Webinar Series NDIS Planners and LACs Introduction to Plan Management July 30th, 2019 – 12pm Presented by Joel Morris and Rob Powell
Outcomes for today • Different ways for a plan to be managed • Considerations for choosing selecting the right plan manager • Understanding of what Plan Management is and how it can benefit participants • Know which participants are best suited for Plan Management
Different ways to manage your plan NDIS – Managed Plan Managed Self Managed = = 47% = 27% 26% Combination This means the National Use an NDIS registered plan Taking full You can combine these Disability Insurance manager to work with you responsibility for the three options if you like Agency (NDIA) manages and take on administration management of their to have part of your plan their funds. tasks that may be difficult funds. managed in specific or time consuming. ways. • Ability to check the • Make decisions in line • Increased control over how myplace portal to see with their plan goals. their plan funds are used. claims providers are making against their • Choose registered • Choose registered and non- NDIS funds. and non-registered registered providers. providers. • Choose from registered • Help with paying their NDIS providers only. • Employ their own staff support providers. or pay someone to employ others. • Professional budget management, ensuring • Control and full funds are available for the responsibility for their length of the plan. NDIS funds and claiming from the • Help navigating the NDIS. NDIS.
The role of a Plan Manager • The primary role of a plan manager is to process invoices on behalf of a participant. This involves claiming funds from the NDIA and then paying to the provider or participant in cases of reimbursements. • In addition, Plan Managers also : • Provider reporting and tools to track budget expenditure. • Liaise with the NDIA and providers on behalf of participants to resolve complex invoicing issues. • Assist participants and providers with invoicing, budget or related issues.
What is the benefit of Plan Management? • By choosing plan management, Participants can: • Use providers registered and un-registered with the NDIS • Have another party manage the administrative side of invoicing and payments related to their NDIS plan • Approve all payments made on their behalf • Use reporting and tools available to give insights into spend of funds • Have a plan manager resolve billing and invoicing issues on participants behalf • Participants are never out of pocket with plan management, as opposed to self management
Considerations for selecting a Plan Manager • Easy sign in process • Responds to Participant and Provider queries in a timely manner and helps reduce queries to LAC’s and NDIA Planners • Clear and quick invoice approval process • Has capacity (adequate systems and staff to take on Participants) and coverage (facility to service people living in remote, regional and city areas) • No conflict between front line provision and plan management
Myths about Plan Management MYTH : Plan Management is a ‘reasonable and necessary’ consideration FACT : When plan management is requested, it is not subject to a reasonable and necessary decision MYTH : The choice of Plan Management must be justified by the participant/nominee FACT : When Plan Management is requested, there is no requirement to justify the request, or that it is “needed”. It can’t be denied except in extraordinary circumstances MYTH : Plan Managers do not have to adhere to the NDIS Price Guide FACT : As registered providers, Plan Managers are unable to claim up to the maximum amount allowed than the NDIS sets for a line item (can claim less) MYTH : Plan Management fees will reduce the funds available in other areas of the plan FACT : Plan Management fees do not reduce other support budgets. The participant gets more help, more choice for no additional cost MYTH : People will be better off going to a disability specific Plan Manager FACT : Plan Management is a specialist skill in itself that can cover all disability types
Invoice Lifecycle Service is Provider sends Invoice Best case provided invoice to PM approved by scenario is participant 3 days Invoice lifecycle Invoice billed to NDIA by PM Participant PM pays NDIA approves receives provider and sends funds statement to PM Invoice lifecycle
Who is Plan Management for? Every NDIS participant has a right to request plan management. We see a wide variety of people who benefit from plan management: - People who are time poor but want more choice and control - People who cannot afford to be out of pocket (self manage) - People who have multiple service providers - People who want to use smaller , local providers such as cleaners or gardeners - Participants and families who need/want to self advocate but don’t want the admin burden - Families of participant’s living in aged care facilities Common thread - people who want the flexibility to choose any provider while having someone else manage the administrative side of their NDIS plan.
A – aged 6, Western Sydney • A is youngest of 3 kids. Only sibling who is a participant. • Parents are very involved, Mother wanted to have a level of control and decision making however didn’t want the hassle of wanting to claim for every single payment. • Plan Management gives her the right balance of choice and control as well as auditable trail/records.
T – aged 32, Brisbane South • T – primary disability is Hearing Impaired. • Needs interpreters who are all un-registered. • Plan Management allows T to work with un-registered providers whilst letting Integra manage all of the day-to-day billing and record keeping.
C – 8, St Kilda • Young Participant with intellectual disability. • Nominees (Parents) had previously self managed, but found themselves out of pocket, spending around $600 per week. • Administration was also causing headaches, with number of providers, different invoicing, and myplace portal uploads. • Wanted to keep using a sole practitioner of Therapy working for herself and charging less than NDIS rate, with increased therapy hours resulting.
We have a question for you • After participating in this presentation, do you feel better equipped to respond to the needs of participants that are interested in Plan Management?
Thank you. Questions?
Next steps Recording of the webinar will be uploaded to the YouTube for you and any of your team to access. In addition we will send out a copy of the presentation. Please forward onto colleagues and also invite them to future webinars Please complete the post webinar survey. We really value your feedback. Especially for things that you want to know more about. If you would benefit from a further conversation, we can arrange a team presentation or send out materials. Please contact us: • Joel Morris - joel.morris@myintegra.com.au – 0428 697 332 • Rob Powell - rob.powell@myintegra.com.au – 0490 301 676
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