Recent discussions about changes to the National Disability Insurance Scheme (NDIS) have left many participants wondering what might happen if they no longer meet the eligibility requirements.
While not every participant will be affected, it’s understandable to feel uncertain about what the future could look like. If you’re concerned about your eligibility or have been advised that your access to the NDIS may change, it’s important to understand your options and know where to turn for support.
Why might someone no longer qualify for the NDIS?
To access the NDIS, participants must continue to meet the eligibility requirements set out under the NDIS Act.
Eligibility is based on factors such as:
- your age when applying
- your residency status
- whether you have a permanent disability or significant impairment
- how your disability affects your ability to complete everyday activities
During plan reviews or reassessments, the National Disability Insurance Agency (NDIA) may request updated evidence to confirm that a participant continues to meet the access criteria or requires ongoing funded supports.
Every situation is assessed individually, and decisions are based on the evidence provided.
Does losing NDIS eligibility mean you lose all support?
Not necessarily.
If your circumstances change or you are no longer eligible for the NDIS, there may still be other supports available depending on your needs.
These may include:
- state and territory disability services
- community health services
- mental health supports
- Medicare-funded allied health services
- local community organisations
- mainstream education, employment or health services
The NDIS is designed to work alongside these mainstream services, not replace them.
What should you do if you're concerned about your eligibility?
1. Speak with your Support Coordinator
If you currently have Support Coordination included in your plan, your Support Coordinator can help you understand the review process, explain correspondence from the NDIA, and ensure you have the information needed to make informed decisions.
They can also assist in coordinating reports and supporting documentation if additional evidence is requested.
2. Gather current evidence
Updated reports from your treating professionals can play an important role in demonstrating how your disability continues to impact your daily life.
Depending on your circumstances, this may include reports from:
- psychologists
- behaviour support practitioners
- occupational therapists
- physiotherapists
- speech pathologists
- other allied health professionals
The evidence should clearly explain your functional capacity, current support needs, and how funded supports help you achieve your NDIS goals.
3. Understand your review rights
If you disagree with an NDIA decision, you may be able to request an internal review of that decision.
The NDIA provides information about review pathways and participant rights, including the evidence that may support your request.
Seeking advice early can help you understand your options and any applicable timeframes.
How can Support Agency help?
Navigating eligibility questions can feel overwhelming, especially when you’re already managing your day-to-day support needs.
At Support Agency, we work alongside participants to help them understand the NDIS process and prepare for plan reviews. Our experienced team provides:
- Support Coordination
- Specialist Support Coordination
- Psychology
- Behaviour Support
- Music Therapy
- Psychology Services
We support participants across Greater Western Sydney, the Nepean, Hawkesbury, Hills District, and Wollongong helping people navigate changes to their plans and connect with the supports that best meet their goals.
While we can’t influence NDIA decisions, we can help participants prepare documentation, coordinate services, and understand the options available throughout the process.
Frequently Asked Questions
No. Each participant’s circumstances are different. Plan reviews and reassessments are based on individual needs and the NDIA’s planning processes.
If you disagree with an NDIA decision, you may be able to request an internal review. Information about review rights and timeframes is available through the NDIA.
This depends on your individual circumstances and the outcome of your plan or eligibility decision. It’s important to discuss your situation with your providers and Support Coordinator as early as possible.
Yes. Our team can help you understand the review process, coordinate evidence from your support network, and explore available options based on your individual circumstances.
We're Here to Help
Changes to the NDIS can feel uncertain, but you don’t have to navigate them alone.
If you have questions about your plan, need help preparing for a review, or would like to learn more about our Support Coordination, Specialist Support Coordination, Psychology, Behaviour Support or Music Therapy services, we’d love to help.
Contact Support Agency today to speak with our friendly team and learn how we can support you on your NDIS journey.
Related Posts
