the rollout of the national disability insurance scheme in nsw · cohort service group mds service...

The rollout of the National Disability Insurance Scheme in NSW Provider information sessions May - June 2016

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How the NDIS will roll out in NSW

This session will cover the following topics

Funding variations

Transferring services to the NGO sector



Funding variations


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Transfer of services

The NSW Government will not directly provide disability services after July 2018.

• Home Care Service transfer to Australian Unity was completed in February 2016.

• The process to transfer supported accommodation services to the NGO sector has commenced.

• Close to 150 client and family forums have been held between December 2015 and April 2016 with over 1,000 people attending.

• The Expression of Interest (EOI) for the transfer of Specialist Disability Services opened on Monday 16 May and closes on 24 June 2016.

• Enquires about the EOI can be sent to: [email protected]

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Funding variations


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People will be able to access the NDIS from 1 July 2017, if they live in:

Illawarra Shoalhaven

Mid North Coast

Murrumbidgee

Northern NSW

People will be able to access the NDIS from 1 July 2016, if they live in:

Central Coast

Hunter New England

Nepean Blue Mountains

Northern Sydney

From 1 July 2016

From 1 July 2017

South Eastern Sydney Sydney Western NSW Far West

South Western Sydney

Southern NSW

Western Sydney

* The geographical approach to the rollout is

based on existing districts used by the

Department of Family and Community

Services and NSW Health.

People can access the NDIS based on where they live and what supports they receive

From 1 July 2016

From 1 July 2017

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Client cohorts for transition

Cohort Service Group MDS Service Type

Examples of services

1

Large Residential Centres

1.01 LRC residents

Group Home 1.02, 1.04 Group home and small residential centre

residents

Community High

1.03, 1.05-1.08

Hostels, attendant care, in-home support, alternative family placement

2

Community Access

3.01-3.03 Learning & life skills, recreation/holiday

programs, other community access

Community Support

2.01-2.07 Therapy, early intervention,

behaviour intervention, case management

3

Respite 4.01-4.05 Centre-based respite, flexible respite

Community Care

10.01-10.26 (exc. 10.23)

Domestic assistance, personal care, meals service, home modifications,

transport, case management (excludes assessment)

Meets NDIS

disability

requirement

Evidence of

disability

required 35

Public Interest Directions from the NSW Privacy Commission allow ADHC to collect identified information from funded providers (published 26 October 2015).

The data collection process is critical in ensuring streamlined access to the NDIS.

Data collection:

• Identifies clients in NSW Defined Programs that automatically meet the disability requirements for access to the Scheme.

• Supports the NDIA to make contact with existing NSW disability clients to determine their eligibility for the Scheme.

Importance of client data collection process for streamlined entry to the NDIA

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• FACS will complete similar data requests in May and October/November 2016, and again in May 2017.

• More information about these processes will be made available via the service portal.

• There is a dedicated NGO helpdesk, hotline and mail box to assist service providers.

• More information about the simplified access process can be found on the NSW NDIS website: http://ndis.nsw.gov.au/serviceproviders/participant-phasing-for-providers/

Client information – next steps

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• FACS is collating important client information for our existing clients to assist them in their planning conversation.

• Providers can also support clients to get ready for their planning conversation by helping to compile relevant information and documentation.

• More information will be made available via the service portal.

Supporting clients by collating their information

Documents to include in a client’s dossier: • Assessments • Plans • Information on existing supports that

identify needs, goals, aspirations Most recent version of each document (within last 12 months if possible) Information given to client to

take to planning meeting 38

FACS collects client data from providers and provides it to the NDIA under Privacy Direction.

NDIA confirms eligibility requirements are met and contacts client.

Client meets with Local Area Coordinator to start planning process.

Plan is finalised and approved by NDIA.

Client is notified and plan implementation can commence.

A client’s transition

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Funding variations


Funding variations


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Funding variation timeline

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• Cohort groupings for people will also be applied to funding. This will determine how payments will be reduced.

• Block funding will be reduced progressively based on the planned number of people transitioning to the NDIS.

• Variations are not made after a person has transitioned.

• There is an exception for people with an individualised funding package or a Direct Payment Agreement. Funding for these people will be varied individually after they have transitioned.

• Providers must manage changes to their cash flows as ADHC block funding is reduced in advance and as payments are made by the NDIA in arrears.

• Providers will be allowed to transfer funds between services and cohorts to help manage cash flow changes.

• Providers must maintain services outcomes and quality standards as per the Funding Agreement.

Funding variation principles

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Funding variation process

• For year 1 services, payments have been changed from quarterly in advance to monthly in advance.

• Some providers that have statewide services have had all of their services converted to monthly.

• All providers will be paid in full for the month of July in 2016. This includes year 1 providers even though people are expected to transitioned in July.

• The funding variations will only take effect from August and every month thereafter.

• A final payment will be made in June 2017 for year 1 services. This means no further funding will be paid in 2017/18 because all clients are expected to have transitioned.

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Planned client and funding transition

Cohort Jul 2016 – Dec 2016 Jan 2017 – Jun 2017

1 LRC, Group

Homes, Community

High

100% of clients transition in July 2016

Paid in July 2016 and then 100% reduction thereafter

100% of clients have transitioned

No payments, 100% of funding will have been reduced

2 Community

Access, Community

Support

75% of clients transition over 6 months (a transition rate of 12.5% per month)

12.5% payment reduction per month,

accumulating



accumulating

3 Respite,

Community Care



accumulating



accumulating

Individually funded and

DPA

Person’s funding ceases on the date their NDIS Support Plan is activated. A person’s funding is not varied on a monthly basis in a cohort.

No change. July paid in full 75% of funding is reduced over

six months (75% ÷ 6 = 12.5% per month reduction)

25% of funding is reduced over six months (25% ÷ 6 = 4.2%

per month reduction)

A breakdown of the calculations used to reduce cohort 2 funding of $360,000 pa

Funding variation example

Caveat: the examples do not take into account months with a different number of days. The actual Planned Payment Schedule takes this into account.

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul

Funding Variations $0 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750

-$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750

-$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750

-$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750

-$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750

-$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750 -$3,750

-$1,250 -$1,250 -$1,250 -$1,250 -$1,250 -$1,250

-$1,250 -$1,250 -$1,250 -$1,250 -$1,250

-$1,250 -$1,250 -$1,250 -$1,250

-$1,250 -$1,250 -$1,250

-$1,250 -$1,250

-$1,250

Total Variations $0 -$3,750 -$7,500 -$11,250 -$15,000 -$18,750 -$22,500 -$23,750 -$25,000 -$26,250 -$27,500 -$28,750 -$30,000

Planned Payments $30,000 $26,250 $22,500 $18,750 $15,000 $11,250 $7,500 $6,250 $5,000 $3,750 $2,500 $1,250 $0

Caveat: the examples do not take into account months with a different number of days. The actual Planned Payment Schedule takes this into account.

A sample Planned Payment Schedule

Monitoring actual v. planned variations

• FACS will be monitoring on a monthly basis the actual number of people transitioning to the NDIS against the Bilateral targets.

• If there is a significant slow down of clients transitioning in a month, compared to the planned number, then an adjustment to the funding variation can be made.

• Adjustments can also be made if client transitions faster than planned.

• For example: FACS funds $1.2 million for 10 people in multiple group homes (ADHC makes a $100,000 monthly payment) but only 2 out of the 8 people transition in July. An adjustment can be made in August.

Example July August

Planned client transition 10 0

Planned payment $100,000 $0

Actual client transition 2 8 yet to transition

Actual payment $100,000 $80,000

Existing clients who do not meet the access criteria for the NDIS will receive continuity of support so that they will not be disadvantaged.

Continuity of support

Over 65 years old Do not meet access criteria due to age

Under 65 years old Do not meet the disability requirements

(some CCSP clients)

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• People who are existing clients of NSW funded programs AND over 65 will receive continuity of support administered by the Commonwealth

• People who become NDIS participants before they turn 65 can choose to remain NDIS participants

• People will receive continuity of support from the NDIA through Information, Linkages and Capacity Building

• The acquittals process will be simplified to make the transition process easier. Providers will only be asked to complete one document, a profit and loss statement and balance sheet.

• Providers will be allowed to retain surplus funds without a business case. Surplus funds can be retained across all services and cohorts and used to manage cash flow changes during the transition.

• The monitoring of actual versus planned funding variations will take into account surplus funds from the acquittal process.

• Should there be surplus funds that cannot be expended on service delivery or on the NDIS transition process then the surplus should be returned to FACS at the end of the financial year.

Acquittals

The Transition Assistance Program (TAP) supports small providers in

regional areas to prepare for the NDIS. The total pool of funding available

in the program is $5 million:

• Individual grants of up to $35,000 is available to each service provider.

• Joint applications from up to four providers, for $140,000 in total

funding, will also be considered.

• TAP funding is only available for providers operating in regional and

remote areas with total revenue from all sources of less than $3m per

annum.

• Applications are being managed by ACS and are being considered.

• Successful applicants will be notified late June 2016.

Transition Assistance Program

Information and support

Visit www.ndis.nsw.gov.au to find out more about the rollout of the NDIS across NSW.

Providers can also contact the ADHC funding administration helpdesk about their funding

variations:

1300 136 067

[email protected]

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