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The funding responsibilities of the NDIS: Health

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At Xavier, we’ve been supporting families to navigate the NDIS since its rollout. One of the areas that can cause confusion for families is determining whether specific funding is the responsibility of the NDIS or another service or system such as education or health. Below we explain the funding responsibilties of the NDIS and the health system. 

Health

The table below summarises the health supports that are funded by the health system and those that are funded by the NDIS.

What won't the NDIS fund? What will the NDIS fund? How do the NDIS and health system work together? 
  • Preliminary assessment and disability diagnosis
  • Early intervention
  • Treatment of health conditions (inc. ongoing and chronic health conditions)
  • Time-limited recovery orientated rehabilitation therapies aimed at restoring a person’s health or improving functionality after recent medical or surgical treatment intervention
  • General hearing and vision services unrelated to the impact of a person’s impairment on their functional capacity for example prescription glasses
  • Palliative care
  • Nursing care by clinically trained staff (directly or through supervision) required due to the impact of a person’s impairment/s including PEG feeding, catheter care, skin integrity checks and tracheostomy care
  • Supports required due to the impact of a person’s impairment/s on their functional capacity and their ability to undertake activities of daily living
  • Elements of community re-integration which help a person to live in their community such as assistance with activities of daily living and home modifications
  • Active involvement in planning and transition support where a person has reached a point of stability in regard to functional capacity, prior to hospital discharge
  • Prosthetics, orthoses and specialist hearing and vision supports (excluding surgical supports) directly related to a person’s permanent impairment
  • Allied health and other therapy directly related to maintaining or managing a person’s functional capacity
  • Routine personal care required due to the impact of a person’s impairment/s on their functional capacity to enable activities of daily living including routine bowel care and oral suctioning
  • Training of NDIS funded workers by nurses, allied health or other relevant health professionals to address the impact of a person’s impairment/s on the functional capacity
  • Aids and equipment to enhance increased or independent functioning at home and in the community
  • Functional supports in relation to palliative care
  • Health assessments for support planning and review
  • The coordination of NDIS supports with support offered by the health system and other services
The NDIS and the health system will work together at a local level to plan and coordinate streamlined care for individuals requiring both health and disability services recognising that both inputs may be required at the same time or that there is a need to ensure a smooth transition from one to the other.


Principles to determine the responsibility of the NDIS and other service systems

There are 6 principles used to determine the funding and delivery responsibilities of the NDIS and other service providers. This helps government and non-government organisations, businesses and the wider community work together to enable people with disability to fulfil their potential as equal citizens. Click through for principles.

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