The National Disability Insurance Agency (NDIA) is the independent statutory agency, which was established by the Commonwealth of Australia in July 2013, to implement the National Disability Insurance Scheme (NDIS). The NDIA has many roles, including, but not limited to:
Once you have submitted an application, one of the primary roles of the NDIA is determining whether someone is eligible to access the NDIS and, if so, how much funding will be received. This is based on legislation called the NDIS Act 2013, which sets out what supports and services are considered reasonable and necessary for the NDIS to fund. If someone already has access to the NDIS, the NDIA also makes decisions on reassessing or varying a participant's plan.
It is with these decisions made by the NDIA that an individual is impacted if they do not agree with the outcome. Specifically, these are decisions:
A decision made by the NDIA to decline access to the NDIS, reassessment, or variation of an existing plan, is usually because the NDIA deem specific requests as not "reasonable and necessary." This, however, can also be as a result of the poor quality and detail of the Occupational Therapy reports initially submitted to the NDIS.
Holistic and comprehensive reports with clear clinical justification, is core to assisting with reviewing a decision. At MiBody Lytics, we pride ourselves in our ability to consolidate over 16 years of clinical experience into substantiating an individual's support needs. We offer an independent Occupational Therapy Functional Capacity Assessment, and provision of a comprehensive report, to assist you and your legal representative with reviewing a decision made by the NDIA.
We offer an independent Occupational Therapy Functional Capacity Assessment and comprehensive report, to assist you and your solicitor with reviewing a decision made by the NDIA.
You, a plan nominee, support person, guardian, or a representative (such as a lawyer), can request to review the decision, which you are then required to go through an Administrative Appeals Tribunal (AAT) hearing. The hearing is an opportunity for you and a representative of the NDIA, to provide information and arguments to the AAT about the decision under review.
There, however, is a time limit to apply for a review by the AAT. You have 28 days from the time you received the decision from the NDIA to lodge your application for review with the AAT. After you lodge your application, you will be asked to provide any missing information that is required for the review. It is during this time that the recommendation is to gather as much additional evidence as possible, to help support the case you will put forward at the hearing.
Lodging to review a decision can be complex and stressful, particularly as it is time limited. If you are not seeking support through a legal representative, you can find out more about the AAT on their government site.
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