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Check eligibility – EI – likely to improve or reduce deterioration of functional capacity or strengthen informal supports

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Knowledge Article

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The contents of this document are OFFICIAL.

Check eligibility – EI – likely to improve or reduce deterioration of functional capacity or strengthen informal supports

Guidance in this document is not approved for use unless you view it in PACE.

This article provides guidance for all NDIA staff and partners to understand how to:

  • review evidence of functional capacity or informal supports
  • use this information to support the person to understand the eligibility requirements.

Recent updates

3 October 2024

  • Article title changed from ‘(EI) Check evidence for a decision – Likely to improve or reduce deterioration of functional capacity or strengthen informal supports’ to ‘Check eligibility – EI – likely to improve or reduce deterioration of functional capacity or strengthen informal supports’.
  • When we say EI in a title, we mean early intervention requirements. We’ve added this to help you identity which articles are for disability or early intervention requirements.

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Review evidence of functional capacity or informal supports

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Review the available evidence to consider if early intervention supports are likely to help the person with at least one of the following:

  • address the impact of their impairment on their ability to move around, communicate, socialise, learn, look after themselves and organise their lives
  • prevent their functional capacity from getting worse
  • improve their functional capacity
  • support their informal supports, which includes building their skills to help them.

Before making an eligibility decision, you must find out about the person’s functional capacity and informal supports. You do this by checking their application and evidence.

To make an eligibility decision about this early intervention requirement, you must consider:

  • how early intervention will help the person
  • their functional capacity
  • their informal supports
  • our legislation and guidance
  • if we have enough evidence to decide or need more.

Early intervention requirements are just one of the eligibility requirements. To be eligible for the NDIS under early intervention, the applicant must also meet the age and residence requirements. Refer to Check eligibility – Age and residence requirements.

Next steps

If you are an access delegate:

  • to determine eligibility, continue to follow guidance in article Make an access decision - pre-legislation changes or article Make an access decision – post-legislation changes.
  • to check the timeframes to make a decision, follow guidance in article Check decision – Legislative timeframes.

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Version control

Version Amended by Brief Description of Change Status Date
1.0 EMN096 Draft approved by Class 3 Director (EL2) APPROVED 2022-11-10
2.0 EMN960 EL2 approval to publish APPROVED 2023-08-10
3.0 IIW664 Class 1 Apprvoal APPROVED 2024-09-23

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