How to Prepare for Your NDIS Plan Reassessment
Preparing for an NDIS plan
reassessment can feel overwhelming, particularly if your support needs,
circumstances or goals have changed since your current plan was created.
A reassessment is an opportunity to
explain how your current NDIS plan is working, what has changed, what supports
you currently use and what you may need going forward.
The most useful preparation is
practical. Review your current plan, think about your day to day support needs,
consider your goals, gather relevant evidence and write down the questions you
want to ask.
The NDIS says your my NDIS
contact will generally contact you around 2 to 3 months before your
plan’s reassessment date for a check-in. You may also have a check-in when
you tell the NDIS that your circumstances have changed and your plan may need
to change. (NDIS)
For the latest information about
what happens when your current plan is approaching its reassessment date, you
can read the official NDIS Guide to your next plan.
This guide explains how to prepare
for your NDIS plan reassessment, what information may be useful, what questions
you can consider asking, what may happen after the reassessment and how support
coordination or plan management may assist.
What
Is an NDIS Plan Reassessment?
An NDIS plan reassessment is the
process used when the NDIS needs to consider whether a participant needs a new
plan.
The NDIS explains that a plan
reassessment may be needed when your situation has changed and your current
plan no longer meets your needs, when you need more, less or different NDIS
supports or when your plan’s reassessment date is approaching and you need a
new plan.
During a reassessment, the NDIS may
consider your current plan, existing supports, disability-related support
needs, goals, changes in your circumstances and information or evidence you
provide.
The NDIS also considers how your
supports work together and how they may help you work towards your goals. You
can generally continue using your current plan while the reassessment is being
completed. (NDIS)
When might a reassessment be needed?
A reassessment may be relevant when:
- Your scheduled reassessment date is approaching.
- Your circumstances have changed significantly.
- Your current plan no longer meets your needs.
- You need more, less or different NDIS supports.
- Your disability-related support needs have changed.
- You need a new plan because of significant changes in
your situation.
If your circumstances change, you do
not necessarily need to wait until your next scheduled check-in. You can
contact your my NDIS contact and explain what has changed. The NDIS will
determine what type of plan change, if any, may be appropriate. (NDIS)
How
to Prepare for Your NDIS Plan Reassessment
Good preparation starts with
understanding your current situation. You do not need to create a complicated
document. A clear summary of your current supports, needs, goals and changes
can help you communicate your situation more effectively.
Review your current NDIS plan
Start by reading through your
current plan and consider what supports are included, which supports you are
using and how often you are using them.
Think about which supports are
working well and whether there are any supports you have not been able to
access. Consider whether your current supports are helping you work towards
your goals and whether your support needs have changed.
Writing down a few key points before
your check-in can make it easier to remember important information during the
discussion.
Think about how your supports are
working
Do not only look at how much funding
has been used. Think about the actual impact your supports have had on your
life.
For example, consider whether your
supports have helped you:
- Become more independent.
- Participate in the community.
- Work or study.
- Manage everyday activities.
- Develop skills.
- Work towards your NDIS goals.
- Maintain important relationships and routines.
Also consider whether there are
areas where you still need additional support.
The NDIS considers whether proposed
supports relate to a participant’s disability, help them work towards their
goals, increase independence and help them work, study and participate in
social activities.
Identify changes in your
circumstances
Think about what has changed since
your current plan was created.
Changes could involve your daily
living needs, disability-related support requirements, living arrangements,
informal support network, employment, education, community participation,
independence or ability to access providers.
Your goals may also have changed.
For example, you may be preparing to
leave school, start employment, change your living arrangements, begin further
education or take on greater responsibilities in your daily life.
The NDIS recommends considering
significant life changes you are expecting over the next few years, including
leaving school, starting or leaving work or changing your living situation.
It is important to remember that a
change in circumstances does not automatically mean your NDIS plan will change.
Depending on the situation, the NDIS may determine that no change is needed, a
plan variation is appropriate or a plan reassessment is required.
Review your NDIS goals
Your goals are an important part of
your planning discussions.
Before your reassessment, consider
whether your current goals are still relevant and whether your priorities have
changed.
You may want to think about goals
relating to:
- Greater independence.
- Employment.
- Education or training.
- Community participation.
- Daily living skills.
- Social participation.
- Personal development.
Think about what you would like your
life to look like in the future and what practical supports may help you work
towards those goals.
If your goals have changed, discuss
this with your NDIS contact. The NDIS says some small changes, including
updating goals, can be made through a plan variation rather than
creating a completely new plan. (NDIS)
Gather relevant evidence
Relevant evidence can help explain
your circumstances and support needs.
Depending on your situation, this
may include occupational therapy assessments, functional assessments, allied
health reports, reports from treating healthcare professionals, therapist
reports, information from support workers or documentation explaining changes
in your circumstances.
Evidence can be particularly useful
when it clearly explains your functional needs, what has changed, what support
you currently require and what happens when appropriate support is unavailable.
A report may also explain why a
particular support has been recommended and how that support relates to your
goals.
The NDIS says information and
evidence for a plan reassessment may include assessments or reports from
treating healthcare professionals, therapists or support workers.
You do not need to collect documents
simply for the sake of having a large file. Focus on relevant information that
helps explain your current circumstances and support needs.
Explain difficulties accessing
supports
If you have not used some of your
current funding, think carefully about why.
Unused funding does not
automatically mean that you no longer need a particular support.
You may have experienced difficulty
finding a suitable provider, provider availability issues, delays in starting
services, changes in your circumstances or other barriers to accessing
appropriate supports.
Where possible, keep records of
significant access difficulties.
During your reassessment, explain
the circumstances rather than simply saying that the funding was not used.
For example, you could explain that
you were unable to access a particular support because you could not find a
suitable provider during the plan period.
This gives the NDIS more context
about why the funding was not used.
The NDIS considers how current
supports have been used as part of the reassessment process.
Think about future changes
Preparation should not only focus on
what has already happened.
Think about significant changes you
expect over the coming months or years.
These could include starting or
leaving employment, leaving school, beginning further education, moving to a
different living arrangement, changes in informal supports or changes in your
daily living and disability-related support needs.
Considering these changes in advance
can help you explain what you may need as you work towards your future goals.
What
Evidence and Information Should You Prepare?
The evidence required for an NDIS
plan reassessment depends on your individual circumstances and the change being
considered.
Potentially relevant information may
include:
- Occupational therapy reports.
- Functional capacity assessments.
- Allied health reports.
- Reports from treating healthcare professionals.
- Therapist reports.
- Information from support workers.
- Documentation about changes in your circumstances.
- Records of difficulties accessing supports.
- Information about your current services and support
arrangements.
The NDIS says information and
evidence may include assessments or reports from treating healthcare
professionals, therapists or support workers. These can help explain how
current supports are helping you work towards your goals and may include
recommendations for future supports.
Make your evidence easy to
understand
Relevant evidence should clearly
explain your circumstances rather than simply listing a diagnosis or support.
Where appropriate, useful
information may explain your functional needs, the support you currently
require, what has changed and how your support needs affect everyday
activities.
It can also be helpful for
professional recommendations to explain why a particular support may be
appropriate and how it relates to your goals.
Evidence does not guarantee that a
particular support or funding amount will be approved. The NDIS applies its
rules and considers the information available when making decisions about
supports.
How can you provide information to
the NDIS?
The NDIS currently says you can
provide information and evidence through the service hub, by mail to the NDIA
or by giving it to your my NDIS contact or local NDIS office.
If you are unsure how to submit a
particular report or document, ask your my NDIS contact before sending it.
It is also a good idea to keep
copies of important documents you provide.
What
Should You Prepare for Your NDIS Plan Meeting?
Not every reassessment will result
in the same process. If a plan meeting is required, preparing your information
beforehand can help you feel more confident.
Consider having your current NDIS
plan, current goals, relevant reports and assessments, a summary of your
current supports and notes about changes in your circumstances available.
You may also want to have
information about difficulties accessing supports and any new information the
NDIS has asked you to provide.
You do not necessarily need to take
every document you have. Focus on information that is relevant to your current
support needs and the changes you want to discuss.
The NDIS provides additional
guidance about preparing for a plan meeting, including thinking about your
support needs, preparing new information and evidence and deciding whether you
want to bring someone.
Can you bring someone to an NDIS
plan meeting?
Yes. Depending on your
circumstances, you may choose to have someone you trust support you during a
meeting.
This could include a family member,
friend, support coordinator, recovery coach or another person you are
comfortable having involved.
Consider whether the person can help
you communicate your needs, understand information and feel comfortable during
the discussion. The NDIS also provides guidance about bringing someone to a
plan meeting. (NDIS)
Questions you may want to ask
Preparing questions before the
meeting can help you stay focused.
You could ask:
- How is my current plan being considered?
- What information or evidence do you need from me?
- Are any additional reports or assessments required?
- How should I explain supports I have not been able to
access?
- How will my current goals be considered?
- Should I update any of my goals?
- What happens after the reassessment?
- When will I receive the decision?
- What happens if my plan is varied?
- What happens if a new plan is created?
- What happens if my plan does not change?
- What review options are available if I disagree with
the decision?
If you do not understand something
during the discussion, ask for an explanation. You can also make notes so you
can review the information later.
What
Happens After an NDIS Plan Reassessment?
After the reassessment, an NDIA
planner reviews the information and evidence relevant to your circumstances.
The NDIS may consider your current
plan and supports, how you have used your supports, the information and
evidence provided, your use of community and mainstream supports, the change
being considered and whether the requested supports meet the relevant NDIS
requirements.
The NDIS also considers how supports
work together and how they may help you work towards your goals.
The NDIS says it will let you know
its decision within the applicable timeframe once it has the information and
evidence needed to make the decision. Check with your my NDIS contact for the
timeframe that applies to your circumstances.
There are several possible outcomes.
Your plan may stay the same
The NDIS may decide that the
information and evidence does not indicate that your plan needs to change. In
this situation, your current plan can continue.
Your plan may be varied
A plan variation changes part of
your existing plan without creating an entirely new plan.
Plan variations can be used for
certain changes, including changes to goals, the reassessment date, the
statement of supports and the way funding components are managed. (NDIS)
A new plan may be created
If the NDIS determines that your
plan needs significant changes, it may complete a plan reassessment and create
a new plan. Your NDIA planner will invite you to a plan meeting to discuss the
decisions made and the supports included in your new plan.
Plan continuation
If the NDIS does not reassess your
plan before its reassessment date, your plan may continue for another 12
months. This is called a plan continuation. Your continued plan will generally
have the same funding amounts in your Core and Capacity Building budgets, and
eligible unspent funding can remain available.
What
If Your Circumstances Change Before Your Next Reassessment?
You do not necessarily need to wait
until your next scheduled reassessment if your circumstances change.
You can contact your my NDIS contact
and explain what has changed and how it may affect your disability-related
support needs.
Depending on your circumstances, the
NDIS may determine that no change is needed, a plan variation is appropriate or
a plan reassessment is required.
A change in circumstances does not
automatically mean that your NDIS plan will change. The NDIS explains that the
appropriate response depends on the nature of the change and whether your
current plan continues to meet your needs.
Common mistakes to avoid
One common mistake is assuming that
your next plan will automatically be the same as your current plan. It is
better to prepare by reviewing your current situation and identifying what has
changed.
Another mistake is waiting until the
last minute. Professional reports and assessments can take time, so start
gathering relevant information as early as practical.
It is also important not to focus
only on funding. Your discussion should explain your disability-related needs,
functional capacity, goals, current supports, changes in circumstances and what
you want to achieve.
If you have unused funding, explain
why it was not used rather than assuming the NDIS will know the reason.
Finally, do not be afraid to ask
questions. If you do not understand a decision, process or request for information,
ask your NDIS contact for clarification.
How
Can Support Coordination or Plan Management Help?
You do not have to prepare for an
NDIS plan reassessment alone.
Support coordination
A support coordinator may help you understand your NDIS plan,
coordinate providers, identify support gaps and prepare for conversations about
your goals and support needs.
Support coordination may be particularly useful if you have multiple
providers, complex support arrangements, difficulty coordinating services or
problems accessing appropriate supports.
iDeal Care Services provides NDIS
Support Coordination, helping participants understand their NDIS plans,
connect with suitable providers and work towards their goals.
Plan management
Plan management has a different role. A plan manager can
assist with the financial administration of your NDIS plan, including
processing provider invoices and helping you understand your plan spending.
Before a reassessment, reviewing your spending can help you understand how
your current funding has been used.
You may want to review your current spending, available funding, provider
invoices, remaining budgets and regular support costs.
iDeal Care Services provides NDIS
Plan Management to help participants manage their NDIS funding and plan
administration.
Support coordination and plan management serve different purposes. Whether
one or both are appropriate depends on your individual NDIS plan and
circumstances.
What if you disagree with an NDIS
decision?
If you disagree with an NDIS decision,
ask the NDIS about the review options that apply to that particular decision.
The appropriate review pathway can
depend on the type of decision that has been made. If you are unsure what to
do, ask the NDIS or an appropriate professional for information about the
available review process.
Frequently
Asked Questions
How far in advance should I prepare
for my NDIS plan reassessment?
Start preparing as early as
practical. The NDIS says your my NDIS contact will generally contact you around
2 to 3 months before your plan’s reassessment date for a check-in.
Starting early gives you more time
to review your plan, identify changes and gather relevant evidence.
Can I request a plan reassessment if
my circumstances change?
You can contact the NDIS if your circumstances
change and you believe your plan may need to change. You do not necessarily
need to wait for your next scheduled check-in.
The NDIS will consider the nature of
the change and determine whether a plan variation, reassessment or no plan
change is appropriate.
Do I need a support coordinator for
an NDIS reassessment?
No. Support coordination is not
compulsory.
However, some participants may find
support coordination useful when preparing information, coordinating providers
or discussing their support needs.
Can I bring someone to my NDIS plan
meeting?
Yes. Depending on your
circumstances, you may bring a family member, friend, support coordinator,
recovery coach or another person you trust.
Can a support coordinator make
decisions about my NDIS plan?
No. A support coordinator can help
you understand and coordinate your supports, but the NDIS is responsible for
decisions about your NDIS plan.
You should remain involved in
decisions about your goals and supports.
What should I do if I cannot access
a support in my current plan?
Keep records explaining why the
support could not be accessed. This may include difficulty finding a suitable
provider, provider availability issues, delays or other barriers.
Discuss the circumstances with your
my NDIS contact and, where appropriate, your support coordinator or another
relevant professional.
Can my NDIS plan stay the same?
Yes. The NDIS identifies not
changing your plan as one possible outcome of the reassessment process.
Can my NDIS plan continue without a
new plan meeting?
In some circumstances, your current
plan may continue rather than being replaced with a new plan. The latest NDIS
guidance explains that you may be able to keep your next plan the same as your
current plan.
How long does the NDIS take to make
a reassessment decision?
The NDIS says an agreed plan
reassessment takes 28 days to complete once it has the information and
evidence it needs. The timeframe may be different in some circumstances, so
check with your my NDIS contact for information relevant to your situation.
Final
Thoughts
Preparing for an NDIS plan
reassessment does not have to be overwhelming.
Start with your current plan. Review
how your supports are working, identify changes in your circumstances, review
your goals and gather relevant evidence.
Most importantly, focus on clearly
explaining your current situation and disability-related support needs.
Think about what has changed, what
is working, what is not working and what you want to achieve next.
The NDIS reassessment process may
involve a check-in, gathering information and evidence, an NDIA review and a
decision about your plan. Depending on your circumstances, your plan may remain
unchanged, be varied or be replaced with a new plan. (NDIS)
You do not have to navigate the
process without support.
iDeal Care Services provides NDIS
Plan Management and Support Coordination to participants across Australia.
If you would like assistance understanding or coordinating your NDIS supports,
you can learn more about the services available through iDeal Care Services.
Learn more about NDIS Support
Coordination from iDeal Care Services:
NDIS Support Coordination
Learn more about Disability Plan
Management from iDeal Care Services:
Disability Plan Management
Contact iDeal Care Services:
Contact iDeal Care Services