Frequently Asked Questions

 
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Plan Management

Frequently Asked Questions
WHY USE A PLAN MANAGER?

People who choose Plan Management have a few distinct advantages: 

  • You can buy supports from registered AND non-NDIS registered providers (such as Jim's Mowing, local community members or organisations, and Therapists who have chosen not to register)
  • You don't have to use the NDIS Portal.
  • You have a partner in navigating the NDIS and someone to help you make the most of your Plan
  • You have most of the choice and control of Self Management, without the administrative burden
AM I ELIGIBLE FOR PLAN MANAGEMENT?

If you are a participant in the NDIS you can choose Plan Management - it's simply your choice.

Make sure you let your Local Area Co-ordinator (LAC) know you want Plan Management included when you go to your planning or review meeting, so they can include it in your plan.

WHAT DOES A PLAN MANAGER DO?

Plan Managers claim directly from the budgets in your plan to pay your providers on your behalf.

 

As your Plan Manager, we will:

  • pay your providers for the supports you purchase
  • help you keep track of your funds
  • take care of financial reporting for you

We don’t just take care of your invoices and payments. With TPE you get a team of experts supporting you to better manage your funds. We offer support, info and tools to easily keep track of your spending, see the status of invoices and confidently manage your funding. 

 

We will help you to get the most out of your NDIS plan, and help to manage your budget so that you can get the support/s you need.

HOW DOES NDIS PLAN MANAGEMENT WORK?

Unlike other service providers, All NDIS plan managers must be Registered Providers through the NDIA.


We go through a regular and thorough audit process by the NDIA to ensure your funds are being handled by people you can trust.

 

The NDIA set the rules for Plan Management, and monitors Plan Managers to ensure that the strict rules and compliance requirements around invoices, payments and Plan Management are followed. This ensures that participants receive the same minimum standard of support from every Plan Manager.

 

The NDIA also pays a set fee to Plan Managers for the provision of their services on behalf of participants, through separate funding allocated by the NDIA.

HOW MUCH DOES PLAN MANAGEMENT COST?

Plan management is covered by the NDIS and is available to every NDIS participant - you just need to ask for it during your planning meeting, or contact your LAC.

 

There is no additional cost to you to choose plan management, and it will not affect the funding in your plan or the amount of money you have available for other supports.

 

The NDIA provide additional funds in your plan to pay for plan management, on top of your other funded supports.

NDIS, Plans & Reviews

Frequently Asked Questions
WHAT IS A LIGHT TOUCH REVIEW?

A light touch plan review is also referred to as an administrative review. 

 

This review has a limited scope and is basically an administrative "fix" if a material error has been made or if the funds management type needs to be changed.

 

This means that if you are "Self-Managed" and you would like to switch to Plan Management, you can do so by simply asking your LAC for a 'light touch review'.

 

This can occur at any stage during the plan, up to 100 days prior to the plan end date. 

 

While there is no form to apply for a light touch review, you may still request it through your LAC. However, it’s generally instigated at the discretion of NDIA.

WHAT IS A PLAN EXTENSION?

Often referred to as a rollover plan or interim plan, a plan extension occurs if a scheduled meeting review cannot be held in time, or a new plan cannot be finalised before the current plan date’s end.

 

The plan extension is usually instigated by the NDIA or your Local Area Coordinator (LAC), but you or your support coordinator or nominee can request it if deemed relevant.

 

To know more about plan extension and other plan reviews, you can talk to us! Give us a call on 08 8322 2121 or email hello@theplanexperts.com.au

DO I NEED TO SEND THE PLAN EXPERTS A COPY OF MY NDIS PLAN?

The best way to share your plan details is to give TPE electronic access to your NDIS plan via myGov.

 

Plan Managers are unable to obtain a copy of a participant’s NDIS Plan without the Participant’s consent to share the information. With electronic access to your plan we can see changes and updates to your plan as they happen. Your information will be stored securely and will always remain confidential. 

 

To help you, we have created an easy guide to show the steps you’ll need to follow. This will provide TPE with secure electronic access to your NDIS plan:

 

 steps to provide electronic access to your NDIS plan2 CLICK TO OPEN TPE'S E-ACCESS STEP BY STEP GUIDE 

 

With electronic access to your NDIS Plan, we are able to:

 

  • Process your invoices and claims faster
  • Provide more personalised and specific support in managing your plan
  • Support you to exercise greater choice and control
  • Manage your plan in real time, that is we can see changes and updates to your plan as they happen
WHAT DOES REASONABLE & NECESSARY MEAN?

In order to be considered reasonable and necessary, a support must:

  • be related to the participant’s disability

  • not include day-to-day living costs that are not related to a participant’s disability support needs

  • represent value for money

  • be likely to be effective and beneficial to the participant, and

  • take into account informal supports given to participants by families, carers, networks, and the community

More information can be found on the NDIS website including detailed explanations and examples:  NDIA GUIDELINES: WOULD WE FUND IT?

 

Payments & Invoices

Frequently Asked Questions
WHERE SHOULD I SEND INVOICES FOR PAYMENT?

Send your invoice to invoices@theplanexperts.com.au

 

Once invoices have been checked and validated, we will arrange to obtain funds from your plan and pay the supplier directly.

WHAT INFORMATION MUST BE INCLUDED ON INVOICES?

The strict guidelines for invoices are set by the NDIA, in line with current ATO rules.

 

The minimum requirements on invoices received must include the following information:

  • ABN
  • A unique Invoice number
  • The NDIS participant’s name and NDIS number
  • The date the service was provided
  • A description of the service provided
  • Hourly rate charged (if appropriate)
  • The company’s contact details
  • Banking details

We can’t process invoices which are submitted without the above information. We provide a helpful information sheet to give your regular providers which lists the invoice requirements to save you time.

HOW DO PROVIDERS GET PAID?

Participants can forward invoices from their Service Providers to us or they can arrange to have their Service Providers email invoices directly to us.  Once we receive the invoice, we will upload it and process it.  

 

Following this, we make a payment request through the NDIS Portal.  When this is complete, we will make the payment to the Service Provider, and store the invoice on our secure systems for future reference.

WHAT IF I HAVE PAID AN INVOICE WITH MY OWN FUNDS?

Plan Managers claim directly from the budgets in your NDIS plan, to pay your providers on your behalf.  The same process applies in times where you may need to be reimbursed.

 

If you have paid for a product or service upfront using your own funds, we can process a reimbursement back to you.  For us to be able to do this we will need a copy of the tax invoice as well as a record of payment in full.

 

Please send the invoice and payment evidence to invoices@theplanexperts.com.au

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Frequently Asked Questions
DOES THE PLAN EXPERTS HAVE CAPACITY TO TAKE ON MORE PARTICIPANTS?

Yes absolutely! TPE continues to grow to support new participants, we are ready and waiting to welcome you!

 

Get in touch and we can arrange for you to sign up or be transferred from another Plan Manager

DO YOU SERVICE REGIONAL SA?

Yes we do! We regularly visit regional areas across the state for our TPE “DROP IN DAYS”, and we would love to see you next time we are in your area.

 

Keep an eye on our socials for more info, and drop us a note here to let us know where you are and we’ll let you know when we are visiting next! 

 

CAN I SWITCH TO TPE FROM ANOTHER NDIS PLAN MANAGER?

The answer is yes! The NDIS is designed to give participants choice and control. This includes choosing your plan manager.

 

No matter how far you are into your NDIS plan, you can switch plan managers whenever you choose.

 

STEP 1 – All you need to do is contact us and let us know you want to make the switch. If you have a support coordinator you should also let them know.

 

STEP 2 – Once you have notified your existing Plan Manager, we can contact them to arrange the transition and ensure there are no disruptions to the payments of your supports. 


STEP 3 - We can contact your regular service providers for you, to let them know where to send their invoices.

 

We do all the heavy lifting to help make switching as easy as possible for you. Once you let us know that you'd like to switch, we will organise the rest!CTA button sign up

I'M READY TO SWITCH. WHAT NOW?

Great! We can’t wait to welcome you to our NDIS family. Have you checked out our MAKE THE SWITCH info?

 

All you need to do now is send us your details via our SIGN UP page. Just follow the prompts to enter your details and we will take care of the rest. It will only take you a few minutes!

 

Our sign up process is 100% online so you don’t have to worry about printing out piles of paper and sending it all back to us. You can even sign up from your smartphone or iPad.

 

If you haven’t got Plan Management funding in your current NDIS Plan and would like to join, please give us a call or send an enquiry, and we will talk you through what you will need to do first.

 

I JUST RECEIVED MY FIRST NDIS PLAN. HOW DO I SIGN UP WITH TPE?

Congratulations!  We're so glad you're keen to work with us.  All you need to do now is head to our SIGN UP page, enter your details and we will take care of the rest!

 

Our sign up process is 100% online so you don’t have to worry about printing out piles of paper and sending them back to us. You can even sign up from your smartphone or iPad.

 

When we receive your details we will be in touch to go through all the bells and whistles with you personally. 

 

In the meantime if you want to know more, you'll find heaps of useful info via the TPE Resource Hub, or feel free to contact us!

 

Therapy & Supports

Frequently Asked Questions
WHAT DOES "REASONABLE AND NECESSARY" MEAN?

The NDIS funds a range of supports and services which may include education, employment, social participation, independence, living arrangements and health and wellbeing.

The NDIS legislation outlines what can be funded under the NDIS. All supports need to meet the criteria in these laws before they can be funded in your plan. To find out more, check out the NDIS web info on funding criteria.

 

Supports need to be related to your disability, be value for money, effective and beneficial, and most appropriately funded or provided. Each support must meet the funding criteria individually, but the supports must also meet the criteria if combined as a package.

 

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.

 

A participant’s reasonable and necessary supports take into account any informal supports already available (eg informal arrangements that are part of family life or connections with friends and community services) as well as other formal supports, such as health and education.

 

Reasonable and necessary supports will help participants to:

  • pursue their goals, objectives and aspirations
  • increase their independence
  • increase community and workplace participation, and
  • develop their capacity to actively take part in the community
HOW DO I KNOW WHICH PROVIDERS I CAN USE?

Plan Managers are a type of Financial Intermediary, which gives you the flexibility to use service providers who are both registered and not registered with the NDIS.

 

You can also access online stores for items like assistive technology so you don’t need to pay out of pocket first and be reimbursed.

WHAT SUPPORTS DO YOU RECOMMEND?

As we are completely independent, we do not recommend any specific services. TPE ensures all clients have choice and control over the services they purchase, and we understand what works for one person may not work for another.  Every person's situation, and every NDIS plan - is unique!

 

The best way for you to find services is via online search, through your support co-ordinator (if y0u have one), or check out the TPE Resource Hub for links to more info.

 

Of course we are always happy to chat through and help if you're having trouble with your specific individual circumstances. If you're not sure just ask!

WHAT IS THE DIFFERENCE BETWEEN REGISTERED AND UNREGISTERED PROVIDERS?

A registered provider is required to meet quality and safeguarding requirements of the NDIS Commission.

 

This involves adhering to strict and ongoing audit requirements.

 

Not all providers choose to register. By using a Plan Manager you are able to access supports from both registered and unregistered providers.

WHAT IS SUPPORT CO-ORDINATION?

Support Coordination helps you get the most out of your NDIS plan, including finding and organising the best supports for your needs.

 

It’s what the NDIS calls a ‘capacity building’ support – designed to help you build the skills and confidence to manage your own supports in future.

 

Like Plan Management, it’s funded in addition to your other supports. The NDIS decides eligibility for Support Coordination on an individual basis, and this usually occurs as part of the planning process. 

 

If you would like to find out more you can speak to your LAC or check out the information available on the NDIS website.

DOES THE PLAN EXPERTS OFFER SUPPORT CO-ORDINATION?

The Plan Experts does not offer Support Co-ordination, we recognise that we can’t be the experts on everything!

 

We remain focused on our expertise in Plan Management.

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    Why are you called 'the experts'?

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    That's easy - it's our job!  We aim to be the experts in Plan Management, so you can count on us 

     

    You can rely on our expertise and personalised support to help you get the most out of your plan

    Did you know?

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    Real-time NDIA claims and payments are coming!

    We work closely with our tech partners to develop and improve solutions for participants. 
    This means we can offer market-leading services, and have more time available for supporting you!

     

    Solutions are being developed to improve the way NDIS payments are processed.  New ways of claiming and processing payments will be introduced across the sector to essentially enable 'real-time' lodgement, claims and payments. 
     
    We are so excited about how great this advancement will be for our clients, who will be amongst the first to benefit from the new technology once it is made available.
     
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    Why use a Plan Manager?

    Having a Plan Manager gives you a range of benefits, at no cost to you.

    There are standards that all Plan Managers are required to meet - we are all following the same rules, as set out by the NDIA.  

    Here are some of the benefits of Plan Management:

     

     

    It won't cost you a cent

    Plan Management is free of cost to you - fees are paid directly to Plan Managers by the NDIS, AND they don’t come out of your support budget

    Maintain choice and control

    Using a Plan Manager gives you the opportunity to have full choice and control over which service providers you use.

    You can continue to choose from a mix of both registered and unregistered providers to suit your needs

    Fast payments and reimbursements

    All Plan Managers offer fast invoice turnaround for payments and reimbursements - it's our responsibility to do so. 

    The systems we have in place help us to cut down on processing time, meaning your invoices will be paid faster.

    Free up your time

    More time to enjoy life while your Plan Manager manages claims, payments and the administration side of your NDIS budget - at no cost to you

    Say goodbye to compliance stress

    Plan Management is a highly regulated, transparent and thorough process for managing your funds, as set out by the NDIA. 

    All Plan Managers must meet strict NDIS registration criteria, and undergo detailed compliance checks and processes on a regular basis

    Plan Managers keep records of all invoices and transactions that are processed through your plan.

    So in the event of an NDIS audit, you won't have to spend hours digging around to find folders and boxes full of invoices - your Plan Manager has all of this info on hand for you.

    Budget tracking support

    All Plan Managers provide support and reporting with budget tracking - it's a key part of our role.  

    Plan Managers will provide regular reporting to show how your funds are being utilised.

    But I already have a Plan Manager?

    Can I change my Plan Manager?

    The answer is yes!

    The NDIS is designed to give participants choice and control. This includes choosing your Plan Manager.

    No matter how far you are into your NDIS plan, you can switch Plan Managers whenever you like.  Switching is a quick and easy process and won’t cost you a cent.

     

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