Applying for NDIS Funding: Criteria for Eligibility in NDIS

ndis funding

The NDIS package offered by the NDIA is a useful one!   

Why? Firstly, you get to enjoy the Australian government’s subsidies; secondly, your loved ones are under constant care and assistance.   

There are nearly 4.3 million Australians with disability and in the next five years an assumption is made that the numbers will reach 6 million.   

The NDIS scheme designed for the NDIS participants allows them to gain greater access to the spending of the government-approved support fund with constant support from the NDIS agencies.   

Before moving on to the eligibility, let’s understand the overall functionality of NDIS. Apart from the eligibility we shall understand the support funding packages along with the list of disabilities qualifying for NDIS subsidy.  


NDIS: How does it work? 

The NDIS allows you to make more choices, control your situation, and be more independent. 

 The funding packages from NDIS replace Disability services funding. 


So, what is NDIS funding? 

Government funding packages are negotiated with you as you determine what types of services you need. The benefits you need can be provided by any agency you choose. The things that are important to you in your life and the support you need are yours to decide. 

A plan for your individual needs and goals is created during an NDIS plan meeting. The funds go directly to you whenever you need services from an approved service provider, which is the core benefit of  the NDIS.   


How does National Disability Insurance Scheme funding work for the participants? 

A participant with a disability can apply for funding from the National Disability Insurance Agency (NDIA), which administers the program.  

Here we have taken few steps in regards to the functionality of National Disability Insurance Scheme.  

In the first step, participants will be asked a few questions to determine their eligibility for funding using the eligibility checklist. 

Participants can complete the Access Request form if they meet the eligibility criteria. 

An “access decision” letter will be sent to you by the NDIA. Now that you have created your NDIS plan, you can start implementing it. 


NDIS Eligibility: How is NDIS funded for the participants? 

Next, we need to figure out how is the ndis funded? 

Here are the essential eligibility criteria that the participants should meet to apply: 

Individuals who are eligible to access the fund must meet the following criteria: 

  • Individuals under 65 are eligible to receive funding. 
  • A participant live in australia holding citizenship or permanent visa holder can only participate. 
  • Participants must meet the disability requirements established by NDIA. 

The Access Request Form must be filled out confidently and adequately to maximise your chance on a successful ndis application. 


What is the NDIS list of disabilities that makes the participants eligible? 

NDIS support is only available to participants who meet one of the following criteria: 

  • Impairment results from birth, disease, injury, or accident. 
  • Diseases or medical conditions cause significant physical, intellectual, cognitive, neurological, visual, hearing, or psychosocial impairment. 
  • People diagnosed with Medical Condition A and List B medical conditions.  


List A: Conditions that meet requirements 

The NDIS is available to people with disabilities or conditions that meet one of the following criteria: 

  • Intellectual disability 
  • Rett syndrome 
  • Autism 
  • Deafblindness 
  • Genetic conditions  
  • Lysosomal storage disorders 
  • Cerebral palsy 
  • Patau syndrome 
  • Permanent blindness 
  • Atrophies of the spinal muscles 
  • Spinal cord or brain injuries  
  • Permanent bilateral hearing loss 
  • Mucopolysaccharidoses  
  • Amputation 


List B: Conditions that require further assessment 

A further assessment may be necessary for some conditions, such as: 

  • Disabilities of the intellectual kind 
  • A chromosomal abnormality, such as Down syndrome 
  • Alzheimer’s and Parkinson’s diseases are neurological impairments 
  • Impairment of the physical body, such as amputation 
  • Hearing or speech impairments 
  • Combining several of the above 


List C: Defined programs

People who qualify for specific Victorian schemes and have received services from them will be able to join the NDIS.  

The website provides a complete list of its schemes. It is already common for recipients of these schemes to apply and transfer to NDIS plans. 


List D: Disabilities that require early intervention 

Disability Support Services can assist children with permanent impairments like Down syndrome or Global Developmental Delay. There is no need of assessments in this condition. 


What type of disabilities are not eligible for the NDIS Support? 

Time-limited (non-ongoing) conditions will not be funded or supported by the NDIS. 

The funding amount through NDIS and support are not provided for chronic health conditions unrelated to the person’s disability. 

Therefore, it is necessary to differentiate chronic health conditions from disabilities in terms of treatment and care. 

Likewise NDIS also do not fund for diabetes medication or medical care. 


How to apply for government funding for NDIS? 

After learning, those participants who is fulfilling the eligibility requirement with ndis apply by: 

  • Writing a verbal application  
  • Calling the NDIS provider 1800 800 110 
  • Completing an Access Request Form  


  • A verbal application 

How do you apply for funding? Firstly, when applying for fund, you need to fill out the ndis application where one needs to confirm the authorised person’s identity along with the consent to apply for the NDIS.  


  • A complete Access Request Form  

The access form can be downloaded or requested through an email or collected from the local area coordinator.  


  • Presenting the evidence 

While applying for the fund, one must submit evidence to prove the age, permanent residency, and disability.  


How can your disability be proven? 

Providing evidence of disability can be done with the help of your treating health professionals. 

  • General Practitioner (GP) 
  • Occupational Therapist 
  • Speech Pathologist (Therapist) 
  • Pediatrician 
  • Orthopedic surgeon 
  • Neurologist 
  • Physiotherapist 
  • Psychologist 
  • Psychiatrist 


Understand the ndis funding packages: How does NDIS work? 

Participants may be able to receive the funding amounts through the NDIS for the following support:  

  • Participation in daily life activities, community, economics, and society. 
  • Providing participants with support in finding or keeping employment in the open or supported job market. 
  • Supporting behaviours as part of therapeutic interventions. 
  • Maintaining the participant’s home environment by helping with household tasks. 
  • An evaluation, installation, and training of aids or equipment by a skilled professional. 
  • Design and construction of home modifications. 
  • Equipment for mobility and changes to vehicles. 


NDIS funding amounts: How is the NDIS funded?  

Participants can used funding amount to avail different types of support. Social and economic participation is aimed for increasing independence and inclusion.  

Therefore an NDIS Plan can include three types of support budgets. You can access support based on your needs and goals according to the line items in each support budget. They are: 


  • Core Supports –

With Core Supports, you can work towards your goals, manage your everyday activities, and get support with your disability-related needs. The core support includes assistance with daily living, transportation, consumables, and assistance with social and community participation.  


  • Capacity Building Supports –

It supports building capacity to help you pursue your goals by developing your independence and skills.  

The Capacity Building Supports budget cannot be moved between support categories like your Core Supports funding.  

The budget includes activities for support coordination, improved living arrangements, increased social and community participation, employment findings, improved learning, and improved life choice. 


  • Capital Supports Budget –

A capital support package may include expensive assistive technology, equipment, modifications to vehicles, and one-time purchases (such as Specialist Disability Accommodation) 


How to apply for an NDIS provider in Australia? 

Those who meet disability eligibility requirements for the NDIS can access the support and services they need to live. 

The NDIS provides participants with individual plans detailing their desired outcomes, the support they will receive, and the funding they will receive. 

How to get NDIS registered? Well, to become an NDIS provider, one must meet various requirements to obtain registration with the NDIS Commission. 

State and territory NDIS providers must comply with the following requirements: 

  • Keep your registration certificate up-to-date by complying with the conditions. 
  • Your registration groups (determined by the services and supports you deliver) must comply with the NDIS Practice Standards. 
  • Follow your organisation’s Code of Conduct and support employees in meeting its requirements. 
  • Provide support to participants and other affected parties to make a complaint through an in-house complaints management and resolution system. 
  • Ensure that the NDIS Commission is notified of all reportable incidents (including alleged incident reporting) when they occur. 
  • Screen all workers by the stated requirements. 
  • Commission must be notified of restrictive practices, if applicable. 


How to manage funding from the NDIS?  

With the NDIS, you have three options for managing your funds: plan management, NDIA management, or self-management.   

You’ll be able to access a variety of service providers, receive some assistance with your administration, such as invoices, and access to an array of tools and resources depending on the option you select. 

Let’s examine each of the three options: 


Self-management: As a member of the NDIA, you receive financial assistance to access the supports the ndis will fund that you will need to reach your goals. 

Plan managed funding: The NDIA will fund your plan to pay for a Plan Manager who keeps track of your funds and pays your providers on your behalf. 

NDIA-managed funding: With this option, you will receive your funding from the National Disability Insurance Agency. 

Your NDIA account manager manages your invoices, pays service providers, and service plan.  

The NDIS only allows you to access registered providers, which may limit your support options.  


Are you comfortable with either option?  

To maximise your funds, you should choose a method of management that is right for you. It depends on your situation, personality, and what you’re looking for.   

You should choose NDIS management or plan management if you need help managing your funding.  

The benefits of hiring an expert plan manager include the ability to receive additional support, tools and the opportunity to choose from a greater selection of providers. If you are searching for a reliable assistance for the NDIS, connect with us