Your Guide to NDIS Plan Reviews and Appeals: What to Expect

Navigating the National Disability Insurance Scheme (NDIS) can be complex, especially when it comes to understanding plan reviews and appeals. At Curate Care, we aim to simplify this process for you. This guide provides a clear overview of the NDIS review process, plan reassessments, and how to appeal decisions if necessary.

Understanding the NDIS Review Process

The NDIS is designed to be flexible and responsive to each participant's changing needs. One of the ways this is achieved is through NDIS plan reviews. These reviews ensure that your plan continues to meet your needs and goals.

Types of NDIS Plan Reviews

1. Scheduled Plan Reassessment: Occurs at the end of your current plan, typically every 12 or 24 months. This is an opportunity to assess if your current supports are meeting your needs and to make necessary adjustments.

   
   

2. Unscheduled Plan Reassessment (Change of Circumstances):If your situation changes significantly—such as a change in health status, living situation, or personal goals—you can request an early review. This ensures your plan adapts to life changes.

   
   

Preparing for Your Plan Reassessment

Being well-prepared can significantly impact the success of your plan reassessment. Here are steps to help you prepare:

1. Review Your Current Plan: Assess what supports are working well and what could be improved.

2. Gather Supporting Evidence: Collect reports from service providers, therapists, or doctors that demonstrate your progress and any new or ongoing needs.

3. Set New Goals: Think about what you want to achieve in the next plan period and how the NDIS can support these goals.

4. Consider Plan Management Options: Decide if you want to change how your plan is managed—self-managed, plan-managed, or NDIA-managed.

   
   

Your reassessment meeting can be conducted face-to-face, over the phone, or via video call, depending on your preference.

What to Expect During the Reassessment Meeting

During your plan reassessment meeting, you will discuss:

• What has worked well in your current plan

• Any challenges or barriers you've encountered

• Progress towards your goals

• Changes in your circumstances or support needs

• New goals for the upcoming plan period

  
  

You can invite a family member, friend, or support coordinator to assist you during this meeting.

Understanding NDIS Appeals

If you're not satisfied with a decision made by the NDIS regarding your plan, you have the right to appeal. There are two main stages in the appeals process:

1. Internal Review

You can request an internal review of a decision if you believe it was incorrect. This request must be made within three months of receiving the decision. Provide any additional information or evidence that supports your case.

2. External Review

If you're still dissatisfied after the internal review, you can apply for an external review by the Administrative Appeals Tribunal (AAT). This application must be made within 28 days of receiving the internal review decision. The AAT is an independent body that will reassess the decision.

How Curate Care Can Support You

At Curate Care, we understand the complexities of the NDIS and are here to support you through every step of the review and appeals process. Our experienced team can assist you in:

• Preparing for your plan reassessment meeting

• Gathering necessary documentation and evidence

• Understanding your rights and options within the NDIS framework

• Navigating the appeals process if required

  
  

Our goal is to ensure you receive the support you need to achieve your goals and live your best life.

Frequently Asked Questions (FAQs)

Q: How often are NDIS plans reviewed?

A: NDIS plans are typically reviewed every 12 or 24 months. However, you can request a review at any time if your circumstances change significantly.

Q: What should I do if I disagree with my NDIS plan?

A: If you disagree with your plan, you can request an internal review within three months of receiving the decision. If you're still dissatisfied, you can apply for an external review by the AAT within 28 days of the internal review decision.

Q: Can I bring someone to my plan reassessment meeting?

A: Yes, you can invite a family member, friend, or support coordinator to assist you during your plan reassessment meeting.

Q: How can Curate Care assist me with the NDIS process?

A: Curate Care can help you prepare for your plan reassessment, gather necessary documentation, understand your rights, and navigate the appeals process to ensure you receive the support you need.

Navigating the NDIS review and appeals process can be challenging, but with the right support and information, you can ensure your plan continues to meet your needs. At Curate Care, we're committed to empowering you throughout your NDIS journey.

Need support with your NDIS plan review or appeal? Contact Curate Care today for personalised guidance.