Participant use a particular Provider, who is also the planner’s family member. In this case, the planner would have a conflict of interest. Corruption Corruption involves the misuse of entrusted power for private, business entity or organisation gain. While there is significant overlap between fraud and corruption, not all corrupt conduct will be fraud and not all instances of fraud will involve corruption. Corruption can take many forms including bribery, blackmail and collusion. Declaration of Suitability A legally binding document by which a provider acknowledges they have the necessary skills, experience, policies, procedures, facilities and/or equipment to deliver the support(s) they are registering for. Diversity Groups Sociological categories in a demographic. Those of particular relevance to the NDIS in the Australian community include Aboriginal and Torres Strait Islander people, people with disability, women, and people from non-English speaking backgrounds. Early Intervention Providing support early in a child's life or early post-onset of disability to reduce the effects of disability and to improve functional capacity. Efficient Price A price determined by the Agency as the maximum amount to be included for certain supports in a participant's plan. This price is built up from the cost of wages, on-costs and organisational overheads and includes a margin for profit or re-investment. Evidence Base The evidentiary base for decision making by NDIA personnel, including whether a person meets the access criteria for funding for reasonable and necessary supports, as well as the factual information compiled by the Agency from its experience in trial sites, data collection and independent research. Formal Supports See reasonable and necessary supports. Fraud “Dishonestly obtaining a benefit, or causing a loss, by deception or other means”. (Commonwealth Fraud Control Framework,
community. Insurance Principles Placing emphasis on making up-front investments that reduce participants' calls on the Scheme into the future, including investments in measuring lifetime costs, research and innovation, and community capability development. Legal Entity Type The term which best describes your business type (e.g. sole trader, partnership etc.). Lived Experience of Disability Either personally living with disability or having a close relationship with a person with disability (for example, a family member or partner). Mainstream/ Community Supports Existing government supports which are typically available to every person in Australia (e.g. Health, Education, Justice, Housing). Misuse Using funds differently than what is agreed in the participant’s plan. Unethical behaviour. Unlike fraud, which always includes intentional deception or misrepresentation, misuse may not be illegal. myplace The online portal through which providers manage their registration, connect and make service bookings with participants, submit, and monitor claims for payment. myplace Dashboard This is the opening page of myplace. A provider can be directed to other parts of myplace from here. NDIA National Disability Insurance Agency; Agency. The NDIA is the statutory authority responsible for delivering the NDIS. NDIS National Disability Insurance Scheme; Scheme. Notice Period A period of time before a Service Agreement ends. This may be one month, or more. Operational Guideline(s) Operational Guidelines set out some of the NDIA’s operational information. Operational information means information held by the NDIA to assist the NDIA perform or exercise its functions or powers in making decisions or recommendations affecting members of the public (or any particular person or entity, or class of persons or entities) (see sections 8(2)(j) and 8A of the Freedom of Information Act 1982 (FOI Act)). Operational Plans Operational plans set out the key deliverables agreed between the Agency, state and territory governments, and the Commonwealth Government to support the rollout of the full NDIS. Operational plans have been developed between the
Person-centred Approach Places the person with disability at the centre of decision making around their own care needs. Plan Goal The measurable outcome that a participant aims to achieve throughout the duration of their plan/s. Plan Management Agency (PMA) A third party (registered provider) who assists the participant to manage the funded supports in their plan. A PMA pays the provider directly and then claims for services through myplace. Plan Management Provider A third party (registered provider) who assists the participant to manage the funded supports in their plan. Refer also to PMA. A PMA pays the provider directly and then claims for services through myplace. Plan Nominee A family member, carer, friend or other person. If the NDIA gives approval, this person can manage the participant’s NDIS funding and support them to make other decisions. Planning Process The process by which the Agency helps a participant to plan for the assistance they need from the NDIS to attain their goals. Planning Workbooks Workbooks provided to participants to help them identify and record their needs, goals and current supports during the planning process. Price The Agency provides guidance on the price to be paid for each support item. For some items, such as personal care and community access, the amount indicates the maximum price that the Agency will pay for that support. Price Guide The document which outlines the support items for which price controls currently apply, and their price, which are funded by the NDIS. It is not a definitive list and providers should use a principle of best fit. A list of support items can be found in the Price Guide(s). Primary Contact This is the person who, for each organisation, can approve additional users to access myplace. They should be the first person to set up a PRODA account for the organisation and to link to the organisation or submit an intent to register (new providers). PRODA Provider Digital Access (shortened to PRODA) is an online authentication service. A PRODA account is required in order to access the new provider portal called myplace. Profession This is the role that a provider demonstrates they can perform by providing relevant documentation in order to be able to add a registration group (e.g. Occupational Therapist, Accountant etc). Provider A provider is an individual or organisation delivering a support or