Support Clusters Definitions and Pricing for Very Remote

Transcription

1 Clusters Definitions and Pricing for Very Remote Version release date: 01/08/15 Page 1

2 For any queries or to provide feedback, please contact the Provider team at This document only applies to participants who have had plans finalised prior to 1 August, The NDIA Guide and the NDIA Guide for Assistive Technology apply to participants with plans that were finalised from 1 August, 2015 onwards.

3 Contents Introduction... 5 Definition of terms... 5 Features common to the existing catalogue and the revised NDIA Guide:... 6 Maximum s... 6 Indicative s... 6 Quotes... 6 GST... 6 Remote and very remote loading... 7 Provider travel for personal care and community access... 7 Remote travel... 7 Cancellations and no shows of scheduled supports... 8 Personal supports and training... 9 Accomodation/tenancy assistance... 9 Assistance in coordinating or managing life stages, transitions and supports... 9 Assistance to access and maintain employment Items related to work in an ADE Assistance to integrate into school or other educational programs Assistance with daily life tasks in a group or shared living arrangement Assistance with daily personal activities Assistance with travel/transport arrangements Community nursing care for high care needs Development of daily living and life skills Error! Reference source not found. Valid from: Error! Reference source not found.5 3

4 Interpreting and translation Early intervention supports for early childhood Management of funding for supports in a participant's plan Household Tasks Participation in community, social and civic activities Physical wellbeing activities Specialised assessment of skills, abilities and needs Therapeutic supports Training for independence in travel and transport Behaviour support Assistive products and equipment Assistive technology specialist assessment, set up and training Assistive equipment for recreation Assistive products for household tasks Assistive products for personal care and safety Communication and information equipment Assistive products for hearing Assistive products for vision Home modification design and construction Personal mobility equipment Vehicle modifications Error! Reference source not found. Valid from: Error! Reference source not found.5 4

5 Introduction The following price list has been developed by NDIA to help estimate and approve the cost of individualised plans. The list contains information on maximum or benchmark prices of identified supports. Registered service providers with the NDIA have agreed to provide services at a cost that aligns with this list. This list identifies 32 clusters or groupings of similar supports. Beneath each cluster are support items and detailed descriptions. The document is not a comprehensive list of all supports that may be provided in NDIS, but includes prices for the most commonly used supports that assist participants to achieve their outcomes. The document is intended to assist providers to claim against a support item and to assist participants in engaging and negotiating delivery of services with disability support workers and organisations. As occurs with the revised Guide, providers are encouraged to use a Best Fit approach if a specific item is not listed in the Catalogue. Providers are to maintain accurate records of service provision, including the type, time of day and duration, in accordance with the Service Agreement developed with the participant. Provider claims are monitored by the Agency and provider records are subject to audits conducted or commissioned by the Agency. Definition of terms Term item reference number UoM (Unit of Measure) Quote Definition This is the unique number that NDIA assigns to a particular support. The support item reference number includes the relevant code from ISO 9999 for Assistive Technology. This indicates what the price covers e.g. per hour, per day, or each for goods. Where Items cost $500 or less, a verbal or published price is enough. For Items that cost between $500 and $10,000, an outlining the cost is required. For Items that will cost more than $10,000, a detailed written quote is necessary. In the latter case, competitive quotes will be sought from 2 or more suppliers. The Agency provides guidance on the price to be paid for each support item. For some items, such as personal care and community access, the amount indicates the maximum price that the Agency will pay for that support. For other items, indicative prices are published and a quote is required for some items.this is indicated where applicable. Very Remote Release Date: 01/08/15 Page 5

6 Features common to the existing catalogue and the revised NDIA Guide: Maximum s Maximum prices remain for personal care, community access, domestic assistance and professional services. These have been indexed at the appropriate rates for the 2015/16 Financial Year to take effect from 1 August Indicative s There are several items that lend themselves to a some variation in pricing. This is particularly the case with Assistive Technology. A supplier/provider needs to notify NDIA of any necessary increase above the amount in the plan providing reasons for this increase above the Agency s indicative rate. Quotes Quotes are required from providers for a number of service offers. This most commonly occurs for the following supports: supported accommodation; early childhood intervention services; multidisciplinary programs; customised assistive technology; and home modifications. GST Most supports funded by the NDIA are GST exempt as described in s38-38 of the GST Act. For the small number of items where GST is applicable, (e.g., delivery fees and taxi fares) the price is inclusive of GST. For the supply of the support to be GST-free, it must be made under a written agreement between the provider or supplier, and the participant. Further information can be obtained from the ATO website. Very Remote Release Date: 01/08/15 Page 6

7 Remote and very remote loading For supports provided to participants in remote and very remote regions of Australia, the Independent Hospital Pricing Authority loading (which was increased in by 1% to16% in remote areas and 22% in very remote areas) is applied to the unit price of the support. Provider travel for personal care and community access Workers Travel for personal care and community access A worker s travel time from home to work (or first participant) and from work to home cannot be deducted from a participant s budget. For workers travelling between participants, a provider may deduct up to a maximum of 20 minutes from the hours of service for each participant. If 4 or more hours is delivered to one client, no worker travel time is to be deducted. Accompanying Participants for Community Access When workers accompany participants on community outings no travel time is to be deducted from the participant s budget. If providers incur a cost for transporting participants in the community, they may negotiate a reasonable contribution from the participant. The participant may be allocated transport funds within their package to assist with such contributions. The cost of public transport when training a participant in the use of public transport can be deducted from the budget of the participant when a cost is incurred (taking account of arrangements for companion cards). There is no change to the requirements for providers charging for travel when delivering therapeutic supports: travel of less than 10 km cannot be claimed; and travel costs over $1000 cannot be claimed in any one year. Remote travel Services delivered by a provider located in a remote or very remote region attract the Independent Hospital Pricing Authority (IHPA) loading 16% for remote and 22% for very remote in 2015/16. Very Remote Release Date: 01/08/15 Page 7

8 If local providers are not available, the Agency will enter into agreements with specific providers for provision of services including more remote regions. The contract with a service provider will allocate the cost of travel and associated expenses among the participants and other clients of the provider who receive services under the contract/ arrangement in these areas. Cancellations and no shows of scheduled supports Providers need to have business arrangements in place to minimise the risk of cancellation, no show or late changes to the delivery of a scheduled support. Service agreements between participants and providers need to include details of these arrangements including: rescheduling the appointment; advice periods for cancellations; and changes to agreed appointments. If there are unforeseen circumstances and the participant agrees that they did not comply with the agreed requirements, a fee may be charged against a participant s plan up to 8 times per year for personal care and community access supports. However, the provider should notify the Agency that the participant is at risk of not receiving the budgeted supports as a plan review might be indicated. Where a participant fails, without notice, to keep the scheduled arrangement for the support, the provider must make every effort to contact the participant to determine if there is an additional problem (e.g. the person has fallen out of bed and cannot raise an alarm, or there is a sudden break down in the informal supports and additional support is likely to be required). Where there is a specific risk that a participant will frequently not show for a support due to the nature of a person s disability or the nature of the support, for example behaviour intervention supports, the provider will put in place suitable individual arrangements to maximise the likelihood that the person will receive all their required supports. No fee is payable by the NDIA or the participant, for cancellation by a provider or due to the provider s failure to deliver the agreed supports. No fee is payable by NDIA for a therapeutic support that is not delivered. When an NDIS participant dies, they cease to be a participant of the Scheme and no further NDIA funded supports can be delivered. The NDIS legislation does not allow for post-bereavement supports intended for the participant s family to be funded. However there may be some circumstances where support for a family is required that cannot be adequately delivered from mainstream services. The provider should contact the Agency to discuss their concerns. NDIA does not permit collection of deposits, or money as a bond from participants that a provider would retain in the event of cancellation of a support. Very Remote Release Date: 01/08/15 Page 8

9 Personal supports and training Accomodation/tenancy assistance Accommodation/tenancy assistance includes support for a participant to ensure that they obtain or retain appropriate accommodation. This can include guidance or undertaking work on a participant's behalf. Items transitional support Transition to NDIS funding payment of rent and utility accounts. Short term payment as per participant plan assistance with accommodation and tenancy obligations is provided to guide, prompt, or undertake activities to ensure the participant obtains/retains appropriate accommodation. May include assisting to apply for a rental tenancy or to undertake tenancy obligations. Each Y $1.00 Hour N $67.71 Assistance in coordinating or managing life stages, transitions and supports This cluster includes short and long term supports that focus on strengthening the participant s ability to coordinate their supports, and to assist them to live at home and participate in their community. This can include assisting the participant with: Budgeting Life planning Parenting training Resolving crisis situations Very Remote Release Date: 01/08/15 Page 9

10 Developing capacity and resilience in the participants network Co-ordinating complex supports Complex supports co-ordination may be provided when: there are multiple and intersecting mainstream, informal networks and funded services, and the supports require regular active management and ongoing adjustment due to the participant s regularly changing needs or the participant s needs may result in an unacceptable level of risk if services are not actively managed. Higher intensity complex supports coordination may be paid where a participant requires assistance from a support worker with additional qualifications and experience relevant to the participant s complex needs. If such support is provided or guided by a health professional because of the needs of the participant, the health professional rates apply for that support. Items support connection Assistance to strengthen participant s abilities to coordinate supports & participate in the community. This includes resolving points of crisis, developing capacity & resilience in a participant's network & coordinating supports from a range of sources. life/transition planning A time limited support to assist the participant, their family and carers to develop a vision for a meaningful life and plan for their changing needs and circumstances. Hour N $67.71 Hour N $ Very Remote Release Date: 01/08/15 Page 10

11 Items Life transition planning includes mentoring, peer support and focus on individual skill development. assistance with decision making, daily planning, budgeting Establishing volunteer assistance within the participant s home or community to develop skills. For instance, assistance in attending appointments, shopping, bill paying, taking part in social activities and maintaining contact with others Provision of time limited support to assist a person to develop and maintain daily budget, including assisting in planning purchases. coordination of supports Further qualifications/experience required to strengthen a higher needs participant s ability to coordinate their supports & participate in the community. This may include resolving points of crisis, & developing resilience in the participant's network. Hour N $67.71 Hour N $52.18 Hour N $ Assistance to access and maintain employment Workplace assistance enables a participant to successfully obtain and/or retain employment in the open or supported labour market. These items are only funded when the participant is not eligible to receive the support items through Job Services Australia, which is funded by the Department of Employment, or Disability Employment Services, which is funded by the Department of Social Services. Very Remote Release Date: 01/08/15 Page 11

12 Items post school employment assistance individual employment support open employment specialised job search assistance Employment related assessment and counselling employment preparation and support in a group Time limited provision of pre vocational skills training, advice, coordination with employers, workplace orientation to assist a participant to get a job Time limited on-the-job training & post placement support related to participant s disability that enables them to adjust & manage demands of the job & workplace environment, & to assist employers to successfully manage the participant's placement Skills matching, labour market assistance to secure suitable job placement or different employment in the open labour market Workplace assessment conducted by workplace rehabilitation provider to determine adjustments or modifications to workplace or work processes to ensure employment is maintained and matches the employees capabilities In a group setting, build capacity by providing skills training such as transport, time/financial management, self-care to support a participant to get a job post school. *assumes group of 3 Hour N $66.45 Hour N $66.45 Hour N $66.45 Hour N $ Hour N $ Very Remote Release Date: 01/08/15 Page 12

13 Items assessment to identify vocational potential and suitability Time limited assistance to determine options to secure & maintain open employment - includes vocational & functional assessment, counselling, monitoring of training & linking with employment service provider or employer to gain sustainable employment. in employment Assistance to gain and maintain employment in ADEs, social enterprises and open employment through on-the-job support, training, employer advice and assistance in transitioning from ADE. guidance is weekly. Items related to work in an ADE Very Remote Release Date: 01/08/15 Page 13 Hour N $ Each Y $ These items are only funded when support items are not available through mainstream services and when there are no funded places available in an ADE. DMI levels are based upon the participant s needs assessed in accordance with the Disability Maintenance Instrument. Items assistance in specialised supported employment Level 1 DMI assistance in specialised supported employment Level 2 DMI Provision of Level One ongoing on- the- job support to enable a participant to maintain/retain supported employment. Pricing guidance is weekly Provision of Level Two ongoing on- the- job support to enable a participant to maintain/retain supported employment. Pricing guidance is weekly. Each N $ Each N $171.74

14 Items assistance in specialised supported employment Level 3 DMI assistance in specialised supported employment Level 4 DMI pre DMI ed Employment Assistance supported employment start-up fee (ADE) Provision of Level Three ongoing on- the- job support to enable a participant to maintain/retain supported employment. Pricing guidance is weekly Provision of Level Four ongoing on- the- job support to enable a participant to maintain/retain supported employment. Pricing guidance is weekly Employment supports provided by an ADE up to and including assessment of a participant s on-the-job support needs using DMI Instrument. Paid per week in arrears up to a maximum of 12 months or until assessment is completed ed employment administrative start-up fee paid, paid once only when a Participant starts with an ADE Each N $ Each N $ Each N $ Each N $ Assistance to integrate into school or other educational programs This support cluster incorporates assistance to enable a participant to attend and participate in school or educational programs. It also enables a participant to transition to/from education and meet their self-care needs while participating in education. Items specialised transport to school/educational facility/employment/commu nity Transport required to get a person with disability to school/educational facility/employment/community when they are unable to travel by other means due to their disability Very Remote Release Date: 01/08/15 Page 14 Day Y $1.00

15 Items personal assistance to support educational activities transition through school and to further education transition to school and other education programs - program design, planning and implementation Personal assistance with self-care in an educational setting Provision of skills training, advice, assistance with arrangements, orientation to assist a person with disability moving from school to further education Specialised assistance in planning and transitioning to school and other education, beyond the standard transition required of a person of a similar age. Hour N $52.18 Hour N $67.71 Hour N $66.45 Assistance with daily life tasks in a group or shared living arrangement This support cluster incorporates assistance with and/or supervising tasks of daily life in a shared living environment, which is either temporary or ongoing, with a focus on developing the skills of each individual to live as autonomously as possible. The support is provided to each person living in the shared arrangement in accordance with their need. The item prices do not include the cost of rent, board and lodging or other day to day usual living expenses such as food and activities, as these are not funded by NDIS. The only exception is support item (short term accommodation and assistance in a centre or a group residence). In some limited circumstances NDIS will contribute to the cost of accommodation, food and activities. For example, where an integrated package is required to support the participant in emergency or "respite" circumstances for a short period (less than 2 weeks). A hierarchy of prices applies to this cluster of supports, based on: the number of people in the living arrangements the level of needs of the participant funded by NDIS, as set out below Very Remote Release Date: 01/08/15 Page 15

16 Lower needs: This support provides supervision of living arrangements as a whole and occasional to intermittent prompting to undertake household tasks and/or self- care activities Supervision is not usually provided 24/7, supervision may be provided via off-site monitoring if appropriate If the participant has had incidents of challenging behaviour a behaviour support plan is in place and it is demonstrated that the participant can be supported effectively within the available support Where a participant has additional support needs, they may be supported in this living arrangement through a mix of additional paid and informal supports Standard needs: This support provides 24/7 support which includes: o o Active assistance or supervision of most daily tasks Regular inactive overnight (sleepover) Participants may be able to spend some time with their family or a friend without paid support and may call on them for incidental assistance or companionship If the participant has episodic or occasional challenging behaviours there is a behaviour support plan in place which has been demonstrated to effectively support the person within the available support Higher needs: This support provides: Highly frequent (at least 1 instance per shift) assistance to manage challenging behaviours that require intensive positive behaviour support Continual, active assistance with all daily tasks Active management of complex medical needs such as ventilation Very Remote Release Date: 01/08/15 Page 16

17 Active support is provided 24/7 usually with an active overnight shift Inactive overnight sleepover may be included as an exception, for example when family or friends sleepover May include higher staffing ratios at peak periods, for episodic or incidental behaviour supports, or emergency medical needs (e.g. seizure management or discharge from hospital) Items assistance in living arrangements (host family/alternative family situation) assistance in a shared living arrangement (hourly rate per person ) assistance in a shared living arrangement for 2 persons - standard assistance in a shared living arrangement for 2 persons - complex needs Agreement for a participant with high support needs to stay with a host family. The host family will have minimum qualifications & provide support in the home for the agreed time. The quote will reflect the hours of assistance required & length of stay Daily living support provided in a shared living arrangement. This rate is paid by the hour for oneto-one assistance, divided by the number of people supported Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with complex support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. Day Y $1.00 Each Y $1.00 Each Y $4, Each Y $5, Very Remote Release Date: 01/08/15 Page 17

18 Items assistance in a shared living arrangement for 3 persons - lower needs assistance in a shared living arrangement for 3 persons - standard assistance in a shared living arrangement for 3 persons - complex needs assistance in a shared living arrangement for 4 persons - lower needs assistance in a shared living arrangement for 4 persons - standard Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with lower support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with complex support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with lower support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. Each Y $2, Each Y $3, Each Y $4, Each Y $2, Each Y $2, Very Remote Release Date: 01/08/15 Page 18

19 Items assistance in a shared living arrangement for 4 persons - complex needs assistance in a shared living arrangement for 5 persons - lower needs assistance in a shared living arrangement for 5 persons - standard assistance in a shared living arrangement for 5 persons - complex needs assistance in a shared living arrangement for 6 persons - lower needs Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with complex support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with lower support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with complex support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with lower support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. Each Y $3, Each Y $2, Each Y $2, Each Y $3, Each Y $1, Very Remote Release Date: 01/08/15 Page 19

20 Items assistance in individual living arrangement for person with complex needs assistance in a shared living arrangement for 2 persons - lower needs surcharge on assistance in shared living arrangement short term accommodation and assistance assistance with daily life tasks provided in residential aged care facility assistance in a shared living arrangement for 7 persons or more - complex needs Each Y $ Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with lower support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individual with complex support needs to live as autonomously as possible. To be approved by delegate Integrated support for self-care, accommodation, food & activities in a centre or group residence for short periods. Includes all expenses in 24 hour period with no additional loading. May be used for up to 14 consecutive days, then weekly rates apply Assistance with self-care and other activities provided in residential aged care facility Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with complex support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. Each Y $2, Each Y $1.00 Day N $ Day Y $1.00 Each Y $3, Very Remote Release Date: 01/08/15 Page 20

21 Items assistance in a shared living arrangement for 7 persons or more - standard assistance in a shared living arrangement for 7 persons or more - lower needs assistance in a shared living arrangement for 6 persons - complex needs assistance in a shared living arrangement for 6 persons - standard Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with lower support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with complex support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant Assisting with and/or supervising tasks of daily life to develop the skills of the individuals with standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. Each Y $2, Each Y $2, Each Y $3, Each Y $2, Assistance with daily personal activities Assisting with and/or supervising personal tasks of daily life to enable the participant to live as autonomously as possible. These supports are provided individually to participants and can be provided in a range of environments, including but not limited to, the participant s own home. A hierarchy of prices applies to this cluster of supports, based on: Very Remote Release Date: 01/08/15 Page 21

22 The level of support provided o A higher intensity support may be paid where a participant requires assistance from a support worker with additional qualifications and experience relevant to the participant s complex needs o Highly frequent (at least 1 instance per shift) assistance to manage challenging behaviours that require intensive positive behaviour support o High medical support needs require continual active support The time of day that the support is provided o Daytime starts at 6am and finishes at 8pm o Evening is where the support finishes after 8pm and before 12 midnight o Overnight is where the support finishes after 12 midnight and before 6am. The day of the week that the support is provided o A weekday is Monday to Friday o The extra rates paid for Saturday, Sunday and public holidays are in substitution for, and not cumulative upon, the shift premiums payable for evening and overnight supports o No additional rates are payable for Saturday/Sunday/Public holidays where the support finishes after 8pm. The price for overnight monitoring and inactive sleepover includes 1 hour of assistance where required. Items assistance with self-care activities per weekday evening assistance with self-care activities on Saturdays Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible. Hour N $57.08 Hour N $ Very Remote Release Date: 01/08/15 Page 22

23 Items assistance with self-care - night-time sleepover overnight monitoring of selfcare - off site or onsite, on call (incl 1 hr assist) assistance with self-care - overnight - higher intensity assistance with self-care activities during daytime weekdays - higher intensity assistance with self-care activities per weekday evening - higher intensity assistance with self-care activities on Saturdays - higher intensity assistance with self-care activities on Sundays - higher intensity assistance with self-care activities on Public Holidays - higher intensity Assistance with, or supervision of, personal tasks of daily living where overnight support is needed, but the care giver can sleep when not required to provide support Overnight on-call assistance with, or supervision of, personal tasks of daily living Assistance with, or supervision of, personal tasks of daily living where intensive overnight support is needed and the care giver will not have the option to sleep Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible. Each N $ Each Y $1.00 Hour N $61.71 Hour N $55.76 Hour N $60.72 Hour N $75.61 Hour N $95.47 Hour N $ Very Remote Release Date: 01/08/15 Page 23

24 Items assistance with Home Enteral Nutrition and other special diet costs exceeding normal food costs assistance with personal domestic activities specialised home based assistance for a child assistance with self-care activities during daytime weekdays assistance with self-care activities on Sundays assistance with self-care activities on Public Holidays To be provided only where feeds or specialised food, supplements exceed cost of regular food Assist participant to undertake and/or develop skills to maintain their home environment where the participant owns their own home & has sole or substantial responsibility for its maintenance. Includes assisting participant to do basic house & yard work Specialist assistance in the home required due to additional requirements of the child s disability; may be provided to strengthen the sustainability of informal supports Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible Assisting with, and/or supervising, personal tasks of daily life to develop skills of the participant to live as autonomously as possible. Each Y $1.00 Hour N $52.18 Hour N $52.18 Hour N $52.18 Hour N $91.33 Hour N $ Very Remote Release Date: 01/08/15 Page 24

25 Items assistance from live-in carer A person lives in the house of, or travels with the participant and provides assistance with, and/or supervision of, personal tasks of daily life to develop skills of the participant to live as autonomously as possible. assistance with self-care - active overnight Assistance with, or supervision of, personal tasks of daily living where overnight support is needed and the care giver will not have the option to sleep Assistance with travel/transport arrangements Hour Y $1.00 Hour N $58.06 This focuses on the provision of transport to enable participation in community, social, economic and daily life activities. This includes, but is not limited to, taxis and specialist transport arrangements. This is provided when the participant is unable to access alternative forms of transport as a result of their disability. Items travel - remote For travel to provide supports to participants in regional and remote areas. As approved by NDIA. transport Where a participant is unable to use public transport because of their disability, transport can be funded for a taxi, carer or community transport. Owners of private vehicles (carers/individuals) can claim mileage up to $0.78/km. Other providers quote. Each Y $1.00 Each Y $1, Very Remote Release Date: 01/08/15 Page 25

26 Community nursing care for high care needs This is the provision of specialist care for participants who have high care needs. This involves support from a person with a high level of training to respond to the participant s complex needs. This does not include acute nursing care as delivered by the health system. Items individual assessment and support by a Nurse training or provision of support by a registered nurse - travel time Provision of care, training and supervision of a delegated worker to respond to the complex care needs of a participant where that care is not the usual responsibility of the Health System. Hour N $ Hour N $ Development of daily living and life skills Development of daily living and life skills focuses on training and development activities undertaken by the participant or their carer to increase their ability to live as autonomously as possible. Training can be provided either individually or through group activities and can include skills in daily life activities, communication and social skills, problem solving and managing funding of supports. Items parenting training relating to disability Training to parents of children with disabilities to assist them in their parenting role or training for parents with a disability to assist them in parenting their children. group social skills Social skills development in a group of 3 or more. Hour N $21.95 development Very Remote Release Date: 01/08/15 Page 26 Hour N $65.87

27 Items individual social skills development Individual personal life skills development & training, includes public transport training & support numeracy, literacy, money / financial management skills development Social skills development with an individual, for participation in community and social activities Individual training provided in the home for general life skills to increase independence Numeracy, literacy, money or financial management training and skills development. training for carers/parents Training for carers in matters related to caring for a person with disability training in planning and plan management general life skills development activities Skills development in a group Hour N $65.87 Hour N $52.18 Hour N $65.87 Hour N $ training in planning and plan management for participants unable to do this independently but who could do all or part of the task with training. Hour N $ Includes training for the use of public transport Hour Y $ Training for the participant in a group of 3 or more to increase their independence in daily personal activities. Hour N $21.95 Interpreting and translation Interpreting and translation focuses on assistance to the participant to enable independent communication in essential personal, social or community activities where translation is not available from a mainstream service. Very Remote Release Date: 01/08/15 Page 27

28 Items Auslan or signed English training Training in the use of Auslan and other communication techniques; tafe course fee or equivalent. Each Y $ interpreting & translating Services to interpret or translate another language. Hour N $ Auslan or Signed English Formal interpreting for Auslan or signed English Hour N $ Interpreting live captioning Captioning provided in person for participant with Hour Y $ hearing impairment. remote captioning Captioning completed remotely for participant with Hour Y $ hearing impairment. telephone or video interpreting Telephone or video services to interpret or translate another language or format. Hour Y $ Early intervention supports for early childhood Provision of a mix of therapies, and a key worker for the family, are expected to fall into one of the three categories; Level 1 low needs up to $6000 to $8397 per annum, Level 2 medium needs - $8398 to $12595 per annum, or Level 3 high needs - $12596 to $16794 per annum. Level 1 (low needs) is generally appropriate for a child with a developmental delay, or mild disability, who is developing slower than their peers. Level 2 (medium needs) is generally appropriate for a child with a disability or developmental delay who either has moderate single and/or multiple areas of needs/concern that require specific intervention, or behavioural concerns or some family complexities that require referral to other agencies. Very Remote Release Date: 01/08/15 Page 28

29 Level 3 (high needs) us generally appropriate for a child with a disability and/or/severe developmental delay, multiple disabilities, severe behavioural difficulties, rapid deterioration and/or complex health/medical needs who has severe and/or multiple needs that require specific intervention. It is expected that NDIS will fund necessary and reasonable early childhood interventions that are intensive where the intervention is able to deliver significant improvements within a period of approximately 6 months. Up to four periods of early intervention may be funded. Items specialised group early childhood interventions transdisciplinary early childhood intervention specialised individual therapy for early childhood early childhood interventions - travel time Group based specialist interventions to assist a child with disability or developmental delay and their family in home, care, community and education settings. Maximum group of A coordinated & integrated program where multiple professionals share responsibility in evaluating, planning & implementing supports to improve capacity of a child with disability or developmental delay & their family. Quote based on annual amount Individual specialist interventions to assist a child with disability or developmental delay and their family in home, care, community and education settings Group multidisciplinary early childhood interventions and family focussed information and training Hour N $70.00 Each Y $15, Hour N $ Hour N $ Management of funding for supports in a participant's plan This support focuses on strengthening the participant s ability to undertake tasks associated with the management of their supports. Plan management is the financial management of the plan supports including making payments to providers, expense claims processing, developing monthly statements for participants and claiming for payment from NDIA. This support may include a small component of liaison with providers on the engagement and provision of supports and the implementation of the participant's plan, known as service intermediary activities. may be provided in two ways: Very Remote Release Date: 01/08/15 Page 29

30 financial and service intermediary assistance or just financial intermediary assistance. Plan Management Providers need to make payments directly to the participants providers and then seek reimbursement from the agency. Items financial intermediary - set up costs financial and service intermediary activities financial intermediary monthly processing financial and service intermediary set up costs A one-off setting up of the financial management arrangements for managing of funding of supports Undertaking regular liaison with providers and monitoring support provision A monthly fee for the ongoing maintenance of the financial management arrangements for managing of funding of supports The setting up of the financial and service management arrangements to assist with the managing of funding of supports. Each Y $ Hour Y $63.52 Each Y $38.41 Each Y $ Household Tasks Household tasks enable the participant to maintain their home environment. This may involve undertaking essential household tasks that the participant is not able to undertake. Items assistance with the cost of preparation and delivery of meals Preparation and delivery of meals to a participant who is unable to do this themselves, and is not in receipt of other supports that would meet the same need. Food costs not included. Cost varies with the number of meals prepared and deliveries required. Each Y $ Very Remote Release Date: 01/08/15 Page 30

31 Items house and/or yard maintenance house cleaning and other household activities Performing essential house and or yard activities that the participant is not able to undertake Performing essential house cleaning activities that the participant is not able to undertake. linen service Provision of clean linen to a participant unable to do their own laundry without assistance. Participation in community, social and civic activities Hour N $50.29 Hour N $51.21 Each Y $24.40 Household tasks enable the participant to maintain their home environment. This may involve undertaking essential household tasks that the participant is not able to undertake. Items group based activities in a centre - core group based community, social and recreational activities community, social and recreational activities social and recreational activities in a centre based program Community, social and recreational activities in a group Annual support to enable a participant to independently engage in community, social and recreational activities when costs of participation exceed an affordable level and without, the participant would be at risk of social isolation. Hour N $22.74 Hour N $26.10 Each N $ Very Remote Release Date: 01/08/15 Page 31

32 Items group based activities in a centre - higher staff ratio development of skills for community, social and recreational participation assistance to access community, social and recreational activities - individual -per public holiday assistance to access community, social/recreational actsindividual higher intensitypublic holiday group based community, social and recreational activities - higher intensity group based activities in a centre - weekday evening Social and recreational activities in a centre based program when a participant has challenging behaviour or high medical support needs. The activity is between 6am and 8pm with a staff ratio of a maximum of 2 persons per staff worker Training or skills development to enable a participant to independently engage in community, social and recreational activities Provision of support to enable a participant to independently engage in community, social and recreational activities on a public holiday Individual participation support by a support worker with additional qualifications and experience relevant to the participant s complex needs on a public holiday Community, social and recreational activities in a group with a staff ratio of a maximum of 2 persons per staff worker when the participant has challenging behaviour or high medical support needs Social and recreational activities in a centre based program when the activity finishes after 8pm. Hour N $33.43 Hour N $65.87 Hour N $ Hour N $ Hour N $33.43 Hour N $ Very Remote Release Date: 01/08/15 Page 32

33 Items group based activities in a centre - Saturday group based activities in a centre - Sunday group based community, social and recreational activities - weekday evening group based community, social and recreational activities - Saturday group based community, social and recreational activities - Sunday group based community, social and recreational activities - higher intensity - Saturday group based community, social and recreational activities - higher intensity - Sunday Social and recreational activities in a centre based program on Saturdays social and recreational activities in a centre based program on Sundays Provision of support to enable a participant to engage in community, social and recreational activities in a group on weekday evenings when the activity finishes after 8pm Provision of support to enable a participant to engage in community, social and recreational activities in a group on Saturdays Provision of support to enable a participant to engage in community, social and recreational activities in a group on Sundays Community, social and recreational activities on a Saturday in a group with a staff ratio of a maximum of 2 persons per staff worker when the participant has challenging behaviour or high medical support needs Community, social and recreational activities on a Sunday in a group with a staff ratio of a maximum of 2 persons per staff worker when the participant has challenging behaviour or high medical support needs. Hour N $33.34 Hour N $42.64 Hour N $28.54 Hour N $35.89 Hour N $45.67 Hour N $49.15 Hour N $ Very Remote Release Date: 01/08/15 Page 33