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NDIS Plan Reviews Explained

NDIS Plan Reviews Explained

Managing cancellations under the NDIS is a crucial part of ensuring you, your loved one, or your clients get the most value out of every funded support. With changes in policy and the complexity of provider calendars, it’s important to understand the rules, reasons, costs, and best practices around NDIS cancellations. Below you will find a detailed guide to understanding and managing NDIS cancellations effectively.

What Are NDIS Cancellations and Why Are They Important?

[object Object] NDIS cancellations refer to any situation where a scheduled support or service funded by the National Disability Insurance Scheme (NDIS) is called off with limited notice–either by the participant, their carer, or the provider. Effective management of cancellations ensures:

  • Consistency of support for participants [object Object]
  • Fair compensation for providers and workers
  • Optimal use of plan funding
  • Reduced disruption to participant routines [object Object]

Failure to manage cancellations well can lead to lost funding, reduced service availability, and negative impacts on both the participant and the provider.

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Understanding the NDIS Cancellation Policy

Under the NDIS Price Guide (now referenced as the Pricing Arrangements and Price Limits), a “short notice cancellation” occurs when a participant:

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  • Cancels or doesn’t show up for a scheduled appointment
  • Fails to provide the minimum required notice (often at least two business days, but can vary–see below for specifics)

[object Object] Providers may claim up to 100% of the agreed service fee for a short notice cancellation, provided they cannot find work for the staff member at the same time.

What Counts As Sufficient Notice?

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  • Less than 7 days: As of 1 July 2022, the notice period required for most NDIS supports has increased to 7 clear days (excluding the day of cancellation and the day of the appointment).
  • Specialists, therapists, and some other services may have their own cancellation terms–always check your service agreement.

[object Object] Why this matters: Managing your bookings and informing your provider as soon as you know about a change helps save your NDIS funds and keeps your service relationships strong.

How to Go About Managing NDIS Cancellations

[object Object] There are several strategies and best practices to follow:

1. Clear Communication

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  • Notify your provider as early as possible if you need to cancel or reschedule.
  • Use the communication method preferred by your provider (email, phone, app).

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2. Service Agreements

  • Review the cancellation policy terms in your service agreements before signing.
  • Ensure you understand the required notice period, costs involved, and how the provider manages cancellations. [object Object]

3. Use of Technology

  • Set reminders for appointments using your calendar or phone. [object Object]
  • Some providers use booking apps or SMS reminders.

4. Back-Up Plans

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  • Where possible, have contingency plans with other support workers or informal supports.
  • For high-need participants, discuss with your provider what happens during cancellations to avoid being left without support.

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5. Documentation

  • Keep a log of communications and cancellations for reference and, if needed, disputes.
  • Participants using Support Coordination can seek assistance from their coordinator in managing schedules and preventing accidental cancellations. [object Object]

NDIS Cancellations and the Australian Migration Context

For people with disabilities and families new to Australia (including NDIS participants who have migrated), the cancellation process operates the same once they are NDIS-eligible. However: [object Object]

  • Understanding local provider practices and the standard “7-day notice” rule may require extra support.
  • Recovering costs after late cancellations can be more challenging if you aren’t yet familiar with English or technical terms, so make use of interpreters or multicultural advocacy services if needed. [object Object]
  • Migrants transitioning from overseas disability systems should be aware that Australian providers often have less flexibility about short notice, due to the NDIS pricing rules.

Key Benefits of Good Cancellation Management

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  • Efficient use of NDIS funds: Lower chance of funding being ‘wasted’ on late cancellation charges.
  • Reliable access to supports: Providers value reliable participants and will prioritise good communicators.
  • Lower stress: Reduces confusion and last-minute issues for participants, families, and providers. [object Object]
  • Better relationships: Encourages trust and understanding between participants and providers.

Common Challenges And Solutions

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ChallengeSolution
Forgetting appointmentsUse phone reminders, apps, or request SMS reminders from providers
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Last-minute health changesCommunicate changes as soon as they occur; consider entering flexible agreements
Language barriersSeek written confirmation in your preferred language, use interpreter services
Unclear service agreementsAsk for clarification before signing; access support coordination if possible
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Disputes over chargesKeep a cancellation log and records of all communication; escalate if necessary

Who Is Involved? Professions and Professionals

[object Object] Managing NDIS cancellations commonly involves:

  • Disability Support Workers: Usually the primary point of contact for participants. [object Object]
  • Support Coordinators: Help arrange supports, monitor arrangements, and troubleshoot cancellation issues.
  • Allied Health Professionals: E.g. occupational therapists, speech pathologists, psychologists.
  • Plan Managers: Track invoicing and help with understanding costs of cancellations. [object Object]
  • NDIS Planners or Local Area Coordinators (LACs): Support understanding of rules, but do not manage cancellations directly.

Common Scenarios (with Examples)

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  • Scenario 1: A participant wakes up ill the morning of a scheduled in-home care appointment and cancels at 8am for a 10am slot.
    → This will likely incur a full charge as it’s within short notice.
  • Scenario 2: A therapy session booked for Thursday is cancelled the previous Friday.
    [object Object] → This is more than 7 days’ notice; no charge should apply.
  • **Scenario