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Want to make a change to your NDIS Plan? Here’s how to request a review

So you already have your NDIS plan, but there’s something not right or you’re not completely happy with. Did you know you can ask for a review of your plan at any time?

Firstly, it’s important to point out that not all plan review have a positive outcome. Your review might be rejected and - in some extreme cases - it might even result in your funds being reduced. So, be sure you only ask for a review if you’re confident that it’ll have a good outcome.

If you’re confident to proceed, your first step should be contacting the Local Area Coordinator (LAC) you had your initial planning meeting with. For some specific situations, they can adjust your plan right then and there. If they can’t make the change themselves, don’t despair - here’s how you go about requesting an official review of your NDIS plan.

Step 1. Research

Before you request a review, it’s important you familiarise yourself with the NDIS’s policy around ‘reviewable decisions’. If you don’t agree with a decision the NDIS has made about your plan, you’re able to dispute it - first with the NDIS itself, and then through an external tribunal, if you still feel the matter hasn’t been resolved. For more information on reviewable decisions, head to the NDIS page on the subject.

Step 2. Writing your Request

The best way to request a review of your NDIS plan is to use the ‘NDIS Reviewable Decision Form’, available on the above NDIS page. Take your time to fill out each section carefully, paying particular attention to Part C, “What are the grounds for this review?”  This is your chance to make your case, so be sure to clearly state that the review concerns your NDIS plan, and go into detail on why you disagree with the NDIS’s decision. While it might be an emotional subject, try to focus on the practical issues you’d like to change and avoid using  emotive language. 

If your review concerns the request for financial Plan Management, you will need to specifically ask for it - please note that financial Plan Management will be featured in the category ‘Improved Life Choices’ in your plan. And remember, apart from a couple of rare circumstances, it is your legal right to get plan management included in your plan. 

Requesting Support Coordination works a little differently, as it’s subject to whether the planner thinks it is reasonable and necessary for you to receive these supports.  You will need to prove your eligibility by focusing on why you’d benefit from assistance with finding and connecting with service providers in your area.   

Step 3. Submitting your Request

There are two ways to submit your request form: either via the NDIS website (please note: at the time of publishing, this functionality is temporarily unavailable) or by mailing a copy to the following address:


Chief Executive Officer
National Disability Insurance Agency, GPO Box 700, Canberra ACT 2601

We strongly recommend you also send your Local Area Coordinator a copy and ask them to acknowledge that they’ve received it. As with all important paperwork, be sure to also keep a copy for your own records.

Step 4. Talking to the NDIS

While it might take the NDIS a while to get back to you about your request (sometimes even 2 to 3 months), if it’s been over 16 business days and you still haven’t heard back, contact them and ask about the status of your review. You can also ask your LAC about your request if you’d prefer.

In some instances, the NDIS may need more information before they can assess your request. If that’s the case, you can request a face to face meeting to explain why you’re not happy with your current plan and why you’ve requested the change. Make sure you have any supporting documentation that might help your case with you during any follow up discussions. If you’re a little nervous or feel you’d benefit from having a friend or carer there, know that you’re also allowed to take somebody with you for support during the meeting,  

Step 5. Notify us of any changes

If your request has been approved, you should request a copy of your new plan and double check the correct changes have been made. If any changes have been made to your funding or the types of services covered, be sure to notify your Plan Management Partners Plan Manager and/or Support Coordinator and any service providers who are impacted by the change.

General Tips

  • Your plan review is not guaranteed to have the outcome you want and in some instances it might leave you worse off, so preparation and preplanning is important. 
  • Plan Management is not automatically included in your NDIS plan. If you don’t receive Plan Management but would like to, make sure you explicitly ask to for it in your NDIS Reviewable Decision Form.
  • The NDIS only includes Support Coordination in your NDIS plan if you’re deemed eligible for it. If you’d like to request it in your review, you will need to focus on why you’d benefit from assistance implementing your plan and finding the right local supports for you. If you’ve previously requested Support Coordination as part of your NDIS plan but were rejected, try talking to your LAC about why you might have deemed ineligible and consider this in your plan review.
  • If your request to change your plan is approved by the NDIS, always ask for a copy of your newly updated plan.
  • Be as specific and clear as possible about why you’re requesting the review. Focus on the issues with your current plan, and how it’s negatively impacting your life.
  • If your request is approved, contact Plan Management Partners to notify us of the changes. 
  • If your request is rejected and you’d like to contest the decision, you can contact the Administrative Appeals Tribunal for an external review.

 

 

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