We’ll consider all relevant information against the eligibility requirements to decide if you’re still eligible for the NDIS.
We’ll do this after:
- we let you know that we’re reassessing your eligibility, and what specific eligibility requirements we’re looking at
- we let you know what information and evidence we might use to make our decision
- you’ve had a reasonable opportunity to explain why you still meet the requirements and to give us more information
- we look at any extra information or evidence you give us about why you think you’re still eligible.
The person who reassesses your eligibility and decides if you’re still eligible will be one of our staff. They will be different from the people who first decided if you’re eligible, and the people who approved your plans. They will also be someone who doesn’t have a personal interest in whether you’re a participant, or know you other than through the NDIS.
If the information and evidence show us you’re still eligible, you’ll remain a participant. You can keep using your supports.
You may have been eligible under the early intervention requirements, but give us evidence you now meet the disability requirements. If so, we’ll change our records to show you now meet the disability requirements. This means we won’t revoke your status as a participant and you will remain an NDIS participant.
If we believe based on the evidence that you’re not eligible, we’ll revoke your status as a participant. This means you won’t be a participant anymore and you’ll leave the NDIS.
We’ll contact you by your preferred contact method to explain our decision. We’ll also send you a letter with our decision and our reasons, and the date your participant status will be revoked.
Ayesha is 6 years old. She has just started school. Ayesha was eligible for the NDIS under the early intervention requirements for developmental delay and has been receiving early childhood intervention supports since age 3. There is no evidence to indicate that Ayesha has a condition that is likely to be permanent.
Ayesha’s parents are happy with Ayesha’s progress, but would like her to be more confident when playing with her peers and interacting with adults. They think Ayesha needs ongoing support for her speech and communication.
At her plan reassessment, the information and evidence we have makes us think Ayesha no longer meets the early intervention requirements. Before we make the decision, we give Ayesha’s family the opportunity to give us more information about Ayesha’s functional capacity. We tell Ayesha’s family what we need and allow 56 days for them to give us the information.
The report from Ayesha’s therapy provider confirms that Ayesha still needs some help with her communication but that her school and parents can continue to support this. There are no other concerns with Ayesha’s development.
We decide Ayesha no longer meets either the disability requirements or the early intervention requirements. Her functional capacity has improved, so she no longer needs NDIS support to pursue her goals. We talk to her parents about the NDIS early intervention eligibility requirements and explain that Ayesha no longer needs NDIS supports as the support she is receiving through her mainstream and community supports are meeting Ayesha’s needs. Ayesha leaves the NDIS and gets ongoing support for her speech and communication from her school and her parents. They use the strategies Ayesha’s early childhood partner helped them put into place.