What does the NDIS fund, and what does it not cover?
What does the NDIS fund, and what does it not cover?
Approved List of NDIS Supports
As of 3 October 2024, participants can only use their NDIS funds for items that are on the approved supports list. There is also a specific list of exclusions for NDIS funding. In certain situations, participants may request a substitution from the replacement support list.
This change has come about due to recent legislation. As your support services provider, we will stay updated on what can be claimed and guide you accordingly.
Understanding what the NDIS supports can be frustrating. We offer a flexible, personalised approach to answering your questions about claims.
What Does the NDIS Fund?
The NDIS typically funds a support if it:
- Relates to your disability needs; AND
- Meets ALL of the following criteria:
- Helps achieve your individual goals
- Aids in your social or economic participation
- Offers value for money, meaning:
- The cost is similar to or less than alternatives providing the same outcome; and/or
- Purchasing it may reduce long-term funding costs for other supports.
- Is effective and beneficial for you
- Maintains your informal supports
- Is the responsibility of the NDIS to fund
What Doesn’t the NDIS Fund?
The NDIS usually does not fund a support if it:
- Could cause harm to you or others
- Is unrelated to your disability
- Provides the same benefit as another support in your plan
- Relates to everyday living costs (e.g., rent, groceries, utilities) not linked to your disability needs
- Is intended as income replacement
How Do You Seek Approval for Exceptions?
In certain cases, the NDIS can fund supports that are not generally covered, referred to as replacement supports, though these should actually be termed Approval for Exceptions.
Replacement supports are services, items, or equipment you wish to use instead of existing NDIS supports in your plan. Only specific supports can be replaced, and you need written approval from the NDIS. A replacement support does not provide additional funding; it substitutes an existing one.
To find out what can qualify as a replacement support, download:
Summary of Legislation Changes
Refer to the table highlighting legislative changes effective from 3 October 2024. The NDIS will continue to provide updates.