What to do if you think your NDIS Plan is wrong

NDIS Internal Review

If you have been through your initial transition to the NDIS, received your first NDIS plan and think that it doesn’t meet your goals and needs, you can do something about it.

When the NDIA make a decision, on things like whether you are eligible, or what supports are in your plan you have THREE months from the date of your plan to ask them to reconsider. This is called an Internal Review, which is different from a Plan Review, which is a scheduled annual review of your plan.

There are a few steps to follow to request an Internal Review and the NDIS website provides guidance on this, click here

If you don’t feel confident in requesting an Internal Review you can seek support from different service providers.

What do I need to do when I have requested an Internal review?

Once you have requested an Internal Review, there are a number of things you can do to prepare for it.

This includes having relevant information at hand to prove why you need the changes you want.

The following list provides some guidance on what type of information you will need to provide.

Your life now:

  • What are your goals?
  • Why does your plan not meet your goals?
  • Which supports and services are working well?
  • Which supports and services are not going so well?
  • Are there any supports and services in your plan that you are not yet receiving? If so why? What are the barriers?

Has anything changed since your NDIS plan was approved?

  • Your independence goals.
  • Are you achieving your goals and do you have any new goals?
  • Informal supports, social and family connection.
  • Living arrangements.
  • Health and well being.
  • Access to mainstream supports and services.

If you have support coordination as part of your plan, your support coordinator can complete, in consultation with you, the Internal Review request.

Alternatively you can request assistance through your Aspire Customer Service Team to help you. The support we can offer includes:

  • Collation of relevant information regarding the services you receive from Aspire.
  • Providing supporting documentation to assist your application.
  • Provide guidance on additional documentation for you to obtain to assist with your application.
  • Provide additional support by offering to attend the review meeting with you.

What happens after I request a review?

A request is made to the NDIS – either by the person, their family or the support coordination.

Once consent is given by the NDIS that a request is approved, a reviewable decision form is completed and submitted with supporting documents to VICNORTH, E VICNORTH@ndis.gov.au.

NDIS will then review the application and decide how the review will be processed.

A review will be conducted by an NDIA staff member who was not involved in the original decision making.

They re-consider the facts, law and policy aspects of a decision and determine if the original decision was accurate. The reviewer is also able to consider any new information available.

A decision is made by the NDIA regarding changes to your NDIS Plan.

If you still don’t agree with the Internal Review decision you can apply to the Administrative Appeals Tribunal to conduct an independent assessment of the NDIA decision. Click here for further information

 

For further information about requesting an Internal Review or support in preparing for your Internal Review, contact your Aspire Customer Service Team, E customerservice@aspiress.com.au T 02 6058 4000