2018 NDIS Presentation

1. MARCH 2018
Antonia Albanese
Head of Provider, Market & Sector Development
NDIS Provider Forum

2. Evolution of the NDIS
Welfare  Insurance
The old system
was “inequitable,
underfunded,
fragmented and
inefficient”
- PC Review
Block funding for
service providers
Welfare model
No choice and control
Inconsistent across
Australia “post-code
lottery”
The NDIS
provides
all Australians
under the age of
65 with a
significant and
permanent
disability
(participants) with
the reasonable
and necessary
supports they
need to enjoy an
ordinary life, and
to participate in
employment and
the community
A diverse and
competitive market of
providers
Whole of life insurance
based model
Choice and control
Nationally consistent
Overview
2

3. Including Health,
Housing,
Transport,
Education,
Justice
The NDIS is for all Australians
Funding support
from NDIS for
~460,000^
participants
Information, linkages
and capacity building for
~4.8m people* with
disability and their carers
Insurance for
~23m Australians*
and build inclusive communities
The NDIS is part of a broader system supporting people with disability
A vision agreed by
all governments
for an inclusive
Australia that
enables people with
disability to be equal
members of society
We put people with
disability at the
center of everything
we do
Including peer support
groups, community
organisations,
advocacy groups
Including families
and carers
Community
Support
Informal
supports
Other
government
Services
NDISProviders
National Disability
Strategy
The NDIS fits within a broader
supports and services system
*Productivity Commission report 2011, ^Scheme Actuary modelling
Overview
3

4. The desired NDIA approach
Empower people with disability to choose and achieve their goals
• We are outcomes focussed and people with disability are at the centre
of everything we do
• We deliver quality plans and invest in participant outcomes over the
long-term
Deliver in partnership with providers
• The NDIA is reliable and trusted and works with providers to deliver
participant driven models of support and grow vibrant localised markets
Work with the community and other systems
• We work to ensure communities and other service systems are
connected and inclusive
Deliver a sustainable NDIS
• We will continue to deliver a financially sustainable NDIS today and for
future generations
Overview
4

5. Scale-up for significant growth
 Strengthen foundations
 Re-design and operationalise
 Source and evolve capabilities
Mature processes and systems
 Refine design
 Drive efficiencies
 Evolve capabilities
Time
Stage II
(Transition)
Stage III
(Full Scheme)
Stage I
(Trial)
Growth
Characteristics Test proof of concept
 Establish model
 Design process and system
 Source capabilities
Stages of growth
Overview
5

6. The NDIA Strategy
To build a world-leading National Disability Insurance Scheme
Our
Values
Competitive market
of innovative
supports
Financially
sustainable Scheme
High-performing
NDIA
Our Mission
We empower people with disability to choose and achieve their goals in inclusive
communities and workplaces
Quality experience
for participants
Increased independence and social and economic participation and outcomes
Participant experience
Market delivering
outcomes
Scheme & Agency costs
Staff & Partner
engagement
Our
Purpose
Our
Measures
Our
Aspirations
Quality plans & reviews
Provider sentiment &
confidence
Payment integrity
Stakeholder confidence &
partnerships
Overview
Assurance Empowerment Responsibility Learning Integrity
7

7. Pathway Design Process
188 people with disability & carers
10 participant workshops
26 one-on-one interviews
3 Hub design sessions
124 frontline staff
64 planners
60 Local Area Coordinators
76 providers
4 provider workshops
15 one-on-one interviews
20 state official interviews
27 peak body and advocacy groups
14 NDIA Regional Managers
The NDIA worked with over 300 participants, providers and other
stakeholders to learn about their experience for the general and supported
pathway.

8. The Provider Pathway
1
Learning about the
market and the
NDIS
2
Joining the market
3
Connecting to
participants
4
Delivering
outcomes
5
Transacting
6
Engaging and
interacting with the
NDIA
PHASE 1: Learning about
and joining the market
PHASE 2: Operating
within the Scheme
PhaseStage
Participant & Provider Pathway Update - 30 October 2017

9. The Participant Pathway
1
Learn about
the NDIS
and how it
fits in the
broader
system of
supports
2
Decide to
proceed to
access
3
Receive
access
decision
4
Understand
current
supports and
prepare for
planning
5
Create a
plan to
achieve
goals and
outcomes
6
Receive
approved
plan
7
Activate and
implement
plan
8
Use plan to
achieve
outcomes
9
Get support
using plan
10
Review
outcomes
and progress
Phase PHASE 3:
Achieving goals and outcomes
PHASE 1:
Engaging with the NDIS
PHASE 2:
Planning to achieve goals and
outcomes
Purpose
Clearly communicate the NDIS' role within
the broader systems of supports and services,
including the role of the NDIS in providing
support to people with permanent and
significant disability
Support people with disability to access
the right supports for their disability and
circumstance, including applying for access to
NDIS-funded supports, if appropriate
Ensure people with a permanent and
significant disability are referred to the access
decision and receive a timely decision on
access
Empower participants to set goals to achieve
outcomes
Develop a plan to achieve outcomes which
includes government, informal, community and
funded supports to facilitate greater social and
economic participation
Approve plans with reasonable and
necessary funded supports
Activate plan and ensure that participants are connected to
providers of supports which meet their needs
Ensure that participants are able to exercise choice and
control in using their plans to achieve outcomes and
monitor for any emerging issues
Review plans when appropriate, measuring outcomes
achieved and setting goals for a new plan or exiting the
Scheme where appropriate as goals are achieved
Stage
Participant & Provider Pathway Update – February 2018
12

10. Independent Pricing Review
• Independent Pricing Review commissioned by the NDIA Board.
• McKinsey & Co spoke with providers, peaks, participants and their
representatives.
• NDIA has released the Independent Price Review and given in principle support
to all the 25 recommendations.
• Recommendations cover a range of topics – including market monitoring and
engagement, price limits and supporting interventions.
• Including introducing a temporary overhead assistance equivalent to a 2% to
3% loading on the price for providers delivering attendant care for the next 12
months.
• The NDIA is committed to implementing the recommendations in a thorough,
timely and diligent way.
• The program of work from the review will sit side by side with the Participant and
Provider Pathway.
Overview

11. Housing and Specialist Disability
Accommodation
• Specialist Disability Accommodation (SDA) was implemented as a funded support on 1 July
2016. The SDA Rules (2016) were registered on the Federal Register of Legislative
Instruments on 14 March 2017.
• A benchmark pricing and payments approach for SDA has been implemented with the goals
of maintaining existing state and territory funded supply, and to increase the supply of new
SDA over time.
• As with other supports, the NDIA undertakes a market stewardship role in meeting its SDA
objectives. The NDIA is currently focussed on communication materials to providers
and financiers of SDA, initiating the development of third-party dwelling certification
program, and on collecting and releasing supply and demand data to assist providers with
their investment decisions.
• Operationally, the NDIA is focussed on enrolling SDA dwelling and registering providers, as
well as working with eligible participants to ensure SDA is included in their plans.
• At 31 December 2017, there were 6,936 NDIS participants with SDA in their plan, 450 NDIS
registered providers approved for the SDA registration group and 1136 dwellings enrolled in
total, including 139 ‘new build’ SDA dwellings.
Thematic Updates - February 2018
20

12. Market Stewardship
• The market needs to substantially grow if it is to fully meet demand, which will take time.
• The NDIA undertakes many market stewardship activities including releasing information to the market
and setting and reviewing prices.
• The NDIA has published information on its role as market steward and is developing the Market
Analysis and Intervention Strategy to formally operationalise the market stewardship approach.
Thematic Updates – February 2018
22

13. Provider engagement framework
Group Purpose and activity Timeframes
Industry Reference
Group
A mechanism for consultation with provider
representative groups and other industry
supporters. Specifically, working with key
stakeholders to facilitate growth of a market of
adequate size, quality and innovation.
First meeting to be held by
end of March 2018
Provider Reference
Groups (one off and
workshops)
A mechanism to consult with cohorts of providers
and the sector including:
- Intermediaries
- Small/Medium Providers
- Large Providers
As needs basis
Provider Account
Management Model
- Currently under development TBC

14. Payments and claims
For 2017/18 FY YTD, 92% of claims have been successful. We are aware there
are issues impacting some payments.
A national team of 24 FTE has been established to analyse and remediate
payment issues.
Providers can submit issues to provider.payment@ndis.gov.au

15. Thank you