NDIS Update

National Disability Insurance Agency

NDS Forums (NSW)Carol Berry

Director, Provider and Market Engagement, NSW/ACT

April/May 2019

National

Disability

Insurance

Scheme (NDIS)

Agenda

• NDIS Rollout and state snapshot

• The growing NDIS Market and potential

opportunities

• Recent developments

• Upcoming changes

COAG NDIS Quarterly Report

• At 31 December 2018, 244,653 Australians were receiving supports through the NDIS – a 17% increase on the last quarter.

• Excluding children in the Early Childhood Early Intervention (ECEI) program, 32% of participants are receiving funding for the first time.

• The number of registered providers is up 6%, to a total of 19,075 providers.

• Participant satisfaction with the Scheme remains high with 84% of participants rating their experience with NDIS as either ‘Very good’ or ‘Good’.

NSW snapshot

z 8,924 registered providers

2% increase since September 2018

Represents 46.8% of providers

nationally

Providers

z 92,201 participants benefiting from

the NDIS

31,283 receiving support for the first

time

$9.6B committed to date

Participants

Note: All figures as at 31 December 2018

Number of participants in NSW

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

Current Number of Participants Estimated Number of Participants at full scheme

Expected growth in demand

• Expected NDIS Market size will be $6.8 billion at full rollout

• Estimated workforce is 48,400 to 59,200 FTE jobs

• Estimated number of participants is 142,000 people

Market regions and estimated market size

Note: All figures annualised for the 2018-2019 financial year. Figures sourced from NDIA Scheme Actuary. Map of NSW Health Districts sourced from NSW Chartbook 2009, published by NSW Health.

Provider growth

3,6965,110

6,814

8,698

10,507

13,32814,271

16,75517,925

19,075

0

5,000

10,000

15,000

20,000

25,000

Registered Providers

Active Providers

Areas of demand

Total committed supports – Q2, 2018-2019

Daily Activities - 50.3% Social and Community Participation - 19.8%

Capacity-Building - Daily Activities - 12.1% Assistive Technology - 4.1%

Support Coordination - 2.6% Other - 11.1%

Registered Providers by Registration Group

All of the largest registration groups continued to grow during the quarter:

Registration GroupQ1

2018 - 19Q2

2018 - 19 Growth

Therapeutic supports8,701 9,247 6%

Household tasks4,977 5,381 8%

Assistance with travel/transport arrangements

3,723 3,994 7%

Early intervention supports for early childhood

2,940 3,051 4%

Innovative community participation

2,760 2,997 9%

Price Controls

•The NDIA has established the Pricing Reference Group (PRG)

•The PRG will monitor the market for issues that can be influenced by adjustments to price settings.

Price Controls

•one-to-one self-care activities

•one-to-one assistance to access community, social and recreational activities.

From 1 February 2019 new price control arrangements for:

Price Controls

• The worker is classified at SCHADS 3.2 or above (or the equivalent)Level 3

• The worker is classified at SCHADS 2.4 or 3.1 (or the equivalent)Level 2

• The worker is classified at SCHADS 2.3 or below (or the equivalent)Level 1

Price controls are linked to the skill level of the worker delivering the support.

Annual Price Review

Current: Annual Price Review

June 2019 : Release of Price Control Changes

1 July 2019: New prices come into effect, automatic plan indexation

Annual Price Review

Clarifications to:

Group and Centre-based

supportsCancellations

TravelUse of

Volunteers

Charging for non-face-to-

face time

Attendant Care Changes

• Total price increases between 10.9% and 20.4%

• Additional Indexation for wage inflation 1 July 2019.

• Temporary Transformation Payment (TTP) of 7.5%. Must agree to conditions.

•Increase in price limits for base attendant care and community participation supports.

1 July 2019

TOTAL

TTP

BASE

Price Review - Therapy

Therapy Price Limits

• Increase to $190 per hour

Psychology Price Limits

• Increase to $210 per hour

Physiotherapy Price Limits

• Increase to $190 per hour

1 July 2019 Price Indexation

New participant plan format

Improved participant plan format released November 2018.

New format gives:

• Greater emphasis on individual circumstances

• Clear links between supports and participant goals

• Simpler layout and clearer definitions

• Clear information on where to get help.

Complex Support Needs Pathway

• The need for Complex Support Pathway identified in the 2017 Participant Pathway Review.

• When working with participants with complex support needs, the NDIA sees the participant as an individual that is part of a broader system of supports.

• It is not always an individual person or their disability that determines ‘complexity’ in the NDIS but the person’s situation and the combination of systems and supports they use.

• An NDIA Decision Tool has been developed and will feature a template of criterion and considerations to assist in decision making for delegates.

Complex Support Needs Pathway

• Key features of the Complex Support Needs Pathway include

– Pre-access, local engagement and liaison

– Access, detailed handovers and connections

– Specialised planning and Complex Support Practice Leads

– Skilled Support Coordinators and effective plan implementation

– Ongoing monitoring and evaluation

– Review outcomes and progress

Contemporary Practice and Innovation Strategy

•Developing strategy to support the growth of new and better ways of providing services.

•Contemporary approaches include existing evidence-based practices that deliver the best outcome for participants.

Hearing

•The NDIA is designing a hearing stream

•First phase of the hearing stream rolled out in August 2018

•Prioritising access to the NDIS for children from birth to six years of age with a newly diagnosed hearing loss.

Hearing

Assistive Technology (AT) and Home Modifications (HM)

•The NDIA is working to improve participants’ experience and outcomes

•A team of senior planners and AT advisors monitor and help resolve delays in the AT process

Specialist Disability Accommodation (SDA)

Note: Figures as at 30 June 2018

To build a clearer picture the SDA market, the NDIA is publishing data and developing more information on policy and operations.

Total SDA Market:

•8,858 Participants•$80m committed

5,003

2,034

225

523

5

175

757

136

Market Intermediaries

• We have identified a need to improvepolicies and processes

• We have consultedwith participants and the sector to develop policy and test proposed changes

Jobs and Market Fund

…is available for targeted projects through the Jobs and Market Fund to support workforce transition

Examples of projects that the Fund will support include:

• work to support the development of an e-marketplace

• initiatives to support Aboriginal and Torres Strait Islander organisations to provide NDIS services

• development of frameworks and resources to assist providers to train NDIS workers

$45.6 million

Contacts:

Carol Berry, NDIA

0476837818

Carol.Berry@ndis.gov.au