The great thing is that the NDIS and your plan manager works with you help you work out if supports are R & N.
The National Disability Insurance Scheme (NDIS) is a government-funded program that provides support for people with disabilities in Australia. One of the key principles of the NDIS is that support and services must be “reasonable and necessary” in order to be approved and funded by the NDIS. And so, what does “reasonable and necessary” actually mean? In simple terms, it means that the support or service must be necessary for the participant to achieve their goals, and it must be reasonable in terms of cost and effort.
For example, if a participant has a goal of increasing their independence in daily living, the NDIS may fund support such as assistance with personal care or home modifications. However, if a participant wants a luxury item like a swimming pool, it would not be considered reasonable and necessary as it is not necessary for the participant to achieve their goals and it would be too costly. The aim of the NDIS is to help people become more independent.
It’s important for you to be aware of what is considered reasonable and necessary when planning their support. You should be clear about their goals, and understand that the NDIS will only fund support that is directly related to achieving those goals. You should work closely with their support coordinator, LAC and/or planner to ensure that their plans and the support they receive is reasonable and necessary.
The NDIS also encourages participants to be actively involved in the planning process and to make informed choices about their support. This means that participants should be informed about the different types of support that are available, and should understand how they can be used to achieve their goals.
In summary, reasonable and necessary for NDIS means that the support or service must be necessary for the participant to achieve their goals and must be reasonable in terms of cost and effort. It’s important for NDIS participants to understand this principle and to work closely with their support coordinator, LAC, therapist or planner to ensure that their plans and the support they receive is reasonable and necessary.
Transcript for ‘Reasonable and Necessary supports’ Click here
The NDIS funds a range of supports and services which may include education, employment, social participation, independence, living arrangements and health and wellbeing.
In order to be considered reasonable and necessary, a support or service:
- must be related to a participant’s disability
- must not include day-to-day living costs not related to your disability support needs, such as groceries
- should represent value for money
- must be likely to be effective and work for the participant, and
- should take into account support given to you by other government services, your family, carers, networks and the community.
Source – NDIS website