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How to apply for the National Disability Insurance Scheme

Information about how to apply for the national disability insurance scheme.

Anyone can apply to the National Disability Insurance Scheme (NDIS) to participate in the insurance scheme. They do this by making an access request. This request must:

  • be made in the form approved by NDIS
  • include any information that NDIS require
  • certify that the application includes the information required that are in the person's possession or control.

See NDIS—Am I eligible?(opens in a new window)

NDIS must respond within 21 days by:

  • deciding that the person meets the access criteria
  • asking for more information, or
  • asking the person to have an assessment or medical/ psychological examination and to send the report to NDIS.

See ss. 18, 19—National Disability Insurance Scheme Act 2013 (Cth)(opens in a new window).

Temporary extension of time limit

The Rules extend the time that NDIS has to make a decision for the first 12 months of the scheme. NDIS is only obliged to take action within 21 days if the person needs care urgently, otherwise they must act within 42 days.

See Part 3—National Disability Insurance Scheme (Timeframes for Decision Making) Rules 2013 (Cth)(opens in a new window).

When does a person begin to participate?

NDIS decides when a person begins to be a participant in the scheme. They will notify the person in writing.

See s. 28—National Disability Insurance Scheme Act 2013 (Cth)(opens in a new window).

When does participation end?

A person's participation in the program ends when any of the following things happen:

  • when they die
  • when they enter a residential care service permanently
  • when they start getting community care on a permanent basis
  • when NDIS revokes their status because the person no longer meets the requirements.

See ss. 29, 30—National Disability Insurance Scheme Act 2013 (Cth)(opens in a new window).

More information

Legislation

National Disability Insurance Scheme Act 2013 (Cth)

  • Chapter 3, Part 1—Becoming a participant
  • s. 18—making an access request
  • s. 19—certification is required
  • s. 21—sets out the criteria on which NDIS will base their decision
  • s. 22—age requirements
  • s. 23—residence requirements
  • s. 24—disability requirements
  • s. 25—early intervention requirements
  • s. 28(1)—the person will be notified by NDIS when they become a participant

See National Disability Insurance Scheme Act 2013 (Cth)(opens in a new window).

National Disability Insurance Scheme (Becoming a Participant) Rules 2016 (Cth)

  • Part 3—when does a person meet the age requirements?
  • Part 4—when does a person meet the residence requirements?
  • Part 5—when does a person meet the disability requirements?
  • Part 6—when does a person meet the early intervention requirements?
  • Part 7—assessing whether a person meets the disability or early intervention requirement

See National Disability Insurance Scheme (Becoming a Participant) Rules 2016 (Cth)(opens in a new window).

National Disability Insurance Scheme (Timeframes for Decision Making) Rules 2013 (Cth)

  • Part 3—Timeframes for making decisions

See National Disability Insurance Scheme (Timeframes for Decision Making) Rules 2013 (Cth)(opens in a new window).

Reference

National Disability Insurance Scheme (NDIS)

The NDIS site has information about whether a person may be eligible and the kind of information that they need when they apply.

See:

Updated