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The NDIS needs evidence that clearly explains how your disability affects your daily life, your ability to participate in the community, and why the support you are requesting is reasonable and necessary. Strong evidence focuses on functional impact, risks, support needs and expected outcomes rather than diagnosis alone.
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Functional evidence explains how a disability affects everyday activities such as communication, mobility, self-care, learning, social interaction and self-management. The NDIS uses functional evidence to understand support needs and determine funding.
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NDIS funding may be reduced if evidence no longer supports the level of assistance previously funded, if reports are outdated, if circumstances have changed, or if the NDIA determines the supports do not meet the reasonable and necessary criteria.
The NDIS may decline a support if it is not considered reasonable and necessary, lacks supporting evidence, is viewed as a mainstream responsibility, or does not relate directly to the impact of your disability.
Reasonable and necessary supports are supports that help a participant pursue their goals, increase independence, represent value for money, are effective and beneficial, and are most appropriately funded through the NDIS. Add an answer to this item.
The NDIS assesses whether a support is related to disability, supported by evidence, value for money, effective, and more appropriately funded by the NDIS than another service system.
Before a plan reassessment, gather recent therapy reports, Functional Capacity Assessments, participant statements, carer statements, support worker reports, incident records and evidence showing changes in support needs.
Most participants should start preparing for an NDIS reassessment at least three to six months before their plan ends. This allows enough time to obtain reports and gather supporting evidence.
A Functional Capacity Assessment is not mandatory, but it is often one of the most influential reports when requesting support worker funding, therapy supports, assistive technology, home modifications or home and living supports.
No. A diagnosis alone does not guarantee access to the NDIS. The NDIA assesses how the condition affects functional capacity and whether the legislative access requirements are met.
Substantially reduced functional capacity means a person's disability significantly affects their ability to complete activities such as communication, learning, mobility, self-care, self-management or social interaction.
To access the NDIS, a person must meet age requirements, residence requirements and either the disability requirements or early intervention requirements.
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The most persuasive evidence usually includes detailed functional assessments, therapy reports, risk evidence, participant statements, carer evidence and records showing the real-world impact of disability.
A Statement of Issues is a document prepared by the NDIA that outlines the issues in dispute, the NDIA's position and the evidence relied upon during an ART matter.
If an internal review is unsuccessful, you may be able to apply to the Administrative Review Tribunal (ART) for an independent review of the decision.
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Internal reviews often fail because evidence does not address the reasons for the original decision, reports lack functional detail, or requested supports are not linked to legislative funding criteria.
A carer impact statement should explain the support provided, caring responsibilities, risks, sustainability of informal supports, and how caring affects employment, health, relationships and daily life.
A participant statement should explain daily challenges, support needs, risks, goals, and what happens when supports are unavailable. It should provide real-life examples of disability-related impacts.
Substantially reduced functional capacity means a person's disability significantly affects their ability to complete activities such as communication, learning, mobility, self-care, self-management or social interaction.
Yes. Therapist recommendations are important, but the NDIA is not required to fund every recommendation. The NDIA assesses whether the recommendation meets legislative funding criteria.
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