Pathways To Care

Yesterday’s announcement by Minister Mark Butler regarding structural changes to the NDIS brings a significant shift. We recognise that news of reform can cause genuine stress and uncertainty for participants, families, and providers. We believe that sharing accurate information is vital, and we are here to support you as you navigate these proposed changes.

The government has outlined a roadmap aimed at ensuring the NDIS remains a reliable and sustainable asset for future generations. Some of the key points of the proposed reform include:
• Focus on function: A move toward assessing eligibility based on how a disability impacts daily life and function, rather than diagnosis alone.
• Adjusted timelines: New framework plans have been moved to April 1, 2027 to allow for a more measured transition for the community.
• Payment integrity: Introducing digital payment systems and clearer provider standards to protect every dollar for frontline support.
• Mandatory registration: Expansion of mandatory registration to more services, including higher-risk activities like personal care and daily living.
• Foundational supports: A commitment to rebuilding community services and early intervention outside the scheme.

While this roadmap sets a direction, the Minister has stressed that consultation with the disability community is essential. We will continue to provide reliable updates as more details emerge to help you stay informed and confident.

For a full breakdown of what was said, please visit our blog ➡️ kismet.healthcare/blog/minister-announces-major-changes-to-the-ndis

The NDIA sometimes requests that providers submit invoices with specific details through the myplace portal as part of its payment enquiry process. It is best practice to always include these details on every invoice, regardless of whether a formal enquiry is underway.

Consistent, compliant invoicing reduces administrative tasks and minimises the risk of delayed payments. When a Plan Manager receives a correct invoice from the outset, they can process it promptly without needing to chase missing information.

Invoices should contain:
• Provider’s NDIS business name
• Provider’s ABN
• Participant’s name
• Participant’s NDIS number
• Participant’s address (including postcode – especially for specialist disability accommodation)
• Support item number
• Amount and quantity claimed for each unit of the support provided
• Claim type, eg, non face-to-face support, provider travel, short notice cancellation or NDIS Requested Report
• Date/s the support was delivered
• Total invoice amount

With the NDIS Fraud Fusion Taskforce ramping up investigations, it has never been more important to be proactive. Headlines might focus on the "dodgy" providers, but for participants, the risk is real. The miss use of participant funding can lead to the loss of essential supports.

Protect your funding by taking these 5 practical steps:
• Do your homework: Before signing with a provider, check the NDIS National Banned Provider list. Verify their qualifications and professional presence.
• Opt for Plan Management: A Plan Manager acts as your shield. They check bank details and pricing against NDIS rules, and give you the power to approve every invoice before it’s paid.
• Get it in writing: Always use a Service Agreement. It’s your best defence against unexpected charges or funding being drawn without your consent.
• Be the eyes and ears: Regularly review your invoices. Your Plan Manager doesn't know if a worker left early or if a session was cancelled, only you do!
• Keep a service log: Maintain a simple diary of dates and times of support. If an invoice looks "off," you’ll have the records to prove it.
Read our latest blog post, which goes into detail about what you need to know to protect your funding.

Find it here ➡️
https://www.kismet.healthcare/blog/rising-ndis-fraud-how-to-protect-your-ndis-funding

Struggling to find the right providers or simply short on time?

Let the Kismet team do the heavy lifting for you with their completely free provider match service. Instead of spending hours calling around, just enter your details, the service you need, and your location.

Once you submit your request, you can sit back while the team researches and verifies availability on your behalf. They will send you a tailored shortlist of providers that fit your exact needs, saving you a huge amount of admin time. It’s a win, win!

Start your search today at: www.kismet.healthcare/providers/enquiries/new

Raising a child with a disability brings unique joys and challenges. The Stepping Stones Triple P Online program is a fantastic, free resource designed to help you manage stress and build a stronger family bond. University-developed and backed by extensive research, this course provides proven, practical tools to help you navigate daily routines and emotional wellbeing with confidence.

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Find it here ➡️ https://www.triplep-parenting.net.au/au/parenting-courses/stepping-stones-triple-p-online/