Understanding NDIS Appeals

Published at 05-05-2025 11:40:03

Tags: #ForParticipants

If you've been denied access to the National Disability Insurance Scheme (NDIS) or have concerns about your NDIS plan, you may be eligible for a review through the NDIS Appeals Service. This service supports individuals who wish to contest decisions made by the National Disability Insurance Agency (NDIA) about their NDIS access or the contents of their plan.

What is the NDIS Appeals Program?

The NDIS Appeals Program provides guidance and assistance for individuals seeking to review NDIA decisions regarding NDIS access or plan contents.

Who Can Access NDIS Appeals?

The NDIS Appeals service is available to anyone who:

• Has been denied access to the NDIS.
• Is dissatisfied with the supports or funding outlined in their current NDIS plan.

What Does It Cost?

There is no cost for individuals seeking an appeal through the NDIS Appeals Service, making it accessible for all NDIS participants and applicants.

Decisions Eligible for Review

NDIS Appeals can support you through a review of several decision types, such as:

• Refusal of access to the NDIS.
• Dissatisfaction with the types of supports funded in your NDIS Plan.
• Concerns about the funding amount in your plan.

How Does the Appeals Process Work?

The NDIS Appeals team will discuss your unique situation to determine if an appeal is appropriate. The process includes:

1. Reviewing Documentation: The team will review NDIA letters and your NDIS plan (if applicable).
2. Goal Assessment: They will assess your goals and examine if your NDIS plan adequately supports them.
3. Guidance on Next Steps: The NDIS Appeals team will advise if proceeding with an appeal is the right option for you.
4. Ongoing Support: If you decide to proceed, you can be supported through the NDIS Appeals process.

Additional Support During the Appeals Process

The first step in the appeal process often involves requesting an internal review directly with the NDIA. If further action is necessary, a review through the Administrative Appeals Tribunal (AAT) may be pursued. The NDIS Appeals Program can guide you through each stage of the appeal journey, including:

• Assistance with Information Gathering: Helping you compile necessary information to support your appeal.
• Advocacy: Providing advocacy on your behalf or support in self-advocating.
• Hearing Attendance: Attending hearings and review meetings with you.
• Legal Assistance: If required, helping you access legal support and funding during the appeals process.

Additional Resources for Complaints and Support

If you have other complaints or concerns about disability-related services, Synapse can assist you with raising and managing complaints through:

• National Disability Insurance Agency (NDIA)
• Fair Trading
• Ombudsman
• Commonwealth Ombudsman

For more detailed guidance, reach out to Synapse for support through every step of the appeals and complaints processes.