NDIS Provider Registration | Registro
Understanding SIL Roster of Care Submissions
Introduction
When seeking new or revised Supported Independent Living (SIL) funding, providers are required to submit a roster of care to the National Disability Insurance Agency (NDIA).
This article provides insights into the roster of care submission process, including the importance of detailed information, submission methods, and the role it plays in determining the participant’s support needs and funding.
Importance of Detailed Roster of Care
- Detailed Information: Roster of care submission provides the NDIA with comprehensive details about the participant’s support needs.
- Supported Independent Living Operational Guideline: Information in the roster of care is considered alongside other relevant guidelines.
Compiling the Roster of Care
- Participant Consultation: Providers consult with the participant or their nominee to gather necessary information.
- Reasonable and Necessary Support: Sufficient detail in the roster of care enables the NDIA to determine the participant’s support needs.
Submission Methods and Contact Information
- Email Submission: Providers can email the roster of care template and tool to enquiries@ndis.gov.au.
- Inclusion in Home and Living Supports Request: Information can be provided to the participant and their support coordinator for inclusion in the participant’s request or plan reassessment.
- Change in Submission Address: Roster of care should not be submitted to SIL@ndis.gov.au email address.
Understanding the Roster of Care
- No Plan Reassessment: Roster of care submission does not trigger a plan reassessment or any immediate actions.
- Not an Agreement: Roster of care is not an agreement of the funding included in the participant’s plan.
- Inquiries and Assistance: Providers with inquiries can email enquiries@ndis.gov.au for support.
High Intensity Supports and Evidence
- High Intensity Supports: Providers must include evidence supporting the need for high-intensity supports in the roster of care submission.
- Relevant Evidence: Reports or assessments from occupational therapists, medical professionals, or allied health practitioners can be included.
- Freshness of Reports: Reports should not be older than two years and should come from independent service providers price guide.
Overnight Supports
- Sleepover Support: Funding provided by the NDIA for participants requiring up to two hours of awake support during the night.
- Active Overnight Support: Funding available for participants needing more than two hours of awake support where the support worker remains awake during normal sleeping hours.
Irregular SIL Supports
- Separate Funding: Participants receive separate funding in their plan for irregular SIL supports needed for unexpected situations.
- Examples and Guidelines: Irregular supports cover instances like illness or canceled day programs, and the Supported Independent Living guideline provides information on funding and typical number of days.
Claiming Irregular SIL Supports
- Claiming Rules: Providers should refer to the claiming rules outlined in the NDIS Pricing Arrangements and Price Limits.
- Payment Request: Step-by-step guides in the myplace provider portal can be followed to create a payment request for irregular SIL supports.
Group-Based Supports and Programs of Support
- Program of Support Agreement: Providers offering group-based supports like SIL can enter into a program of support agreement with the participant.
Details and Guidelines: Additional information on programs of support can be found in the NDIS Pricing Arrangements and Price Limits. Receiving SIL, typical week, support the participant may work too.
Conclusion
Understanding the SIL roster of care submission process is crucial for providers seeking new or revised Supported Independent Living (SIL) funding. By compiling a detailed roster of care and submitting it to the National Disability Insurance Agency (NDIA), providers can contribute to determining the participant’s support needs and funding allocation.
The roster of care serves as a comprehensive document, providing the NDIA with in-depth information about the participant’s support requirements. It is essential to consult with the participant or their nominee to gather accurate and sufficient detail, enabling the NDIA to assess reasonable and necessary support.
Providers can submit the roster of care via email or include it in the participant’s home and living supports request or plan reassessment. However, it’s crucial to note that the roster of care submission does not trigger an immediate plan reassessment or serve as an agreement for funding.
For high-intensity supports, providers must include relevant evidence supporting the need for such supports, obtained from independent service providers within the last two years. Additionally, funding is available for overnight supports, including sleepover support and active overnight support.
Participants also receive separate funding for irregular SIL supports, covering unexpected situations. Providers can claim for irregular SIL supports by following the claiming rules outlined in the NDIS Pricing Arrangements and Price Limits and using the myplace provider portal.
Moreover, providers offering group-based supports can enter into a program of support agreement with the participant, as outlined in the NDIS Pricing Arrangements and Price Limits.
By understanding and adhering to the roster of care submission process, providers can accurately convey participant support needs and contribute to the delivery of high-quality supports within the realm of Supported Independent Living.
