DISCLOSURE LOG - FOI 24/25-0764

DOCUMENT 5

Evidence of Disability

Eligibility Reassessment

Facilitator notes:

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Welcome back everyone, to our session on checking evidence in Eligibility Reassessment.

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DISCLOSURE LOG - FOI 24/25-0764

Acknowledgement of Country

Before we begin, I would like to acknowledge the Traditional Owners and Custodians of the Country on which we meet today, and their continuing connection to land, sea, and community. I pay my respects to their Elders, past and present.

I would like to extend that acknowledgement and respect to any Aboriginal and Torres Strait Islander peoples here today.

Facilitator notes:

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I acknowledge that I am facilitating this training from the lands of the [insert name] people.

I would like to extend that acknowledgement and respect to any Aboriginal and Torres Strait Islander peoples here today.

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DISCLOSURE LOG - FOI 24/25-0764

Learning Outcomes

This session has been designed to help you:

recap your knowledge of evidence of disability (EoD), including reviewing different types of evidence
understand how to use evidence and information to make ER decisions
know how to check a treating health practitioner’s registration using the AHPRA website
understand how to locate and link evidence in PACE
understand how to locate evidence in SAP-CRM

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Facilitator notes:

Say

Here are our learning outcomes for this session.

This session has been designed to help you:

recap your knowledge of evidence of disability (EoD), including reviewing different types of evidence
understand how to use evidence and information to make ER decisions
know how to check a treating health practitioner’s registration using the AHPRA website

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understand how to locate and link evidence in PACE
understand how to locate evidence in SAP-CRM

Please feel free to ask questions throughout the session!

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What is Evidence of Disability?

Evidence of Disability (EoD):
- evidence supporting a person’s disability
- This includes what the disability is, if it’s permanent, and how it impact’s a person’s life
Evidence of Identity (Eol):
- evidence confirming a person is who they say they are

NDIS Website: Providing evidence of your disability (external)

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Facilitator notes:

Say

In our previous sessions, we have briefly explored the role of evidence in the decision-making process.

Can anyone recap for us the kind of evidence we might look at in ER? Think about some of the examples we have seen so far in our case studies.

Pause [Allow learners to think and answer – possible answers: letters, reports, statements etc]

Great! – What sort of information are we looking to find in these kinds of documents?

Pause [Allow learners to think and answer – possible answers: diagnostic information, evidence of

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permanent impairment, functional capacity reports, ]

Awesome answers from everyone!

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Evidence of Disability, is evidence we receive to support a person’s disability. This includes what the disability is, if the disability is permanent, and how the disability impact’s a person’s life.

This is the main source of evidence we will work with in eligibility reassessment. Applicants and participants can learn more about EoD from the NDIS website.

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Another form of evidence the NDIS might receive is Evidence of Identity, which supports that a person is who they say they are. This type of evidence is most relevant to Access Officers and Assessors. Most participant’s identities have already been confirmed once an ER commences. An exception to this may be for example if a participant has a newly appointed authorised representative.

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OFFICIAL

Evaluating evidence in ER decision making

In ER, we look at all evidence on the participant’s file.

We must consider:

What the evidence is – i.e. diagnostic or functional
How old the evidence is
Who the evidence was provided by
Are the recommendations for NDIS supports

NDIS Website: Types of disability evidence (external)
Our Guidelines: What does the NDIS fund? (external)

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Facilitator notes:

Say

In eligibility reassessment, we must look at all evidence on a participant’s file. This includes any evidence on PACE or SAP-CRM, and from any point in the participant’s journey, including during the initial application process.

We must use critical thinking and analysis to assess each piece of evidence against the eligibility requirements and weigh its relevance.

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We must consider:

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What the evidence is

Is the evidence diagnostic or functional? Does it provide confirmation of a permanent impairment, or describe a participant’s current functional capacity? Does the evidence include any assessment or testing, and is this the most appropriate? Does the evidence show the participant meets any of the DIS or EI eligibility requirements?

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How old the evidence is

In ER, although we assess all pieces of evidence, we often place more weight on the most recent evidence we have on record, particularly regarding functional capacity. This is because recent reports likely paint the most accurate picture of a participant’s capacity. Functional reports should be dated within the last 12 months to be considered as current information.

Diagnostic reports of a permanent impairment can be from any time, as the diagnosis is unlikely to change.

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Who the evidence was provided by

When deciding if a participant has met the eligibility requirements, we need to have the right evidence by the right people.

To support us, we can refer to our List A and B conditions, as well as the page ‘Types of disability evidence’ on the NDIS website, highlighted on the slide. This page provides a list of conditions, and information about the treating health professionals who can provide best practice evidence of disability.

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Finally, are the recommendations for NDIS supports

It is our responsibility to confirm that any ongoing recommendations are valid and approved NDIS supports. To guide us, we currently use the NDIS supports list, which can be located on the NDIS website. A link has been provided on the slide.

In summary, as ERAs, it is important that we understand the evidence we do, and don’t, have when making an Eligibility Reassessment decision.

For example, we may have evidence confirming the diagnosis of a permanent impairment but are missing any recent evidence supporting the participant’s functional capacity or making recommendations for support. It is our responsibility to identify this when assessing the eligibility criteria, and to accurately and clearly communicate this when delivering an ER outcome.

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OFFICIAL

Key reminders

✔ Check the date of the evidence

✔ Is the evidence diagnostic or functional? Does it use appropriate assessments and testing?

✔ Can we confirm any recommendations for support are NDIS supports?

✔ Is the evidence signed by a health professional – physically or digitally?

✔ Is the practitioner registered with the Australian Health Practitioner Regulation Agency (AHPRA)?

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OFFICIAL

Facilitator notes:

Say

Before we move on to our next section, let’s run through a few key reminders for us to check when we are looking at each piece of evidence:

Click [Click through each line]

✓ Check the date of the evidence

✓ Is the evidence diagnostic or functional? Does it use appropriate assessments and testing?

✓ Can we confirm any recommendations for support are NDIS supports?

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✓ Is the evidence signed by a health professional – physically or digitally?

✓ Is the practitioner registered on AHPRA?

Let’s take a closer look at AHPRA now.

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Questions

Facilitator notes:

Say

We’ve reached the end of our session on checking evidence of disability. Does anyone have any questions on this before we continue on to our next session?

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Version control

Version	Approved by	Brief Description of Change	Status	Date
V1.0	CH0026	Class 2 approval	APPROVED	2024-11-05

Hidden Slide — Version Control