Who Is Eligible for NDIS?


Who Is Eligible for NDIS?

by | Aug 10, 2021

Are you (or a loved one) living with a permanent and significant disability? You’re probably wondering if there is help or assistance available to you. Or, perhaps you know there’s help, but are unsure of how to go about getting it because the whole process just seems overwhelming. We completely understand. The good news is that there is help available.

The National Disability Insurance Scheme (NDIS) was introduced in July 2013. While some time has transpired since it was first introduced, there is still some confusion surrounding exactly how certain aspects of it work and how to take advantage of its services. Unfortunately, this may leave you wondering if you or your loved one qualifies for it.

Disabilities may have anywhere from a mild to severe impact on quality of life. When this happens, finding assistance can be crucial to improving that quality of life and ensuring you are prepared for the future.

With NDIS, there is help available to you. Today, we will go over some important things that you should know that will help you determine if you or your loved one is qualified to receive NDIS.

Understanding NDIS 

Australia implemented this whole of life approach for anyone who lives with a significant, permanent disability. The programme is created to support each person’s individual needs and goals. To enrol in the programme, you’ll need first to determine if you’re eligible. If you’re eligible, you’ll have a one-on-one meeting with a support person who will help create a plan for you.

Your goals may include things related to work, socialisation, transportation, and medical care. The idea here is that everyone has different needs. With NDIS, people are treated as individuals. This treatment allows them to choose what they need and have control over the services that they receive.

Before starting this process, it’s essential to make sure that you qualify for it. With this in mind, there are a few things that you’ll need to understand.

How NDIS Defines “Impairment”

It’s helpful to take some time to understand how NDIS defines impairment before submitting your claim. Generally, when the government uses the word “impairment,” they mean someone unable to function due to sensory, physical, or mental issues. This definition is slightly narrower than that found in Article 1 of The United Nations Convention on the Rights of Persons with Disabilities (UNCRPD). In doing so, NDIS can respond to those people who have the most need. 

A person’s ability to function due to their disability is taken into consideration here. NDIS also considers how this functioning substantially impacts a person’s ability to communicate, socialise, learn, move around, take care of themselves, and manage their own lives. 

It doesn’t matter how or why the person’s disability came about (e.g., birth, disease, injury, accident), as this won’t determine your eligibility to receive NDIS. The only thing that NDIS is concerned with is that you’re severely limited in your ability to undertake any of these activities. If so, NDIS believes that you’re unable to participate in your community’s social and economic life fully, and may offer you assistance. 

However, if your ability to undertake these tasks because of a disability isn’t substantially reduced, you may not receive any help under NDIS. They may still provide you with information and referrals, however. In this way, they’ll help you connect with people who can enable you to have some support in your community.

Conditions Meeting NDIS Requirements

NDIS has several lists of conditions entitled “List A, B, C, D, and E.” Creating these lists helps streamline the application process. 

List A Medical Conditions

The conditions on this list are “naturally” considered to be a permanent type of impairment that results in a substantially reduced level of functional capacity. To qualify for this list, you’ll need to provide evidence that you have a condition such as an intellectual disability with an IQ of 55 points or less, autism, severe Cerebral palsy, certain genetic conditions, spinal cord or brain injury, blindness in both eyes, permanent bilateral hearing loss, amputation or congenital absence of two limbs. There are some instances in which additional information regarding functional impact is requested.

 List B Medical Conditions

List B is another list in which people are considered permanently impaired. It includes issues such as intellectual disability, neurological impairment, physical impairment, hearing loss, and various conditions resulting in multiple types of impairment. To receive NDIS, you must demonstrate that you have substantially reduced functional capacity or psychosocial functioning due to this impairment.

List C Medical Conditions

Anyone whose disability is listed here meets the “Early Intervention Requirement.” This list includes anyone who qualified for and received services from specific Victorian schemes that predated NDIS. They won’t need to provide any further evidence of their disability. 

List D Medical Conditions

Several conditions are included in List D. These include chromosomal abnormalities resulting in permanent impairment, systemic atrophies primarily affecting the central nervous system, conditions primarily resulting in physical impairment, conditions resulting in sensory and/or speech impairment, and conditions resulting in multiple types of impairment.

Parents whose children have any of these disabilities have access to disability support services for them, including “Carer Payment.” They won’t need to undergo an assessment to receive these benefits.

List E Medical Conditions

This list also covers the early intervention pathways for children under seven years old. These interventions include residential centres, group homes, institutions, attendant care, alternative family placement, community support, counselling, and respite care.

The Benefits of NDIS

At Sunshine Coast Disability Services, we strive to assist those with disabilities in creating a better quality of life and give the family members who care for them the freedom to attend to daily life without feeling guilty about taking their focus away from the loved ones they care for. 

We provide a variety of services, including but not limited to:

  • In-home or out-of-home short-term accommodation for those with disabilities
  • Skilled and trained medical professionals and caretakers who will always put your loved one’s well-being and needs first
  • Assisting with the development of life skills
  • Assisting with daily life tasks
  • Assisting with and encouraging participation in social and community activities

If you’re considering short-term accommodations or high-intensity care for your loved one, contact Sunshine Coast Disability Services and let’s discuss your needs. 

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