Providers with Younger people in residential aged care: NDIS eligibility meetings

Page last updated: 23 October 2017

PDF Version: Providers with Younger people in residential aged care NDIS eligibility meetings 

This information sheet is for residential aged care providers delivering care to younger people that may be eligible for the National Disability Insurance Scheme (NDIS).

As the NDIS rolls out in each region, younger people living in a residential aged care home, or their nominee, will receive a phone call from an NDIS representative to determine their eligibility.

Confirming eligibility for the NDIS

As previously advised, the National Disability Insurance Agency (NDIA) will contact your aged care service to arrange a meeting with any younger people you are caring for to discuss their eligibility to access the National Disability Insurance Scheme (NDIS). 

​​​​We ask that you assist the NDIA representative by:

  • arranging a suitable meeting time
  • providing the NDIA staff member with contact details for the younger person’s nominee (family member or guardian) if they have one
  • ensuring that the younger person is prepared for their meeting
  • ensuring that staff are aware that the NDIA representative will be attending your service.

Preparing for the NDIS eligibility meeting

To assist the younger person with preparing for their meeting, they will need to have the following information available:

  • Evidence of their disability– please see the Accessing the NDIS factsheet which is available on the NDIS website for more information.
  • A copy of their:
  • Accommodation agreement
  • Residential care agreement
  • Current letters about your aged care fees from the Department of Human Services (DHS)
  • Statement from your service detailing their means-tested care fee and accommodation payments. 

If a younger person in your service has difficulty with locating information about their aged care fees, please assist them by providing them a copy.

Eligible for the NDIS

Once the younger person is eligible for the NDIS, they:

  • will discuss their goals with an NDIS representative
  • will develop a plan outlining what supports will be funded under the NDIS
  • may include a goal to explore living in the community.

If needed, they are able to remain living in your residential aged care service.

For younger people who remain living in your residential aged care home, they will continue to receive their care and services through you, you will continue to receive aged care ACFI subsidies and supplements, and they will continue to pay their existing aged care fees and payments.

The additional care and supports that the NDIS will provide will be detailed during the plan development stage. Until the NDIS has developed the younger person’s plan, it isn’t possible to determine what these additional supports may be.

Assisting the NDIS with completing the younger persons’ NDIS plan

The Department of Health requests that residential aged care services assist the NDIS representative to develop the younger person’s NDIS plan.

For the NDIS representative to complete the NDIS, they will need assistance from the residential aged care home. This includes assisting the NDIS representative with understanding what care and services the younger person is currently receiving and their aged care fees and payments.

Importantly, the NDIS is trying to ensure that the younger persons’ NDIS plan is built to best meet the younger persons’ needs. In turn, the NDIS needs to understand what care and services are currently being delivered to the younger person through your service to ensure that they deliver any additional supports the younger person may need.

More information about maintaining services through the transition period is available on the Department of Health website.

Residential aged care fees and payments

While a younger person remains in aged care, they may still be asked to pay fees to contribute to accommodation costs, living expenses and care services that are not funded under the NDIS.

Post-1 July 2014

For younger people that entered care after 1 July 2014, the NDIS may pay some of these fees on behalf of the younger person. These amounts will be included in the younger person’s NDIS plan.

  1. Accommodation payments

    1. Lump sums – the NDIS will not assist with this payment and it will not be refunded to them while they remain living in the residential aged care home, as an aged care recipient.
    2. Daily payment:
      1. Daily Accommodation Contribution (DAC), the NDIS will assist the younger person with this payment. You may need to advise the younger person of their current DAC payment. The NDIS plan will determine how payment is made.
      2. Daily Accommodation Payment (DAP), the NDIS will assist the younger person with part of this payment - up to the value of the maximum accommodation supplement your service is eligible for. You may need to assist the NDIS with working this amount out. The NDIS plan will determine how payment is made.

Note: the amount above the maximum accommodation supplement your service is eligible for is still payable by the younger person and will not be covered in their NDIS plan.

  1. If the younger person pays for their accommodation as a combination of a lump sum and a daily payment, the NDIS will not assist them with their lump sum payment but they will assist them with their daily payment (as above).
  1. Basic daily fee

The NDIS will not assist the younger person with this fee. The younger person will continue to pay this fee, if it has been agreed to in their residential agreement.

  1. Means-tested care fee

The NDIS will assist the younger person with this fee. You may need to advise the younger person of their current fee.

  1. Extra and additional service fees

The NDIS will not assist the younger person with this fee. The younger person will continue to pay this fee, if it has been agreed to in their residential agreement.

The NDIS representative will discuss how they will pay these aged care fees with the younger person when they develop their NDIS plan.

Pre-1 July 2014

For younger people that entered care before 1 July 2014, the NDIS may pay some of these fees on behalf of the younger person. These amounts will be included in the younger persons NDIS plan.

  1. Accommodation bond or charge

    1. Accommodation Bond, the NDIS will not assist the younger person with this payment.
    2. Accommodation Charge, the NDIS will assist the younger person with this payment. You may need to advise the younger person of their current accommodation charge.
  2. Basic daily fee

The NDIS will not assist the younger person with this fee. The younger person will continue to pay this fee, if it has been agreed to in their residential agreement.

  1. Income tested fee

The NDIS will assist the younger person with this fee. You may need to advise the younger person of their current fee.

  1. Extra and additional service fees

The NDIS will not assist the younger person with this fee. The younger person will continue to pay this fee, if it has been agreed to in their residential agreement.

The NDIS representative will discuss how they will pay these aged care fees with the younger person when they develop their NDIS plan.

Where can I go for more information?

NDIS

  • Visit the NDIS website.
  • Contact the NDIS by using their contact form.
  • Call 1800 800 110* Monday to Friday, 9am to 5pm EST.
  • For people with hearing or speech loss:
    • TTY: 1800 555 677
    • Speak and Listen: 1800 555 727
  • For people who need help with English  TIS: 131 450

* 1800 calls are free from fixed lines; however calls from mobiles may be charged.

Download the factsheet:

Department of Health

Download the factsheets:

For questions about responsibilities while a person remains in aged care, email agedcarefeesandpayments@health.gov.au.