FOI 24/25-0754 DOCUMENT 8

Check eligibility - List B condition

SGP KP Publishing

Exported on 2025-01-20 00:11:19

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FOI 24/25-0754 SGP KP Publishing – Check eligibility - List B condition

1 Recent updates …………………………………………………………………………………………………….. 4

2 Before you start …………………………………………………………………………………………………….. 5

3 Overview ………………………………………………………………………………………………………………. 6

4 Check for a List B condition ………………………………………………………………………………….. 7 4.1 How to find evidence that a person has a List B condition? ……………………………………….. 7 4.2 If the person has a List B condition ………………………………………………………………………… 7 4.3 If the person doesn’t have a List B condition ……………………………………………………………. 7

5 Next steps …………………………………………………………………………………………………………….. 8

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FOI 24/25-0754 SGP KP Publishing – Check eligibility - List B condition

This article provides guidance for all NDIA staff and partners to check for a List B condition.

Recent updates – 3 Page 54 of 208

FOI 24/25-0754 SGP KP Publishing – Check eligibility - List B condition

1 Recent updates

3 October 2024

Updates made to improve the knowledge article and merge information from the archived article Evidence Guide – List B conditions.

Article name changed from Check evidence for a decision – List B condition to Check eligibility – List B condition.

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FOI 24/25-0754 SGP KP Publishing – Check eligibility - List B condition

2 Before you start

You have:  read Our Guideline – Applying to the NDIS (external)  read article Understand disability requirements  read article Understand early intervention requirements  considered the age and residence requirements using article Check eligibility – Age and residence requirements.

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FOI 24/25-0754 SGP KP Publishing – Check eligibility - List B condition

3 Overview

To be eligible for the NDIS, the person must meet the requirements for:  age  residence  disability, early intervention, or both.

When a person gives us evidence that they’ve been diagnosed with one or more conditions on List B: Conditions that are likely to result in a permanent impairment (external), they’ll meet some of the disability requirements and early intervention requirements.

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FOI 24/25-0754 SGP KP Publishing – Check eligibility - List B condition

4 Check for a List B condition

4.1 How to find evidence that a person has a List B condition?

A person may inform us that they have a List B condition, or we might identify it when reviewing their disability evidence.

Before making an eligibility decision, make sure you review the application and any disability evidence for any diagnosed List B: Conditions that are likely to result in a permanent impairment (external).

4.2 If the person has a List B condition

If the person has evidence of a list B condition, only some of the disability and early intervention requirements are met.

The following disability requirements are met:  the person has a disability that us caused by one or more impairments (s24(1)(a)).  the person’s impairment or impairments are likely to be permanent (s24(1)(c)).

The following early intervention requirement is met:  the person has one or more impairments that are likely to be permanent (s24(1)(a)).

You’ll need to then think about the remaining disability and early intervention requirements using articles:  Understand disability requirements.  Understand early intervention requirements.

4.3 If the person doesn’t have a List B condition

If the person doesn’t have a List B condition, think about all of the disability and early intervention requirements using articles:  Understand disability requirements  Understand early intervention requirements.

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FOI 24/25-0754 SGP KP Publishing – Check eligibility - List B condition

5 Next steps

If you’re an access delegate:  to make an access decision, continue to article Make an access decision – pre- legislation changes or Make an access decision – post legislation changes.  to make an eligibility reassessment decision, continue to article Finalise eligibility reassessment decision.

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