtime management plan with any recommended swallowing therapy strategies, where informal supports are unable to provide • additional hours to attend participant specific training: up to 2 hours per year per support worker • think about personal care supports needed for other areas, for example, other health-related supports morning and evening routines social participation Record dysphagia supports

Epilepsy supports Personal care hours for a support worker to: • Attend training to implement Epilepsy Management Plan or Emergency Medication Management Plan – up to 90 minutes every 2 years. • Attend training to implement a ketogenic diet plan – up to 1 hour per year initially and then reviewed when there has been a change to the diet plan. • Implement a Ketogenic diet plan, including shop and prepare meals for the participant. The frequency of support will also need to be decided depending on the participant’s capacity. Support may be needed daily or weekly at the start of a plan and decrease in frequency over time. • Monitor seizures where the level and risk of seizure are high due to the severity of the participant’s epilepsy – hours will depend on participant’s other disability support needs Note: Requests for 24/7 or 2:1 support should be referred to TAB for advice using a Technical a Record epilepsy supports

Nutrition supports, including meal preparation

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Personal care hours to: • administer HEN and help with PEG maintenance and care where a participant or their child representative is unable to independently manage due to their functional impairment. Note: It s generally expected that supports to manage HEN are a delegated task but there may be rare cases where a nurse is recommended. Requests for more than 3 hours per day for registered nurse direct care for PEG or HEN maintenance need to be referred to the technical advisory branch for internal advice• attend individualised training conducted by a nurse to implement the HEN regime under delegation of care – up to 3 hours, 2 to 3 times a year. The frequency will depend on the participant’s individual circumstances and needs. Note: Hours will vary depending on the participant’s other disability related support needs.

Meal preparation As a guide, costing for meal preparation should be based upon personal care hours for a support worker to plan, shop and prepare meals with the participant. For example: • 1 meal a day: up to 3 hours per week • 2 meals a day: up to 4 hours per week • 3 meals a day: up to 5 hours per week

This should be sufficient time for support workers to help a participant order food, prepare and store enough meals for the week. If meal preparation is specified in the plan, participants can use this support flexibly to instead have meals prepared and delivered for a period of time. It does not include the cost of food and ingredients. Record nurtition supports, including meal preparation

Podiatry and foot care supports Personal care hours – As a general guide 15 minutes per day on top of the participant’s normal d Training in the specific needs of the participant – 1 hour per support worker. Record podiatry and foot care supports

Related procedures or resources Our Guidelines - Disability-related health supports (external) Our Guideline - Disability-related health supports (external) Our Guideline - Continence supports (external) Our Guideline - Diabetes management supports (external) Our Guideline - Epilepsy supports (external) Our Guideline - Nutrition supports including meal preparation (external) Our Guideline - Podiatry and foot care supports (external) Our Guideline - Wound and pressure care (external) Our Guideline - Dysphagia supports (external) Article - Add or update disability-related health supports and meal preparation supports Article - Add or update disability-related health supports Appendix A – Guide to core supports

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For examples of commonly requested items, refer to: Would we fund it - Home enteral nutrition (external) Would we fund it - Food and meal preparation (external) Would we fund it - Consumables

Next steps Return to assistance with daily life

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Assistance with Social, Economic and Community Participation Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for assistance with social, economic and community $0 participation

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Group and centre based activities

Does social and community activities delivered in group and centre- Yes based settings meet the NDIS funding criteria?

For guidance, go to Record social and community activities delivered in group and Assistance with social centre-based settings which meet the NDIS funding criteria. and community participation

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Group Activities - Standard - Weekday Daytime 1:1 individual support 3 Hours 24 Months - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Assistance to access community, social and re

Does support to participate in social and community activities meet Yes the NDIS funding criteria?

For guidance, go to Record community, social and civic activities which meet the NDIS Assistance with social funding criteria. and community participation

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Access Community Social and Rec Activ - Standard - Weekday 1:4 support 3 Hours 24 Months - - Evening n/a - n/a - n/a - n/a -

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n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Support in the workplace to maintain employment in open employment or self employment

Does support in the workplace to maintain employment meet the NDIS funding criteria? This may include support to perform work tasks, prompting and coaching to stay on track, communicating with others, or managing behaviours. Hours of support will vary Yes depending on the participant’s need. It’s unlikely they will need assistance for every hour they work. Note: This doesn’t include support in a supported employment service(ADE).

Record supports in the workplace which meet the NDIS funding For guidance, go to criteria. supports in employment.

Support item Quantity Unit Frequency How often Rate Support amount Supports in Employment - Weekday Daytime 2 Hours 24 Months - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Employment support in a supported employment service (ADE) Does employment support in an Australian Disability Enterprise (ADE) meet the NDIS funding criteria? This may include on-the-job support with training and or skills development, support with daily Yes work tasks and supports to manage disability-related behaviour or complex needs.

Record employment support in a supported employment service which meets the NDIS funding criteria. For guidance, go to Note: Generally, there’s an average staff to participant ratio of 1:3 employment support in a for every hour worked. You should use a 1:3 ratio as a guide for supported employment most participants. The 1:3 ratio should provide enough funding to service. cover the changes of support. This includes the different level and frequency of support across a workday and week.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Supports in Employment - Weekday Daytime 1:3 support 3 Hours 24 Months - - n/a - n/a -

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n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Assistance with social, economic and community participation Budget summary

Group and centre based activities $0.00

Assistance to access community, social and recreational activities $0.00

Support in the workplace to maintain employment in open $0.00 employment or self employment

Employment support in a supported employment service (ADE) $0.00

Compensation recoverable amount to be excluded from assistance $0.00 with social, economic and community participation

The amount for assistance with social, economic and $0.00 community participation summary is:

Next steps Continue Back Return to budget summary Return to budget update

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Assistance with social and community participation

Participation in community and social activities Assistance to access community, social and recreational activities, including: • Maximum of 3 hours per week in addition to full time day program attendance. • Maximum of 6 hours per week where the participant undertakes part time or no employment or day program. • Additional 4 hours for providers to document process and expected outcomes Note: Check the ratio of support with Social, Economic and Community Participation against the ratio in, for example, the SIL decision. Think about the participant’s current situation as it may have changed since the home and living team made their decision. This includes evidence about the participant’s current support needs and opportunities to share supports.

Return to group and centre based activities Return to community, social and civic activities

Related procedures or resources Our Guideline – Social and recreation supports (external) Article - Add self-care and community access supports

Next steps Return to assistance with social and community participation

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Consumables

Return to budget summary If a question you want to answer is N/A or a cell you want to access is black, check you have:

• confirmed the support meets the NDIS funding criteria Record participant’s details
• answered all the questions when recording participant details
• recorded the annual draft PACE budget. Return to the budget update

Budget for consumables $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Continence related equipment

Does continence related equipment meet the NDIS funding criteria? Yes

For guidance and to understand updates to Pricing Arrangements and Record continence related equipment which meets the NDIS funding criteria. Price Limits for continence supports, go to Continence related equipment

Support item Quantity Unit Frequency How often Rate Support amount Adult Absorbent Pull Up Or Brief 3/Day - Annual Supply 1 Years 2 Years - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Equipment for eating and drinking

Does equipment for eating and drinking meet the NDIS funding criteria? Yes

For guidance, go to Record equipment for eating and drinking which meets the NDIS funding Equipment for eating and criteria. drinking

Support item Quantity Unit Frequency How often Rate Support amount HEN - pump plus accessory - syringe feed 1 Years 2 Years - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

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Wound and pressure care

Does wound and pressure care meet the NDIS funding criteria? Yes

For guidance, go to Wound Record wound and pressure care which meet the NDIS funding criteria. and pressure care

Support item Amount How much funding for wound and pressure care meets the NDIS funding criteria?

Disability-related interpreting and translation

Does disability-related interpreting and translation meet the NDIS funding Yes criteria?

For guidance, go to Disability- Record disability-related interpreting and translation which meet the NDIS related interpreting and funding criteria. translation

Support item Quantity Unit Frequency How often Rate Support amount Telephone Or Video Interpreting Hours 24 Months - - n/a - n/a - n/a - n/a -

Auslan tutoring or Auslan in the home

Does Auslan tutoring or Auslan in the home meet the NDIS funding criteria? Yes

Record Auslan tutoring or Auslan in the home which meet the NDIS funding criteria.

Support item Quantity Unit Frequency How often Rate Support amount Auslan Or Signed English Training Hours 24 Months - - n/a - n/a - n/a - n/a -

Low cost assistive technology (AT)

Does Low cost AT meet the NDIS funding criteria? Yes

For guidance, go to Low cost Record low cost AT which meets the NDIS funding criteria. AT

Support item Amount Units Low Cost AT - Prosthetics And Orthotics Each

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Consumables summary Budget

Continence related equipment -

Equipment for eating and drinking -

Wound and pressure care -

Disability-related interpreting and translation -

Auslan tutoring or Auslan in the home -

Low cost assistive technology (AT) -

Compensation recoverable amount to be excluded from consumables -

The amount for consumables is: -

Next steps Continue Back Return to budget summary Return to budget update

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Consumables

For guidance about consumables for children younger than 7, go to article EC: PEC - Core - Equipment and Consumables

Continence related equipment

Continence needs should be reassessed at least every 3 years, or where there have been adverse medical events. Such as urinary tract infections, to ensure the appropriate continence solutions are being used.

For guidance and recommended amounts for consumables, refer to assistive technology explained (external).

Updates to Pricing Arrangements and Price Limits for continence supports From 1 July 2024, there are 10 new codes for claiming continence products. The NDIA is reducing the number of codes to claim for continence products from 27 down to 10, making it easier to understand and match how products are used. To allow time to transition, the legacy 27 continence line items will remain active to claim against until 1 October 2024.

Planner practice does not change. Where staff are building plans, please continue to use continence supports in the Plan Conversation Support Tool (PCST).

For more information, read talking points for 2023-24 Annual pricing review and pricing changes - 27 June 2024 Record continence related equipment

Equipment for eating and drinking

Provision of percutaneous endoscopic gastrostomy (PEG) and home enteral nutrition (HEN) is guided by an assessment by a suitably qualified assessor.

For any PEG and HEN equipment and consumables not listed within this tool, think about these supports as part of low-cost AT.

Record equipment for eating and drinking

Disability-related interpreting and translation We fund interpreting for essential communication needs. When making a reasonable and necessary decision, you must think about each participant’s individual circumstances. There are mainstream services that provide interpreting, as well as consideration to the Disability discrimination Act. The Australian Human Rights Commission states those who plan events, including meetings, festivals, conferences, lectures, and fundraisers need to take all reasonable steps to make sure that the event is accessible so that people with disability can attend and participate. Refer to, Australian Human Rights Commission, Access for all: improving accessibility for consumers with disability

Record disability-related interpreting and translation

Low cost AT Low cost AT may include: • Basic domestic AT • Basic transfer equipment • Basic seating • Communication • Continence • Daily living solutions • Mobility • Prosthetics and orthotics • Simple bathing and toileting • Vision, including assistance dog ongoing costs.

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Provision of disability-related health equipment is guided by an assessment by a suitably qualified assessor. This support may include nutrition, dysphagia support, wound and pressure care, and podiatry and foot care.

For guidance and recommended amounts of low cost AT, refer to Low, mid and high cost AT (external).

Hearing related low cost AT For guidance about hearing related low cost AT for children younger than 7, go to EC: Guide - Supporting children younger than 7 who are deaf or hard of hearing (including under the priority hearing stream)

We will fund the co-payment towards the Hearing Services Program annual maintenance fee and the administration fee for replacement of lost or damaged beyond repair device. Include at least $100.00 per year for hearing related AT to cover the cost of this support. The annual maintenance fee for repairs and replacing a lost or damaged device includes: • batteries • repairs • spare parts • replacing a lost or damaged device.

Low cost AT is not covered by the Hearing Services Program. You must think about low cost AT support needs for the participant.

For example: • Smoke alarm alerting system • Door chime altering system • Baby cry alerting system • TV listening device • Music devices • Personal amplifier • Remote control for hearing device • Adapted landline telephone • Mini mic.

Nutrition HEN formula. Up to $23.66 per day can be included at the budget level for full or partial HEN feeds if not covered by the Pharmaceutical Benefits Scheme.

Note: If the participant asks for more than $23.66 per day for HEN formula, create a technical advice case for further guidance.

Dysphagia Up to $1,500 per item for dysphagia. Such as adaptive cutlery, plate guards or sticky mats.

Thickeners for participant who have a full oral feeding diet: slightly thick fluids $360, mildly thick fluids $700, moderately thick fluids $1400 and extremely thick fluids $2100

Thickeners for participants who have a combination of oral and HEN feeding: Up to $23.66 per day for HEN. Create a technical advice case to understand the amount of funding for thickeners.

Calculations have been determined using Thicken-up Clear ® 900 gram tin Brightsky thickeners (external).

Podiatry and foot care. Up to $1,500 per item for podiatry and foot supports. Such as orthotics and wearable technology.

Wound and pressure care Up to $1,500 per item for wound and pressure care. Such as pressure care garments and supports. Delivery and repair of disability-related health equipment and consumables can all be included using low-cost AT.

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Think about the following amounts when including consumable related to wound prevention and management: • Wound Prevention kit for participants at risk of pressure injury - $1000 per year. • Additional $1000 per year where management of 3-4 simple wounds per year required – (dressings for wound care 2-3 days for each wound for 2-6wks) - $2000 total per year. • Additional $2500 per year above the prevention kit funding where management of ongoing chronic wound care required, $3,500 total per year.

Note: Any additional funds will be quotable following assessment by Clinical Nurse Consultants (CNCs). Record wound and pressure care Record low cost AT, including disability-related health equipment

Related procedures or resources Our Guideline - Disability-related health supports (external) Our Guideline - Disability-related health supports (external) Our Guideline - Continence supports (external) Our Guideline - Diabetes management supports (external) Our Guideline - Epilepsy supports (external) Our Guideline - Nutrition supports including meal preparation (external) Our Guideline - Podiatry and foot care supports (external) Our Guideline - Wound and pressure care (external) Our Guideline - Dysphagia supports (external) Assistive technology explained (external) Low, mid and high cost AT (external) Article - Add or update disability-related health supports Appendix A – Guide to core supports For examples of commonly requested items, refer to: Would we fund it - Home enteral nutrition (external) Would we fund it - Food and meal preparation (external) Would we fund it - Smoke alarms (external). Would we fund it - Consumables

Next steps Return to consumables

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Transport supports

Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s

• confirmed the support meets the NDIS funding criteria details
• answered all the questions when recording participant details
• recorded the annual draft PACE budget. Return to the budget update l

Budget for Core transport $0

Budget for Recurring transport $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

General transport

Does transport meet the NDIS funding criteria? Yes

For information about Record transport supports which meet the NDIS funding criteria transport, go to transport supports

Support item Amount

How much funding for transport meets the NDIS funding criteria?

What type of transport meets the NDIS funding criteria? Note: If recurring transport meets the NDIS funding criteria, Core transport supports make sure you record the participant’s bank details.

Specialised transport

Does specialised transport meet the NDIS funding criteria? Yes

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Record transport supports which meet the NDIS funding criteria

Support item Amount

How much funding quoted for specialised transport meets the NDIS funding criteria?

Transport support summary Budget

General transport -

Specialised transport -

Compensation recoverable amount to be excluded from

transport

Compensation recoverable amount to be excluded from

recurring transport

The amount for transport supports is: -

Next steps Continue Back Return to budget summary Return to budget update

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Transport support

Levels of transport assistance

Level 1: the NDIS will provide up to $1,784 per year for participants who are not working, studying or attending day programs but are seeking to enhance their community access.

Level 2: the NDIS will provide up to $2,676 per year for participants who are currently working or studying part-time (up to 15 hours per week), participating in day programs and for other social, recreational, or leisure activities. Level 3: the NDIS will provide up to $3,456 per year for participants who are currently working, looking for work, or studying, at least 15 hours per week, and are unable to use public transport because of their disability. Recurring transport We pay recurring transport supports on a regular basis to the participant’s nominated bank account Record transport supports

Related procedures or resources Article - Understand transport supports Including Specific Types of Supports in Plans Operational Guideline - Transport

Next steps Return to transport supports

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Home and Living

Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update l

Budget for home and living supports $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Supported independent living (SIL)

Does supported independent living meet the NDIS funding Yes criteria?

You should only include SIL if there is a Home and Living For guidance, go to SIL decision.

Note: For guidance about • Make sure you complete the plan duration when you record interim home and living participant details. This will help generate the support amount supports, go to article against the years in the plan. Understand interim • Only include funding for SIL in the Home and Living category supports when there are if the participant is currently living in SIL. If the participant is expected changes to a waiting to move into their long-term home or if there’s an home and living upcoming change to their home and living situation, make sure situation. you include support in the right category.

Support item Annual Amount Support amount

What is the annual amount for SIL? -

Medium term accommodation (MTA)

Does medium term accommodation meet the NDIS funding Yes criteria?

Record MTA supports which meets the NDIS funding criteria. For guidance, go to MTA

Support item Quantity Unit Frequency How often Rate Support amount Medium Term Accommodation 5 Days 2 Years - - n/a - n/a - n/a - n/a -

Individualised living options (ILO)

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Does individualised living options meet the NDIS funding Yes criteria?

Record stage 1 ILO supports which meet the NDIS funding For guidance, go to ILO criteria.

Support item Quantity Unit Frequency How often Rate Support amount Individualised Living Options - Exploration and Design 5 Hours 2 Years - - n/a - n/a - n/a - n/a -

Record funding quoted for stage 2 ILO supports which meet the NDIS funding criteria

Support item Quoted amount Individualised Living Options - Support Model

Home and living support summary Budget

Supported independent living (SIL) -

Medium term accommodation (MTA) -

Individualised living options (ILO)

Compensation recoverable amount to be excluded from home

and living supports

The amount for home and living support is:

Next steps Continue Back Return to budget summary Return to budget update

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Home and living

Supported intependent living (SIL) You should only include SIL if there is a Home and Living decision.

If there are no changes to the participant’s SIL supports, use the SIL Calculator in PANDA to calculate the correct SIL supports. The calculator has the correct pricing increase built in from July 2020 as well as public holidays for each State and Territory.

If there are changes to the participant’s SIL, refer to Home and Living Operations. Record SIL

Medium term accommodation (MTA) Medium term accommodation isn’t a standalone support. We only include it in a plan as part of other home and living support needs. We generally fund medium term accommodation for up to 90 days. If the participant needs MTA for more than 90 days, this must be endorsed by an EL2 delegate.

Record MTA

Individualised living options (ILO) ILO is funded in two stages, stage 1 and stage 2.

Stage 1

Exploration and design – is focused on learning about the participant’s home and living aspirations based on their preferences and needs. In partnership with the participant, their family, friends and other support networks, the provider and participant work together to discover where the participant wants to live, who with, what supports they need, and how the ILO package is best set up. Exploration and Design is a critical step in developing the right ILO package for a participant and ensuring the right level of funding is available.

These examples provide a guide to hours we may fund for ILO.

Up to 30 hours if the participant: • already knows what help they’ll need • wants to move to a home not too far from where they live now • can make their own decisions, or have other people who help make decisions.

Up to 50 hours if the participant: • isn’t sure what help they’ll need • wants to move to a home in a different area, for example if they want to move to another town or suburb outside their local area • need some help coming to an agreed decision and there are other people involved in decision-making. Up to 100 hours if the participant: • needs to work out what help they’ll need in many areas across their life • wants to move to a home in a different type of area, for example if they want to move from a city to a smaller town • have a lot of people involved in decision making who might have different views. Stage 2 Supports – involves putting the approved ILO package of primary, supplementary, formal and informal supports in place, including finding and implementing the supports the participant needs to live the way they want. Stage 2 also involves ongoing monitoring and adjustment of the ILO package as the participants needs change.

Stage 2 is subject to quotation. It should only be used if it is a stated item in a plan. Record ILO

Related procedures or resources Our Guidelines - Home and living supports (external)

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Article Add supported independent living (SIL) funding Article Add medium term accommodation (MTA) funding Article Add Individualised Living Options (ILO) Stage 1: Exploration and Design funding Article Add Individualised Living Options (ILO) Stage 2: Supports funding For more information, refer to the Home and Living intranet page. For examples of commonly requested items, refer to Would we fund it - Home and living supports (external).

Next steps Return to home and living

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Specialist disability accommodation (SDA)

Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for specialist disability accommodation $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

SDA

Does specialist disability accommodation meet the NDIS Yes funding criteria?

You should only include SDA if there’s a Home and Living decision.

If the participant is eligible for SDA but hasn’t enrolled in or not yet living in one, you’ll need to record a $1 annual amount. For guidance, go to Select the guidance hyperlink and select the link to article Add specialist disability specialist disability accommodation (SDA) funding. accommodation (SDA)

Note: You’ll need to complete the plan duration when you record participant’s details. This will help generate the support amount against the years in the plan. T l i h Support item Annual Amount Support amount

What is the annual amount for SDA? -

Specialist disability accommodation summary Budget

SDA -

Compensation recoverable amount to be excluded from

specialist disability accommodation

The amount for specialist disability accommodation is: -

Next steps Continue Back Return to budget summary Return to budget update

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Specialist disability accommodation (SDA)

SDA You should only include SDA if there is a Home and Living decision.

If there are no changes to the participant’s SDA support needs, confirm the SDA amount recorded in the Home and Living decision.

If the participant’s SDA amount recorded in the Home and Living decision is not the same as the enrolled dwelling amount, you will need to use the lesser of the two amounts.

Record SDA

Related procedures or resources Our Guidelines - Home and living supports (external) Knowledge Article - Add specialist disability accommodation (SDA) funding For more information, refer to the Home and Living intranet page.

Next steps Return to SDA

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Improved Daily Living Skills

Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for improved daily living skills $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Therapy supports

Does funding for therapy supports meet the NDIS funding Yes criteria?

For guidance, go to Record therapy supports which meet the NDIS funding criteria. therapy support

Support item Quantity Unit Frequency How often Rate Support amount Early Childhood Supports - Physiotherapist 24 Months - - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Disability-related health therapy supports

Does funding for disability-related health therapy supports meet Yes the NDIS funding criteria?

Record disability-related health therapy supports which meet the NDIS funding criteria. This includes therapy supports the For guidance, go to participant needs to respond to their disability-related health disability-related health support needs. This does not include nursing care or care that is therapy supports the usual responsibility of the health system.

Support item Quantity Unit Frequency How often Rate Support amount Assessment Recommendation Therapy or Training - EC - 24 Months - - Dietitian n/a - n/a - n/a - n/a - n/a - n/a - n/a -

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n/a - n/a -

Multidisciplinary team supports

Does funding for multidisciplinary team supports meet the NDIS Yes funding criteria?

Record funding for a coordinated multidisciplinary approach which meets the NDIS funding criteria.

Support item Quantity Unit Frequency How often Rate Support amount Multidisciplinary Team 1 Each 1 Months - - n/a - n/a - n/a - n/a -

Delivery of disability-related health supports from a nurse Does funding for delivery of disability-related health supports Yes from a nurse meet the NDIS funding criteria?

For guidance, go to Record nursing care the participant needs to respond to their delivery of disability- disability-related health support needs. This does not include related health supports nursing care that is the usual responsibility of the health system. from a nurse

Delivery of disability-related health supports from an enrolled nurse Support item Quantity Unit Frequency How often Rate Support amount Delivery of Health Supports by an Enrolled Nurse - Weekday Hours 24 Months - - Daytime n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Delivery of disability-related health supports from a registered nurse Support item Quantity Unit Frequency How often Rate Support amount

Delivery of Health Supports by a Registered Nurse - Saturday Hours 24 Months - -

n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Delivery of disability-related health supports from a clinical nurse Support item Quantity Unit Frequency How often Rate Support amount Delivery of Health Supports by a Clinical Nurse - Weekday Hours 24 Months - - Evening n/a - n/a - n/a - n/a -

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n/a - n/a - n/a - n/a - n/a -

Delivery of disability-related health supports from a clinical nurse consultant Support item Quantity Unit Frequency How often Rate Support amount Delivery of Health Supports by a Clinical Nurse Consultant - Hours 24 Months - - Public Holiday n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Delivery of disability-related health supports from a nurse practitioner Support item Quantity Unit Frequency How often Rate Support amount Delivery of Health Supports by a Nurse Practitioner - Weekday Hours 24 Months - - Daytime n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Training for delegated disability-related health support Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Delivery of Health Supports by a Registered Nurse - Weekday 1:1 individual support Hours 24 Months - - Daytime n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a - n/a -

Community engagement assistance

Does community engagement assistance meet the NDIS Yes funding criteria?

Record community engagement support which meet the NDIS funding criteria. This includes support to empower the participant to:

• improve interactions with their social networks
• assist them through a group approach to engage in the community
• gain insight into their lives
• make informed decisions.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Community Engagement Assistance 1:3 support Hours 24 Months - - n/a -

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n/a - n/a - n/a -

Specialist driver training support

Does specialist driver training support meet the NDIS funding Yes criteria?

For guidance, go to Record specialist driving lessons from a specialist driver trained specialist driver training occupational therapist which meets the NDIS funding criteria. support

Support item Amount Specialised Driver Training

Other support

Does funding for other capacity building support meet the NDIS Yes funding criteria?

Record funding for other capacity building supports which meet the NDIS funding criteria.

Support item Quantity Unit Frequency How often Rate Support amount Training For Carers/Parents Hours 1 Once-off (per plan) - - n/a - n/a - n/a - n/a -

Hearing support

Does funding for hearing support meet the NDIS funding Yes criteria?

Have you confirmed the participant isn’t eligible for the Hearing Yes Services Program (HSP)?

Make sure you understand how to add hearing supports in Learn about the HSP in PACE. Guide - Hearing supports

For guidance, go to Record hearing supports which meet the NDIS funding criteria. hearing support

Support item Quantity Unit Frequency How often Rate Support amount Provision of Hearing Services by an Audiologist Hours 24 Months - - n/a - n/a - n/a - n/a -

Improved Daily Living Skills summary Budget

Therapy supports -

Disability-related health therapy supports -

Multidisciplinary team supports -

Delivery of disability-related health supports from a nurse -

Community engagement assistance -

Specialist driver training support -

Other support -

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Hearing support -

Compensation recoverable amount to be excluded from

improved daily living skills

The amount for improved daily living skills is: -

Next steps Continue Back Return to budget summary Return to budget update

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Improved Daily Living Skills

These examples outline the broad type of support and the estimated hours for each of the relevant support categories to include in the participant plan. These are only examples, you must talk to the participant about their individual circumstances and support needs to determine the appropriate level of support needed.

For guidance about improved daily living skills for children younger than 7, go to article EC: PEC - Capacity Building – Early childhood supports overview

Therapy support If the participant needs assessment of their assistive technology needs, you need to include at least $500.00, or $700.00 for participant’s living in remote or very remote areas.

For guidance about Therapy support for participants older than 7, go to: • Guide - Therapy supports • Guide - Therapy supports Appendix A • Guide - Therapy supports Appendix B Return to therapy supports Disability-related health therapy supports Dysphagia

Delivery of health supports by a speech pathologist including: • 3-5 hours per location for assessment of mealtime management plan • 2 hours for development of plan and report • 2 hours for reassessment of plan, including update of plan • usually included as part of the mealtime management plan, swallowing therapy intervention • 1-2 hours, twice a year in each environmental setting for speech pathology training of support workers, including family, carers and informal supports.

Podiatry and foot care Podiatrist hours including: • 2 hours podiatry assessment • 1 hour to prepare a podiatry care plan • 1-3 hours per year to conduct a reassessment • If the participant needs subsequent plans; 2 hours to conduct the assessment, and an additional 1 hour to prepare the podiatry care plan • 1 hour per support worker to train support workers in the individual needs of the participant • 20 – 60 minutes per visit, every 6-8 weeks for cutting toenails and other foot care.

Note: Where the complex health and disability care needs of the participant exceed the skill set of a trained support worker, podiatrist hours may be included to implement the podiatry care plan.

Record disability-related health therapy supports Delivery of disability-related health supports from a nurse

Nutrition support Think about nursing consultation to develop a PEG maintenance care plan, which informs the daily management and care of the PEG and surrounding tissue and the HEN regime by the instructing dietitian.

Wound and pressure care

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Think about composite nursing hours for specific pressure care and wound management assessment and plan; • 2 hours for initial consultation and assessment • 1-2 hours development of the plan • 3-7 hours per week ongoing clinical intervention support as identified by assessment. Think about this support at the RN rate if support is provided by a nurse. • If delegated by the RN, 1 hour per support worker for training and assessment of support workers to deliver the delegated support based on the participant’s care plan. • 1 hour for reassessment.

Continence supports Continence supports are typically funded for children 5 years of age or older. In rare situations we may include funding for continence supports for children younger than 5 for disability-related medical conditions. Continence assessment plans and reviews from a continence nurse (CNC level nurse) which includes identification of continence consumable and AT support needs. • 5 hours per year for participants with changing needs. • 3 hours per year for children between 5 and 7 years of age. • 2 hours per year for participants with stable needs. • 1 hour for reviews. Nursing hours for catheter changes for suprapubic and indwelling catheters, estimated at 30mins to 1 hour per change every 4-8 weeks suprapubic and 1-3 months for indwelling catheters. This will be guided by participant experience and continence assessment.

Diabetes If the participant needs support from someone who is more skilled than a trained support worker with medication competencies, registered nurse hours may be included. The registered nurse will assess blood glucose levels and administer insulin until evidence about the complex disability support needs are provided.

As a general guide the task to administer insulin will take 15 minutes per administration and the total time will depend on: • the number of insulin injections for example, one to 5 times per day • the equipment used by the participant for example, to measure blood glucose levels • their functional capacity.

Note: You must contact TAB for advice if registered nurse supports are requested for direct management of diabetes when there is evidence that the diabetes is stable

Registered nurse hours Use the table below to guide you on the amount of registered nurse support to include in the participant’s plan to develop and implement a registered nurse Delegation of Care plan.

Task Low Level Intermediate level High level

Health assessment 6 hours per year 6 hours per year 12 hours per year Preparation, initial assessment, reassessment and reporting on health assessment

Environmental Assessment 1 hour per year 4 hours per year 4 hours per year

Care plan 4 hours per year 4 hours per year 7.5 hours per year Developing new care plans, a variation or an update to a care plan

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Supervision of staff delivering tasks delegated by registered nurse Direct and indirect These hours have been calculated based on the estimated weekly need for indirect support by a registered nurse: 52-104 hours per 12 hours per year 24 hours per year • Low: 1 hour per month year • Intermediate: 2 hours per month • High: 1-2 hours per week.

Record delivery of disability-related health supports from a nurse

Training for delegated disability-related health support Includes training and assessment in tasks to ensure competency. Training may be suitably undertaken in small groups or individually between the Registered Nurse and Support Workers.

Low level: 2 skill areas delivered to 2-4 support staff: 3 hours per year Intermediate level: 3 skill areas delivered to 2-4 support staff: Up to 10 hours per year High level: 4 skill areas delivered to 2-4 support staff: 17 hours per year 4 skill areas delivered to 5+ support staff: 34 hours per year 5 skill areas delivered to 2-4 support staff: 25 hours per year 5 skill areas delivered to 5+ support staff: 50 hours per year 6 skill areas delivered to 2-4 support staff: 33 hours per year 6 skill areas delivered to 5+ support staff: 66 hours per year 7 skill areas delivered to 2-4 support staff: 41 hours per year 7 skill areas delivered to 5+ support staff: 82 hours per year 8 skill areas delivered to 2-4 support staff: 49 hours per year 8 skill areas delivered to 5+ support staff: 98 hours per year Record training for delegated disability-related health support

Specialist driver training support Generally, we think about specialist driver training support in response to an assessment by a specialist Driver Trained Occupational Therapist.

Record specialist driver training support

Hearing support For guidance about hearing support for children younger than 7, go to EC: Guide - Supporting children younger than 7 who are deaf or hard of hearing (including under the priority hearing stream)

Include hearing support if the participant isn’t eligible for the Hearing Services Program (HSP) and is accessing hearing supports through the NDIS.

A participant who has a profound hearing loss and or implantable devices does not generally need more clinical time than participants eligible for standard hearing services. However, participants with additional communication needs may need substantially more clinical time in order to provide appropriate assessment and training in device management and communication strategies.

There are three categories for NDIS Hearing Services:

Standard Hearing Services: Recommended for the delivery of audiometry and audiological services that are not covered by Hearing Services Program. Proposed capacity building is 18.5 hours.

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Specialised Hearing Services group A: Recommended for the delivery of specialist audiological services for participants with deemed to have a profound hearing loss and or an implantable device. Proposed capacity building is 18 hours.

Specialised Hearing Services group B: Recommended for the delivery of specialist audiological services for participants deemed to have a profound hearing loss and or an implantable device with additional communication needs. Proposed capacity building is 25.5 hours.

Record hearing support

Related procedures or resources Our Guidelines - Disability-related health supports (external) Our Guideline - Disability-related health supports (external) Our Guideline - Continence supports (external) Our Guideline - Diabetes management supports (external) Our Guideline - Epilepsy supports (external) Our Guideline - Nutrition supports including meal preparation (external) Our Guideline - Podiatry and foot care supports (external) Our Guideline - Wound and pressure care (external) Our Guideline - Dysphagia supports (external) Assistive technology explained (external) Low, mid and high cost AT (external) For examples of commonly requested items, refer to: Would we fund it - Home enteral nutrition (external) Would we fund it - Food and meal preparation (external) Would we fund it - Consumables

Next steps Return to improved daily living skills

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Behaviour Support

Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for behaviour support $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Behaviour support

Does behaviour support meet the NDIS funding criteria? Yes

Record behaviour support which meets the NDIS funding For guidance, go to criteria. behaviour supports

Support item Quantity Unit Frequency How often Rate Support amount Specialist Behavioural Intervention Support 3 Hours 48 Fortnights - - n/a - n/a - n/a - n/a -

Behaviour support summary Budget

Behaviour support -

Compensation recoverable amount to be excluded from

behaviour support

The amount for behaviour support is: -

Next steps Continue Back Record relationship support Return to budget summary Return to budget update

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Relationships

Return to budget summary If a question you want to answer is N/A or a cell you want to access is black, check you have:

• confirmed the support meets the NDIS funding criteria Record participant’s details
• answered all the questions when recording participant details
• recorded the annual draft PACE budget. Return to the budget update

Budget for relationships $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Relationship supports

Does support with relationships meet the NDIS funding Yes criteria?

Record relationship supports which meet the NDIS funding criteria for participants who are also funded for Behaviour Support. For guidance about relationship supports, go to This includes individual skill development for the participant to behaviour supports develop their social skills for participation in community and social activities relating to behaviours of concern.

Support item Quantity Unit Frequency How often Rate Support amount Individual Social Skills Development 2 Hours 12 Months - - n/a - n/a - n/a - n/a -

Relationships summary Budget

Relationship supports -

Compensation recoverable amount to be excluded from

relationships

The amount for relationships is: -

Next steps Continue Back Return to behaviour support Return to budget summary Return to budget update

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Behaviour support

For guidance about behaviour support for children younger than 7, go to article EC: PEC - Capacity Building - Regulated restrictive practices

There are two levels of behaviour support provided as a guide for internal use only. The hours suggested are for a plan of 12 months in duration. You must think about the participant’s individual situation and supporting information to determine what plan duration and supports will meet their needs.

Note: If the participant has significant behaviours of concern, it’s unlikely the plan will be more than 12 months. This is because of the need to monitor the situation and review outcomes.

Level 1:

Level 1 funding may be appropriate for participants who need intervention due to significant behavioural complexities that are impacting on the ability of the participants informal supports to sustain care at home and assist the participant to safely engage in activities.

Specialist behavioural intervention support: Most level 1 plans should not exceed 45 hours (approx. 3-4 hours per month)

Training in behaviour management strategies: Most level 1 plans should not exceed 20 hours (1-2 hours per month)

Level 2:

Level 2 funding may be appropriate for participants that need immediate intensive behavioural intervention support and are streamed Super Intensive or Complex. In the majority of circumstances, level 2 funding is not appropriate for children aged seven and under.

Specialist behavioural intervention support: Most level 2 plans should not exceed 90 hours (7-8 hours per month)

Training in behaviour management strategies: Most level 2 plans should not exceed 30 hours (2-3 hours per month)

Individual social skill development: Most level 2 plans should not exceed 40 hours (3-4 hours per month).

Note: Consider if Relationship supports for individual social skill development relating to behaviours of concern meets the NDIS funding criteria. Alternatively, If you haven’t funded Behaviour supports and individual social skill development meets the NDIS funding criteria, please fund under Development of daily living and life skill in support category Increased Social and Community Participation.

Record behaviour support Record relationships

Related procedures or resources Article Guide - Behaviour support Article Add or update behaviour support in a plan approval case

Next steps Return to behaviour support

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Improved Life Choices Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for improved life choices $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Plan management

Does plan management meet the NDIS funding criteria? Yes

Record plan management supports which meet the NDIS For guidance, refer to funding criteria. choice and control

Support item Quantity Unit Frequency How often Rate Support amount Plan Management - Set Up Costs 1 Each 1 Once-off (per plan) - - Plan Management - Monthly Fee 1 Months 12 Months - - n/a - n/a - n/a -

Improved life choices summary Budget

Plan management -

Compensation recoverable amount to be excluded from

improved life choices

The amount for improved life choices is: $0.00

Next steps Continue Back Return to budget summary Return to budget update

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Choice and control

Plan management Set Up Costs: A one-off fee per plan for setting up the financial management arrangements. Monthly Fee: A monthly fee for the ongoing maintenance of the financial management arrangements. Record plan managmenet

Related procedures or resources Article Make fund management decision

Next steps Return to plan management

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Health and wellbeing Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for health and wellbeing $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Physical wellbeing activities

Does support with physical wellbeing activities meet the NDIS Yes funding criteria?

Record physical wellbeing activities which meet the NDIS funding criteria. This may include exercise physiology or personal training to help the participant maintain or increase physical mobility.

Support item Quantity Unit Frequency How often Rate Support amount Advice provided by an Exercise Physiologist regarding exercise 5 Hours 2 Years - - required n/a - n/a - n/a - n/a -

Dietetics

Does dietitian support to provide advice on managing health Yes and wellbeing meet the NDIS funding criteria?

Record dietitian support which meet the NDIS funding criteria. This may include:

• support to help you follow a meal plan For guidance, go to
• recommendation of products to help you eat safely health and wellbeing
• assessment, review or recommendation of HEN and PEG equipment.

Support item Quantity Unit Frequency How often Rate Support amount Advice provided by a Dietitian on managing diet for health and 5 Hours 2 Years - - well-being n/a -

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n/a - n/a - n/a -

Health and wellbeing summary Budget

Physical wellbeing activities -

Dietetics -

Compensation recoverable amount to be excluded from health

and wellbeing

The amount for health and wellbeing supports is: -

Next steps Continue Back Return to budget summary Return to budget update

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Health and wellbeing For guidance about health and wellbeing supports for children younger than 7, go to article EC: PEC - Capacity Building - Health and Wellbeing

Dietetics Dietician hours for standard nutrition plan Initial consultation, assessment and report 2 hours Development of the plan: 1-2 hours Re-assessment: 2 hours

Training 2-3 family members or support workers specific to the participant’s individual nutritional needs - 1-2 hours of training once a year (more frequently if the nutritional plan is updated).

Dietitian hours for complex nutrition plan for example, HEN feeding plan Initial consultation and assessment 2-3 hours Report and development of the plan: 2-5 hours 2 hours for fully HEN fed, stable nutritional status and constant feeding regime.

5 hours for a combination of HEN and oral feeding, unstable or declining nutritional status and changes to the feeding regime in terms of formula type and pattern.

Re-assessment depending upon the above varying factors: 2 hours Record dietetics

Related procedures or resources Our Guideline - Disability-related health supports (external) Our Guideline - Nutrition supports including meal preparation (external)

Next steps Return to health and wellbeing

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Lifelong learning Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for lifelong learning $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Transition through school and to further education

Does support to transition through school and to further Yes education meet the NDIS funding criteria?

Record support to transition through school and to further education which meet the NDIS funding criteria. This may include but is not limited to:

• the provision of skills and training support to build For guidance, go to communication skills and independence employment support
• connecting to mainstream services when moving from school to work
• moving from further education and training to work.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Transition Through School And To Further Education 1:2 support 2 Hours 24 Months - - n/a - n/a - n/a - n/a -

Lifelong learning summary Budget

Transition through school and to further education -

Compensation recoverable amount to be excluded from lifelong

learning

The amount for lifelong learning is: -

Next steps Continue Back Return to budget summary Return to budget update

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Increased Social and Community Participation

Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for increased social and community participation $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Assistance in coordinating or managing life stages, transitions and supports

Does assistance in coordinating or managing life stages, Yes transitions and supports meet the NDIS funding criteria?

Record mentoring, peer-support and individual skill development which meets this NDIS funding criteria. This may include support to establish volunteer assistance within the participant’s home or community to develop skills.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Life Transition Planning Incl. Mentoring Peer-Support And Indiv 1:2 support 2 Hours 24 Months - - Skill Develop n/a - n/a - n/a - n/a -

Development of daily living and life skills

Does development of daily living and life skills meet the NDIS Yes funding criteria?

Record individual life skills development and training which meets the NDIS funding criteria. This may include public transport training and support, developing skills for community, social and recreational participation. It may also include training for participants in groups to increase their independence in daily personal activities.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Skills Development And Training 1:3 support 2 Hours 24 Months - - n/a - n/a - n/a - n/a -

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Increased social and community participation summary Budget

Assistance in coordinating or managing life stages, transitions

and supports

Development of daily living and life skills -

Compensation recoverable amount to be excluded from

increased social and community participation

The amount for increased social and community

participation is:

Next steps Continue Back Return to budget summary Return to budget update

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Improved Living Arrangements

Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for improved living arrangements $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Assistance with accommodation and tenancy obligations

Does assistance with accommodation and tenancy obligations Yes meet the NDIS funding criteria?

Record support to help the participant increase their ability to get and maintain suitable accommodation which meets the NDIS funding criteria. This may include assisting to apply for a rental tenancy or to undertake tenancy obligations in line with the participant’s tenancy agreement.

Support item Ratio of support Quantity Unit Frequency How often Rate Support amount Assistance With Accommodation And Tenancy Obligations 1:5 support 10 Hours 2 Years - - n/a - n/a - n/a - n/a -

Improved living arrangements summary Budget

Assistance with accommodation and tenancy obligations -

Compensation recoverable amount to be excluded from

improved living arrangements

The amount for improved living arrangements is: -

Next steps Continue Back Return to budget summary Return to budget update

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Finding and keeping a job

Return to budget If a question you want to answer is N/A or a cell you want to access is summary black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for finding and keeping a job $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Employment support (Employment Assistance)

Does employment support meet the NDIS funding criteria? Yes

Record employment assistance which meets the NDIS funding criteria. This may include:

• exploring what work would mean for the participant (discovery process)
• building essential foundation skills for work
• gaining work experience
• managing barriers to finding and keeping a job
• employer engagement and implementing specialised job customisation or For guidance, go to job carving employment support
• changing jobs, including transitioning from a supported employment service into open employment
• developing a career plan
• getting suitable employment on completion of a qualification
• other capacity building supports to help the participant engage with a disability employment provider (DES).

Note: Only include these hours against 48 weeks in a year.

Support item Quantity Unit Frequency How often Rate Support amount Employment Assistance 5 Hours 2 Years - - n/a - n/a - n/a - n/a -

Employment related assessment, counselling and advice Does assistance with employment related assessment, counselling and Yes advice meet the NDIS funding criteria?

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Record employment related assessment, counselling and advice which meets the NDIS funding criteria. This may include:

• counselling, education, and support for the participant and the workplace
• counselling when the participant’s disability requires a change of For guidance, go to occupation employment related
• vocational, functional, and workplace assessments to assist in identifying assessment, counselling unique barriers to employment and to inform a work goal and development and advice. plan. Such as, develop a new or modified work pathway including informing adjustments to work processes or workplaces that enable a participant to be productive and work safely.

Support item Quantity Unit Frequency How often Rate Support amount Employment Related Assessment And Counselling 4 Hours 2 Years - - n/a - n/a - n/a - n/a -

Finding and keeping a job summary Budget

Employment support (Employment Assistance) -

Employment related assessment, counselling and advice -

Compensation recoverable amount to be excluded from finding and

keeping a job summary

The amount for finding and keeping a job is: -

Next steps Continue Back Return to budget summary Return to budget update

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Employment support

To understand work and study supports, read article Understand work and study supports. Understand the guide for minimum hours of support

When you include work and study supports, always speak with the participant (or their authorised representative) to understand their individual situation. Talk about their work and study goals and disability-related support needs to work out the best level of support.

The participant may be able to access a mix of disability-related NDIS funded supports to help them pursue their work and study goals. These might include:

Assistance with Social, Economic and Community Participation (Core): • Supports in Employment, to maintain a job • Transport.

For guidance, go to Assistance with Social, Economic and Community Participation.

Finding and Keeping a Job (Capacity Building): • Employment Assistance • Employment Related Assessment, Counselling, and Advice.

For guidance, go to Finding and Keeping a Job. Improved Learning (Capacity Building) For guidance, go to Improved Learning.

Assistance with social, economic and community participation (Core)

Supports in employment

Supports in employment is for participants who need support to maintain their employment. The amount of support the participant may need at work can vary from day to day. You’ll use the typical pattern of supports to calculate the monthly funding amount to include in the Core Social, Economic and Community Participation budget of the participant’s plan.

The provider or participant can provide the participant’s typical pattern of supports. It can be based on a weekly or other agreed period, and can include: • days of attendance • hours worked • ratios of support • rates charged • transport • centre capital costs.

The participant’s typical pattern of supports may also include non-face-to-face supports, which are tasks linked to the participant’s disability. These may include: • individualised planning • task analysis to match the participant’s abilities to tasks • job design and modification • creating task prompts • writing NDIA requested reports.

The typical pattern of supports can also show the type of work the participant can do and any new skills they’ll need to be successful in their job.

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You’ll need to compare the total supports in employment funding with the participant’s typical pattern of supports to make sure there’s enough funding to maintain their employment. It’s important to remember that participants are employed under a formal employment contract and need correct funding to maintain their job.

Employment support in a supported employment service (ADE)

Participants working in a supported employment service or disability enterprise may have different jobs or tasks to complete across the week. These different types of work often include changes in the ratio of support. Moving between 1:1 supports through to small and large group supports and can be a mix of: • 1:1 time, delivered both on-the-job and non-face-to-face • smaller groups of 1:2 or 1:3 when doing more intensive tasks, like skill development • general on-the-job support and supervision in a larger group.

On-the-job supports can include things like: • training • skill development • support with daily work tasks • supports to manage disability-related behaviour or complex needs.

Generally, there’s an average staff to participant ratio of 1:3 for every hour worked. You should use a 1:3 ratio as a guide for most participants. The 1:3 ratio should provide enough funding to cover the changes of support. This includes the different level and frequency of support across a workday and week.

Some participants may need more intensive levels of support as outlined in the typical pattern of supports. You may need to change the budget to reflect their reasonable and necessary support needs.

For example, you may need to include more 1:1 ratio of support for a participant: • to complete complex tasks • to learn a new role • to move into open employment • who needs more intensive support due to the impact of their disability.

The total supports in employment funding must be enough to also cover other costs a provider can claim for. This means the funding will need to cover things like: • an establishment fee – which can be charged once per new participant • centre capital costs – for supports delivered in a centre-based environment • non-face-to-face supports.

You’ll need to consider their goals and supporting evidence, like work experience reports, functional capacity assessments or appropriate assessments from their employer.

Support in the workplace to maintain employment

Where a participant works for an employer that isn’t a disability enterprise, support is less likely to be group based. The typical pattern of supports is likely to be based on a 1:1 ratio. Hours of support will vary depending on the participant’s needs. It’s unlikely the participant will need support for every hour they work once established in the job. But they may need supports from time to time when work processes or routines change.

Participants planning to start work during their plan period A participant may be planning to start working and need support to start in their job. Discuss the level of support they need to be able to start and then maintain their employment.

Calculate supports in employment funding

1. Use the Plan conversation support tool (PCST) to calculate how much employment support to include in the draft budget. Include this funding in the Core Social Economic and Community Participation budget. Record the: • support item • ratio of support • hours per week • number of weeks.

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2. Check the calculated budget against the participant’s typical pattern of supports to make sure there’s enough funding in the plan to maintain employment. Be sure to include enough funding for the duration of the participant’s plan.

Example 1 Sunny works in an office 12 hours a week in an open employment setting. For 25% of the day he’ll need support to maintain his job. This works out to around 3 hours a week of 1:1 support.

Sunny and his provider have agreed to a typical pattern of supports that includes a 1:1 ratio for 3 hours per week to help him learn different computer programs used in an office. Sunny will likely to be working 48 weeks over a year and the budget will be adjusted if his plan duration is longer than 12 months.

The planner calculates his budget using the ratio of 1:1 for 48 weeks, equalling 144 hours of annual support. The amount should be enough to help Sunny maintain his employment, as the budget is the same as the typical pattern of supports.

Example 2 Emily is working as a supported employee at her local cafe 18 hours per week. She has a goal to maintain her supported employment and begin to build her skills to move into open employment in the future.

Emily and her provider have agreed to a typical pattern of supports that includes 1:5 ratio for 16.5 hours per week for her general work tasks and 1:1 ratio for 1.5 hours per week to help her use the coffee machine. 1 hour per week (20 minutes per day) of non-face-to-face support is also included for the provider to set up the coffee machine station each day, so Emily can be as independent as possible.

Emily’s employer is expecting her to work 48 weeks, taking 4 weeks leave throughout the year. The planner calculates her budget using the suggested ratio of 1:3, for 48 weeks.

This funding is enough to maintain Emily’s employment. There’s no need to change the budget as it allows for the extra funding that will help Emily build her skills to work towards her goal of open employment.

Record supports in employment.

Finding and keeping a job

Capacity building supports help participants build skills for work and find and keep a job. This can include: • employment related assessment, counselling and advice to help participants choose and engage in employment that suits their abilities and interests • employment assistance for participants of all ages who have an employment goal.

Employment related assessment, counselling and advice guidance Functional assessments, workplace assessments and employment related counselling and advice may benefit participants who need significant support to develop a new or modified work pathway. For example, a participant who has an acquired disability, or whose disability support needs have increased and may need an assessment to work out their vocational direction. These assessments can also be useful for participants who have limited work experience.

This support may help identify their unique barriers to employment and to inform a work goal and development plan. It may also help with adjustments to work processes or workplaces that enable the participant to be productive and work safely.

As a guide, include: • 12 hours for assessments and reports per therapist or counsellor as needed • additional counselling and other capacity building based on the participant’s individual needs.

Counselling and other capacity building supports will be based on the participant’s individual situation and disability-related support needs. You might have to change the budget when the reports are received to include additional counselling or other assessments.

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Example: Zhen has recently acquired a brain injury in a motorcycle accident. Zhen is a carpenter, but he’s now unable to do this work because of his disability. Zhen has been participating in a rehabilitation program. He needs further help to explore and understand his work options. Zhen will need a vocational assessment to evaluate his transferable skills, qualifications and interests. This will help identify potential future employment and training options for Zhen to successfully return to work, including: • help with job preparation • vocational counselling and training • job search assistance.

Record employment related assessment, counselling and advice.

Employment support (Employment assistance) Capacity building employment assistance can help the participant to: • build their skills for work through trying and testing different types of work in actual work settings • explore the right job role or change jobs and connect to the right employer • build connections in a new workplace and learn their new job role • provide evidence for any regular and ongoing support the participant may need (supports in employment – core funding).

It’s important to note that the NDIS provides more frequent and intensive support than Disability Employment Services (DES) can provide to help participants to: • build skills for work • match them to employment • maintain their employment.

DES can support a participant who: • is relatively independent accessing the community • understands their capabilities, interests and the skills needed for work • is able to follow instructions • is not currently employed in open employment and has a future work capacity of at least 8 hours per week • has a history of successful work experience or employment. The below examples of capacity building employment assistance provide a guide to minimum hours of support for participants who are at different stages in their work life. This will help you update information you need in the plan conversation support tool.

Note: These are only examples. You must talk to the participant about their individual situation and support needs to work out the appropriate level of support they need. Scenario 1 A young person of working age who has an employment goal and needs support to develop skills for work. This may include support to participate in work experience, which complements supports available through the school curriculum. Or it could include help to find and keep a part-time job outside of school hours.

• Minimum 3 hours per week, 48 weeks per year for 2 years. • Include in the participant’s plan as: Employment assistance to build skills for work.

Example: Deepali is in high school and has an employment goal to get a part-time job after school. She’ll need to build her skills for work and gain some additional work experience to complement the work experience she receives through her school curriculum. Deepali will need employment assistance funding for this.

Scenario 2 A young person moving from school to work with functional impacts in areas of learning, social interaction and self- management. They need help to develop skills for work and find and keep a job. • Minimum 7 hours per week, 48 weeks per year for 2 years. • Include in the participant’s plan as: Employment assistance to build independence and skills for work.

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Example: George is finishing school, and his disability affects his learning, social interaction and self- management. George has a goal to work in a supermarket. He needs support to build his skills to be ready for work. His support worker will help him gain experience in a work setting and develop the skills he needs to work more independently and interact with co-workers. George will need employment assistance funding to help him transition from school to work.

Scenario 3 A participant up to the age of 24, with minimal work experience, whose disability affects them in areas of learning, social interaction and self-management. They have little or no previous employment history and need to build their capacity to work.

Note: Older participants with similar employment history and areas of functional impact may also need this level of assistance to develop their skills for work and test their employability.

• Minimum of 7 hours per week, 48 weeks per year for 2 years, or as needed with regular check-ins to confirm progress. • Include in the participant’s plan as: Employment assistance to build independence and skills for work.

Example: Rachel is 22 and has autism and intellectual disability. She left school 4 years ago and was connected with a DES provider, who helped her get a job in a café. This job lasted a month because Rachel found it hard to communicate with customers and her colleagues. She found the work tasks difficult, and the noisy fast-paced work environment increased her anxiety. This experience affected Rachel’s confidence and for the past 2 years she hasn’t wanted to pursue employment. Instead she has chosen to stay home with her grandmother and sometimes accesses the community with a support worker.

Rachel needs intensive support to: • build her communication skills • explore types of work • find the right role and employer • settle into a new job.

Scenario 4 A young person who needs help to connect with mainstream services when moving from school to further education. Or, to connect with work following further education to get a job in line with their qualification. • Minimum of 20 hours, once-off per transition point.

Include in the participant’s plan as either: • Employment assistance to connect with tertiary education or training • Employment assistance to connect with work after tertiary education or training. Example: Mohammed is in year 12 and has a vision impairment. He has decided to do a psychology degree at university. Mohammed will need support to connect with the university’s Inclusion and Disability Services team. He’ll also need support to plan and learn a new travel route to the campus, and to navigate his way around the campus. Scenario 5 A participant who needs to build their work skills to move from a supported employment service or disability enterprise – also known as an Australian Disability Enterprise (ADE) – to open employment. The participant wants to use a different provider from their current supported employment service or disability enterprise employer.

Note: Most participants will use Supports in Employment delivered by their current provider to transition, with skill development described in their typical pattern of supports. Learn more in the Supports in Employment Provider Handbook PDF January 2021.

Supports in Employment Provider Handbook.

• Minimum 3 hours per week, as needed to achieve a successful transition. • Include in the participant’s plan as: Employment assistance to find a new job.

Scenario 6

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A participant who needs support to progress their career or change jobs. • Minimum 20 hours, once off. • Include in the participant’s plan as either:-

• Employment assistance for career progression
• Employment assistance to change jobs.

Example: Jade has an intellectual disability and has worked at a small local newsagency for the past 8 years. She currently works 15 hours a week, but would like to increase her work hours. There’s no opportunity to increase hours at her current place of work. Jade enjoys serving customers and would like to get a job at larger organisation like Officeworks. She has relevant work skills and experience, and her current employer will give her a good reference. Jade isn’t eligible for DES support because her current job isn’t in jeopardy. She’ll need support to connect with an employer, navigate the recruitment process, and make connections in her new workplace.

Record employment assistance.

School leaver employment supports Include this support under Employment support (employment assistance). For guidance, read scenario 2.

Lifelong learning (Improved learning)

Transition through school and to further education A young person who needs support to connect to mainstream services when moving from school to work or further education. Or moving from further education and training to work. • Minimum of 20 hours as a once off.

Record lifelong learning.

Related procedures or resources Our Guideline – Work and study supports (external) Our Guideline – Reasonable and necessary (external) Article Understand work and study supports Article Understand the product catalogue Article Understand changes to support categories Employment intranet page

Next steps Return to finding and keeping a job

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Support Coordination and Psychosocial Recovery Coaches

Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s- confirmed the support meets the NDIS funding criteria details- answered all the questions when recording participant details

• recorded the annual draft PACE budget. Return to the budget update

Budget for support coordination and psychosocial recovery $0 coaches

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Support coordination

Does support coordination meet the NDIS funding criteria? Yes

Record support coordination which meets the NDIS funding For guidance, go to criteria. support coordination

Support item Quantity Unit Frequency How often Rate Support amount Support Coordination Level 1: Support Connection 2 Hours 24 Months - - n/a - n/a - n/a - n/a -

Psychosocial Recovery Coaches

Does support from a psychosocial recovery coach meet the Yes NDIS funding criteria?

For guidance, go to Record supports from psychosocial recovery coaches which psychosocial recovery meet the NDIS funding criteria. coaches

Support item Quantity Unit Frequency How often Rate Support amount Psychosocial Recovery Coaching - Weekday Evening 2 Hours 24 Months - - n/a - n/a - n/a - n/a -

Support Coordination and Psychosocial Recovery Coaches Budget summary

Support coordination -

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Psychosocial Recovery Coaches -

Compensation recoverable amount to be excluded from

Support Coordination and Psychosocial Recovery Coaches

The amount for Support Coordination and Psychosocial

Recovery Coaches is:

Next steps Continue Back Return to budget summary Return to budget update

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Support Coordination and Psychosocial Recovery Coaches

These are only examples, you must talk to the participant about their individual circumstances and support needs to determine the appropriate level of support needed. For guidance about support coordination for children younger than 7, go to EC: PEC Carers - Support Coordination Support coordination There are three levels of support coordination which may be included in the plan in the support coordination budget Support Connection For participants streamed General or Supported: • If supported by a partner, you don’t need to add funding. You should assess if the participant needs referral to a specific support connector, such as a CALD organisation or a preferred Aboriginal and Torres Strait Islander provider. • If not supported by a partner, funding has been estimated as 1 hour a month of support connection. This estimate is based on the plan duration, participant location, support level and current price limit.

Coordination of support, formally support coordination • Low: 1-2 hours a month, approx. 24 hours per year. • Medium: 3-6 hours per month, approx. 48-72 hours per year. • High: Approx 7-9 hours per month.

Specialist support coordination Up to 100 hours for a 12 month plan.

Note: For all levels, these are examples only and you must use your reasonable and necessary decision making when including supports in a plan.

Record support coordination

Psychosocial recovery coaches The following should be used as an indicator of the levels of recovery coaching needed. Provision of recovery coach hours should be based on the needs and expressed preferences of the participant and feedback from their support network.

There are three indicative levels of funding for a psychosocial recovery coach: Level 1: 100 hours per year Level 2: 50 hours per year Level 3: 30 hours per year

Participants generally need level 1 funding, if: • this is their first plan with recovery coach funding included • it is during the first three years of engagement with the NDIS.

Funding may be adjusted to level 2 and 3 after this period. The level of funding may then be able to be reduced over time as the participant builds on their strengths and capacity.

Record psychosocial recovery coach guidance

Related procedures or resources Article Add or update support coordination funding in a plan approval case Article Add or update psychosocial recovery coach funding in a plan approval case

Next steps Return to Support Coordination and Psychosocial Recovery Coaches

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Assistive technology (AT)

Return to budget summary If a question you want to answer is N/A or a cell you want to access is black, check you have:

• confirmed the support meets the NDIS funding criteria Record participant’s details
• answered all the questions when recording participant details
• recorded the annual draft PACE budget. Return to the budget update

Budget for assistive technology (AT) $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Mid cost AT

Do you have evidence to show mid cost assistive technology (AT) between $1,500 and $15,000 is right for the participant? This may be a letter, email or report from an assistive technology advisor.

Record mid cost AT which meets the NDIS funding criteria. For guidance, refer to Mid cost AT.

Price range to be recorded in the Budget amount for this mid cost Support item plan and handover notes for this Note Amount AT item AT item

Computers, Tablets and Mobile Phones are not NDIS Supports. Communication AT - Advanced Software/Related Items N/A to N/A - These are listed as lifestyle related items. Refer to Would We Fund It - What does NDIS fund?

It’s mandatory to get advice from the Technical Advice and Practice AT Device Positioning / Mounting Systems Improvement Branch (TAPI) before a decision is made for some AT supports.

This is a Rental or Trial AT item. Record Rental or Trial of AT in the AT AT Rental - Communication and Computer access N/A to N/A - maintenance, maintenance, repairs, rentals and trials section of this tool

This is a Rental or Trial AT item. Record Rental or Trial of AT in the AT AT Rental - Communication and Computer access N/A to N/A - maintenance, maintenance, repairs, rentals and trials section of this tool

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It’s mandatory to get advice from the Technical Advice and Practice Communication AT - Sensory/Cognitive Apps Improvement Branch (TAPI) before a decision is made for some AT supports. Computers, Tablets and Mobile Phones are not NDIS Supports. Communication AT - Advanced Software/Related Items N/A to N/A - These are listed as lifestyle related items. Refer to Would We Fund It - What does NDIS fund? N/A - N/A N/A - N/A N/A - N/A

High cost AT

Do you have evidence to show high cost assistive technology (AT) over $15,000 per item is right for the participant? This Yes includes both an assessment by a professional AT advisor and quote for the AT proposed.

For guidance, refer to High cost AT Record high cost AT over $15,000 which meets the NDIS and assistance animals, including dog funding criteria. guides.

Support item Quote required Amount Ventilators - Invasive Ventilation for Continuous Use No Postural Support - Foam and/or Gel component system No Ventilator accessory - Filters and/or Humidifiers No N/A N/A N/A N/A N/A N/A N/A

AT for hearing support

Do you have evidence to show hearing supports meet the NDIS funding criteria? This may include:

• any reports or assessments from a qualified practitioner, such Yes as an audiologist or audiometrist
• a hearing devices and hearing technology assessment.

Have you confirmed the participant isn’t eligible for the Hearing Yes Services Program (HSP)?

Make sure you understand how to add hearing supports in For guidance, refer to hearing PACE. support.

Support item Quote required Amount Hearing Services Program - Child Under 4 Yrs (AH Only) No N/A N/A N/A N/A N/A N/A

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N/A N/A N/A

Vehicle modifications Do you have any evidence to show the participant needs vehicle modifications? This may include:

• assessment or report from an allied health provider or medical practitioner outlining the participant’s need for Yes modified transport
• assessment from a driver trained occupational therapist
• a vehicle condition report for second-hand cars older than 5 years and no longer under warranty.

Record vehicle modifications which meet the NDIS funding For guidance, refer to vehicle criteria. modifications and driving support

Support item Quote required Amount

Vehicle Modification - Hoist for Occupied Wheelchair Loading No

N/A N/A N/A N/A

Modifications to a second hand vehicle

Does buying a second hand vehicle that has already been Yes modified meet the NDIS funding criteria?

For guidance, go to modifications to a Record modifications to a second hand vehicle. second hand vehicle.

Support item Amount How much did the original vehicle modifications cost?

How many years ago did the participant get their vehicle modified?

The depreciated modification value is:

Assistive technology summary Budget

Mid cost AT

High cost AT

AT for hearing support

Vehicle modifications

Modifications to a second hand vehicle

Compensation recoverable amount to be excluded from assistive technology - The amount for assistive technology is:

Next steps Continue

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Assistive technology (AT)

If the participant needs assessment of their assistive technology needs, make sure you think about this as part of their therapy supports.

Go to improved daily living skills.

Assistive technology – Mid cost

Mid cost AT are items between $1,500 and $15,000 per item. You don’t need a quote however, make sure you have evidence in writing to show mid cost AT is right for the participant.

Record mid cost AT

Assistive technology – High cost High cost AT are items over $15,000 per item. Make sure you have an assessment and quote. Assistance animals including dog guides

Make sure you think about assistance animals including dog guides as party of the assistive technology budget.

Think about: • the cost of the assessment to match the animal with the participant • buying or leasing a suitable, and fully qualified assistance animal, or • milestone payments while the animal is trained by an accredited assistance animal provider.

Make sure you include ongoing maintenance costs for the assistance animal as part of the consumables budget. The average funding for maintenance costs is around of $2,725.00 per year.

Record high cost AT

Assistive technology for hearing supports

If the participant has a HSP voucher, we can fund $100 per year for co-payment towards the annual maintenance and administration fee.

If the participant doesn’t have a HSP voucher, we can fund: • Standard level hearing device • Intermediate level hearing device • Advanced level hearing device • Non-Standard Hearing device • External speech processor and accessories for implanted hearing devices • Speech Processor repair.

Return to hearing supports

Vehicle modifications There are three different levels of Assistive Technology (AT) for vehicle modifications, including: • Low cost AT, less than $1,500. • Mid cost AT, between $1,500 and $15,000. You may not need an itemised quote but it’s useful for the participant to give it to us if they have one. • High cost AT more than $15,000. We’ll need an itemised quote.

If the participant needs help with extra insurance costs because their vehicle has been modified, make sure you think about this as part of their low cost AT needs.

Refer to low cost AT, including hearing and disability-related AT Record vehicle modifications

Modifications to a second hand vehicle

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To calculate depreciated modification value for modifications that have already been made to a second hand vehicle, you need to know: • the original cost of the modifications • the age (in years) of the modifications.

Record modifications to a second hand vehicle

Related procedures or resources Our Guideline - Assistive technology (external) Assistive technology explained (external) Low, mid and high cost AT (external) For examples of commonly requested items, refer to Would we fund it - Assistive technology.

Next steps Return to AT

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Assistive technology (AT) Maintenance, Repair and Rental

Return to budget summary If a question you want to answer is N/A or a cell you want to access is black, check you have:

• confirmed the support meets the NDIS funding criteria Record participant’s details
• answered all the questions when recording participant details
• recorded the annual draft PACE budget. Return to the budget update

Budget for assistive technology (AT) $0

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Maintenance and repairs of AT supports

Does funding for maintenance and repairs of AT meet the Yes NDIS funding criteria?

What type of AT maintenance and repairs meets the NDIS funding criteria? Minor maintenance and repairs less Note: Make sure you include funding for the maintenance and than $1500.00 repairs of AT items costing more than $1,500.00

Requests for major repairs need a quote. Have you received a No quote for major maintenance and repairs?

Record AT maintenance and repairs which meet the NDIS For guidance, go to Maintenance and funding criteria. repairs of AT supports

Support item Amount Repairs and Maintenance - Other AT

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Rental or trial of AT supports

Does funding for rental or trial of AT supports meet the NDIS Yes funding criteria?

What type of AT rental or trial meets the NDIS funding criteria? Note: Make sure you include funding for short term rental or Major rental or longer trial trial of AT for all participants with AT more than $1,500.00

If the major rental or longer trial is more than $15,000.00, do Yes you have a quote?

Record rental or trial of AT supports which meet the NDIS For guidance, go to Rental or trial of funding criteria. AT supports

Support item Amount AT Rental - Prosthesis and Orthosis

Assistive technology (AT) Maintenance, Repair and Rental Budget summary

Maintenance and repairs of AT supports

Rental or trial of AT supports

Compensation recoverable amount to be excluded from AT

maintenance, repair and rental

The amount for AT maintenance, repair and rental is:

Next steps Continue Back Return to budget summary Return to budget update

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Assistive technology (AT) Maintenance, Repair and Rental

If the participant needs assessment of their assistive technology needs, make sure you think about this as part of their therapy supports.

Go to improved daily living skills.

Maintenance and repairs of AT supports

Make sure you include funding for the repair and maintenance of AT items costing more than $1,500. Warranty repair of AT should be discussed with the supplier or manufacturer and is not a reasonable and necessary support.

Include low-cost AT supports to allow flexibility of low-cost repairs and maintenance outside the warranty period which are less than $1,500. Include a quotable repairs and maintenance support item to make sure higher cost repairs more than $1,500 are covered.

Guide for annualised funding of repairs and maintenance These costs are examples and will be adjusted up or down based on participant needs.

Guide for funding of annual Assistive Technology Type repairs and maintenance

Beds – manual and electric Buggies and mobility aids Communication and cognitive support technology Pressure care cushions Pressure care mattresses Power scooter and mobility device Chairs, seating and posture support Bathroom and toileting equipment Hoists and transfer equipment Standing and walking frames Manual wheelchair Powered wheelchair Orthotics Prosthetics Modified vehicle Life support AT

Record maintenance and repairs of AT supports

Rental or trial of AT supports Under the Operational Guideline, rental supports can be used for trialling AT supports that are new to the participant. This generally applies to AT valued under $15,000 or where the participant receives funding to trial that type of support as part of a high-cost AT assessment. Guide for minor trial or rental of assistive technology This list is a guide. There are other assistive technology supports that the participant may rent or trial that are not listed.

Guide for a trial or Assistive Technology Type loan/rental • $100 for testing different items and designs during a clinic session. This includes Trial of specialised assistive technology. travel by the provider. Often linked to child mobility and posture. • $150 per week for two or more items. This is $150 per week for the rental or trial period, not $150 per item. • $100.00 per week for bathroom equipment. Bathroom equipment • An extra $100 per week if you need a transfer hoist.

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• $50 per week (manual wheelchair) • $100 per week (power wheelchair) Wheelchairs You will need a quote for higher cost rental and trial of specialised power wheelchairs.

• $120 for a week (includes delivery). Each extra week is Bed (height adjustable) $70 per week. • $80 per week for alternating pressure mattress.

Electronic communication assistive technology $300 for two weeks Electronic sensory impairment assistive technology

Record rental and trial

Related procedures or resources Our Guideline - Assistive technology (external) Assistive technology explained (external) Low, mid and high cost AT (external) For examples of commonly requested items, refer to Would we fund it - Assistive technology.

Next steps Return to AT Maintenance, Repair and Rental

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Home modifications

Return to budget summary If a question you want to answer is N/A or a cell you want to access is black, check you have:

• confirmed the support meets the NDIS funding criteria Record participant’s details
• answered all the questions when recording participant details
• recorded the annual draft PACE budget. Return to the budget update

Budget for home modifications $0

What type of home modifications meet the NDIS funding Minor home modifications criteria?

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

Minor home modifications

Does minor home modifications (MHM) meet the NDIS funding Yes criteria?

MMM column N/A

Column offset n/a

For guidance, refer to minor home Record MHM which meets the NDIS funding criteria. modifications

We need a quote for MHM in a How many units meet remote or very remote area. How Support item MHM item description MHM unit the NDIS funding Rate much funding quoted for Minor MHM amount criteria? home modifications meets the NDIS funding criteria? Adjust/alter/add an exterior door. Where building approval is required External Door (for example in NSW), this must be per door 1 n/a - obtained and submitted with payment claim. n/a - n/a - n/a -

Complex home modifications

Record complex home modifications which meet the NDIS For guidance, refer to complex home funding criteria. modifications

Support item Quote required Amount

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Home modification summary Budget

Minor home modifications $0.00

Complex home modifications $0.00

Compensation recoverable amount to be excluded from home $0.00 modifications

The amount for home modifications is: $0.00

Next steps Continue Back Return to budget summary Return to budget update

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Home modifications

Minor home modifications Minor home modifications are custom-built changes in the home, that generally: • are straightforward, non-structural changes • have a relatively low risk of major problems arising • only affect one or two areas of the home • cost less than $20,000 in total. MMM6-7 (remote or very remote) costs are not included because we always need a quote for these minor home These budget levels are based on current market costs. We use building industry data to regularly update these Return to minor home modifications

Complex home modifications Complex home modifications are usually structural, custom-built changes that generally: • are higher cost • are higher risk • involve several areas of the home • need a greater level of building permissions and certifications • have a greater impact on participants’ lives while they are being constructed. An assessment is needed from a home modification assessor for complex home modifications. We will fund a building construction practitioner to help the participant and home modification assessor with planning the scope of works for a complex home modification. The building construction practitioner also may help the participant undertake due diligence for builders and get quotes for the job. This person must be independent of the builders who will quote for the works. The building construction practitioner can also take on the building works project manager role for the participant. Builders’ quotes for NDIS funded home modifications works must be itemised and detailed enough to enable accurate comparisons based on the same scope of work, or for audit purposes. Independent building works project manager If the works are highly complex, we may also fund an independent building works project manager to help the participant: • review the building contract • coordinate with stakeholders • check progress and quality of the building works at key milestones • help the participant resolve issues as they arise. Return to complex home modifications

Related procedures or resources Home modifications explained (external).

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YPIRAC - Cross Billing

Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s

• confirmed the support meets the NDIS funding criteria details
• answered all the questions when recording participant details
• recorded the annual draft PACE budget. Return to the budget update

Budget for YPIRAC - Cross Billing $0

Does YPIRAC - Cross Billing meet the NDIS funding criteria? Yes

What is the YPIRAC - Cross Billing amount?

The plan duration includes: 0 Months 0 Weeks 0 Weekdays 0 Saturdays 0 Sundays 0 Weekday Public Holidays 0 Saturday Public Holidays 0 Sunday Public Holidays

For guidance about cross billing and the YPIRAC Fee Calculator, go to article Use the Younger Person in Residential Aged Care (YPIRAC) Fee Calculator

YPIRAC - Cross Billing Budget

YPIRAC - Cross Billing amount

The amount for YPIRAC - Cross Billing is:

Next steps Back Return to budget summary Return to budget update

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Disclosure Log - FOI 24/25-0952 Compensation reduction task Return to budget If a question you want to answer is N/A or a cell you want to summary access is black, check you have: Record participant’s

• confirmed the support meets the NDIS funding criteria details
• answered all the questions when recording participant details
• recorded the annual draft PACE budget. Return to the budget update

Have you identified: • another person or entity was at fault for causing the participant’s disability Yes • the participant received, is receiving or may be entitled to compensation or a lump sum payment from a judgement or settlement for their disability or impairment?

For guidance, go to Record the compensation reduction amount to be excluded Compensation from NDIS funded supports operational guideline

Support category Amount Assistance with Daily Life Assistance with Social, Economic (support at work) and Community Participation Consumables Transport Recurring Transport Home and Living Specialist Disability Accommodation (SDA) Choice and Control Improved Daily Living Skills Behaviour Support Relationships Health and Wellbeing Lifelong Learning Increased Social and Community Participation Improved Living Arrangements Finding and Keeping a Job Support Coordination and Psychosocial Recovery Coaches Assistive Technology (AT) Assistive Technology Maintenance, Repair and Rental Home modifications The total compensation reduction amount to be excluded $0.00 from NDIS funded supports includes:

The compensation recovery amount will be reduced from the PCST summary. Next steps Return to budget summary Return to budget update Page 194 of 196

Version control Disclosure Return to the planLogconversation- FOIsupport24/25-0952tool summary Version control Amended by Brief Description of change Status Date

Class 3 approval V1.0 GO0002 New tool developed to help planners when they are reviewing draft budgets and approving plans in PACE. APPROVED 2023-08-03 Tool developed using current practice, including Our Guidelines, knowledge and pricing arrangements.

Class 2 approval Updates to the Plan Conversation Support Tool (PCST) following user feedback. Including updates to:

• calculations for 52 weeks in place of 53 weeks
• calculations to make sure items are calculated at their value
• calculations to incorporate a mixture of high vs standard intensity support where relevant CW0032 V2.0 - incorporate ratios of support where relevant APPROVED 2023-11-24 DFF875
• reflect plan durations in PACE
• automate MMM in the tool
• reduce duplication when confirming support needs
• display how many months, weeks and days are considered as part of the PCST generation
• include supporting information on the summary page.

Class 2 approval Updates to the PCST following feedback, including:

• clarifying language in guidance for support in the workplace to maintain employment and thinking about the participants support needs CW0032 - change calculation for supports in employment in group settings from 1:1 ratio to the 1:3 ratio V3.0 APPROVED 2023-12-18 SJQ251 - changes to school leaver employment support duration
• options to calculate more than one ratio of support for assistance with daily living and assistance with social economic and community participation
• amount of STA generated incorperated into the record participant details page
• ability to select shared support coordination supports for level 2 and level 3 coordination of support.

Class 2 approved. Updates include: • Updated support items to align with changes made to the NDIS Pricing Arrangements and Price Limits 2023-2024. This includes removal of Group and Centre Based Social and Community Participation Supports which ended on 31 December 2023. • Users can now see support items and calculations used to generate supports. • Updated calculations to make sure public holidays are specific to each State and Territory. • Separation of improved daily living supports for participants who are younger than and older than 9 to make the tool easier to navigate. v4.0 CW0032 • Users can enter the annual amount for Supported Independent Living (SIL) and Specialist Disability Accommodation (SDA) instead of the monthly amount. APPROVED 2024-02-23 • Ability to record what type of SDA building and design category meet the NDIS funding criteria. • Updated guidance for psychosocial support to reflect current knowledge articles. • Option to record a free text amount for mid cost Assistive Technology (AT). • Separated AT maintenance, repairs and rental to make sure all options can be captured. • Updated options when recording level 1 and level 2 therapy assistant. • Updated guidance for transport to align with current knowledge articles. • Calculations checked to make sure they’re correct.

Class 2 approved. Updates include: • We’ve updated questions to improve accessibility and ease of use when using a screen reader. This includes showing N/A at the start of a question that’s not relevant to the supports recorded in the PCST, this is in addition to cells that are blacked out. This will allow JAWS users to skip through questions that start with N/A. • You can now adjust the duration of some supports if they aren’t needed for the duration of the plan. This includes supports under Assistance with daily life and Assistance with social, economic and community participation. • We’ve resolved calculation issues with House or Yard Maintenance and House Cleaning and Other Household Tasks. • We’ve resolved calculation issues when recording the annual draft PACE budget and generating the PCST summary. • We’ve updated transport to display as a stated support when using the PCST to record recurring transport. • You can now record the total hours of support coordination and psychosocial recovery coaches instead of a monthly amount. V5.0 CW0032 • We’ve incorporated the AT Item Budget Tool from PANDA. APPROVED 2024-04-04 • We’ve improved options when recording minor home modifications. • We’ve updated language used for AT maintenance, repairs and rental to align with each support type. • You can now use the PCST to record: specialised home-based assistance for a child support for younger people in residential aged care (YPIRAC) -onsite shared supports in specialist disability accommodation (SDA) support from a live in carer -linen services establishment fees -capital centre costs.

Class 1 and Class 2 approved. v6.0 SJP178 Change since requested and to be actioned (clarifying use of year and month plan duration options, on the page Record Participant Details) . Version 6 will not be APPROVED 2024-05-10 published. Progress changes, class 1 approval and then publish VersionPage7. 195 of 196

Class 1 approved. v7.0 JS0082 APPROVED 2024-05-16 Minor change made as requested by JS0082 post Class Disclosure1 approval. Log - FOI 24/25-0952

Class 1 approved. v8.0 JS0082 APPROVED 2024-05-21 Minor change to correct language when recording the postcode, suburb and state. Class 2 approved. • Updated prices to align with the 2024-2025 NDIS Pricing Arrangements and Price Limits (previously the NDIS Price Guide), • Aligned the language in the procedure in the budget summary page with the KA Understand and update the plan conversation support tool. • Reviewed public holiday calculations and removed ‘observed’ public holidays. • Included wound and pressure care supports in consumables. • Updated the minor home modifications practical completion rate calculation to reflect =10% of the estimate. • Checked the meals per day inputs and calculations for meal preparation and delivery under disability-related health supports. v9.0 JC0088 APPROVED 2024-06-27 • Added YPIRAC cross billing to the PCST and updated impacted items in the tool. • Updated support categories language to align with PACE. • Updated the calculation for disability-related interpreting and translation & Auslan tutoring or Auslan in the home. This calculation will now be based on the plan’s duration. • Rounded-up the output figure to whole dollars for plan management. • Updated the calculation for specialised driver training to be based on the plan’s duration. • Included ‘sleepover’ in the description for active overnight support under assistance with daily life. This includes checking impacted items in the tool. Class 1 approved. v10.0 JS0082 APPROVED 2024-07-01 Minor change to wound and pressure care supports to prevent supports from pre-populating.

Class 2 approved • New format for recording each support category, this includes tables which record the support item, quantity, units and frequency. • Making sure the PCST meets legislative requirements. v11.0 EMN960 APPROVED 2024-07-26 • Incorporation of links to published KA to further support guidance within the PCST. This includes links to EC guidance. • Addition of compensation section to allow application of compensation recovery amount (CRA), this is subtracted from the relevant support categories. • Action of UAT feedback. Class 2 approved. PCST updated to include: • new section for completing the budget update • new section for generating the budget breakdown • accessibility enhancements for Dragon and JAWs users v12.0 JC0088 APPROVED 2024-09-30 • minor home modification price increases as per 2024-2025 updates • new high intensity support definition, including new intensive and complex behaviour support items • more rows for recording AT • option to record postcodes which start with 0 without issue • fix to complex home modifications so this is no longer ‘blacked out’ for staff when recording supports. v13.0 JC0088 Update to guidance for transport to align with Section 33 Rule. This includes adjusting guidance to include the top range amount for each transport level. APPROVED 2024-10-03 Class 2 approved PCST updated to include: • Update to change Specialised Driver Training from fixed amount to quoteable amount • Increased rows to record AT maintenance, repairs and rentals • Included Fortnights as a unit to all support category sheets • Changed language from ‘Older than 9’ to ‘9 or older’ v14.0 CS0074 APPROVED 2024-11-01 • Included amount of Weekday, Saturday and Sunday public holidays on the Participant Details sheet • Included break down of plan duration days on each support category sheet Added additional guidance to SDA sheet about including $1 for SDA when not enrolled or not yet living in SDA Updated guidance on the Relationships support item and knowledge sheets Corrected level 3 transport amount to be in line with Operational Guideline and knowledge article Updated MMM value for Ridgewood QLD from MMM5 to MMM2

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