National Disability Insurance Scheme (NDIS) Provider Forums. February May am to 1.00pm

Transcription

1 National Disability Insurance Scheme (NDIS) Provider Forums February May am to 1.00pm 1

2 Agenda 1. Welcome 2. National Disability Insurance Agency (NDIA) Update 3. BREAK 4. Family and Community Services(FaCS) NDIS Transition update 5. Department of Health Continuity of Support for people over Early Childhood Intervention Australia (ECIA) NSW/ACT Update 7. National Disability Services Update The NDS NSW Top 5 8. Dates for the diary and wrap up

3 Affirms that the NDIS is the right reform but that the road to implementing this reform is more difficult than it needs to be. NDS proposes 24 pragmatic and practical recommendations to reduce four key areas of pressure and risk for the NDIS.

4 NDIA Presentation

5 NDIS Update Achievement and lessons to date NSW NDS Provider Readiness Forums

6 Contents The transition so far Service delivery matters Market stewardship activities

7 The transition so far

8 The start of transition

9 Quarter 2, Report National highlights More than 61,000 Australians have NDIS plans $5.1 billion committed for participant supports More than 2,260 children referred to ECEI in the last quarter NSW Highlights 28,777 participants 86.5% of access requests were eligible (9,583 requests received) 89% of people s experience either good or very good. 2,365 registered service providers 36% are individuals or sole traders $114m payments made in the quarter Full report found

10 Where are we at? SOURCE NDIA Actuary, Projected Growth in NDIS participation

11 Transition in NSW Overall Context Context Context

12 Service delivery

13 Establishing the service approach Information, Linkages and Capacity Building (ILC) supports will be delivered through five streams of activity: o o o o o Information, linkages and referrals Capacity building for mainstream services Community awareness and capacity building Individual capacity building Local area coordination Early Childhood Early Intervention (ECEI) supports children aged 0-6 years who have disability or development delay Local Area Coordinators (LACs) support some participants and their families to join in and contribute to the life of their community and assist with the NDIS planning process and plan implementation. Providers can register with the NDIA to deliver supports and services to NDIS participants

14 NSW Partners in the Community Metro Sydney

15 Working with our community ILC grants open until 2:00pm AEDT on Wednesday 8 March 2017 ILC Jurisdictional Based Grants - ACT. Up to $3.0 million is available. ILC National Readiness Grants. Up to $13.1 million is available.

16 Driving choice and value through an emerging intermediaries market Intermediaries work with participants to build their capacity to achieve greater independence, self-direction and management of their supports. Support Coordinators Provide options to participant on supports Implement and monitor participant s NDIS plan aligned to their outcomes Develop skills in directing and managing supports Plan managers Paying for supports and monitoring budgets Develop financial literacy and management skills Both support participants to maximise the value of their budget

17 Continuous participant support and ongoing provider payment The priority is to ensure that participants continue to get the support they need. NSW Government maintaining provider payment until plan approval Once plan approved, timely plan activation will assist provider cash flows Providers can claim for supports aligned to a participant s plan from the date the plan is approved Service bookings can be created that are backdated to plan approval Supported Independent Living will be included in plans at benchmark levels (number of residents and complexity) service booking generated by NDIA If above benchmark pricing sought need evidence of level of support required and detailed costing

18 Providers transitioning existing SDA 1. Apply for SDA registration group 2. Enrol your dwelling/s with the NDIA - the enrolment date will be the date a successful enrolment form is submitted 3. Respond to the request for quote from a participant resident who has SDA in their plan maximum quotable price confirmed during dwelling enrolment Provided SDA was included in the participant s plan at the time, SDA payments are able to be claimed back to the date of dwelling enrolment For more information please navigate to: NDIS website > Providers > Specialist Disability Accommodation

19 Working towards a Supported Independent Living (SIL) tool The SIL tool calculates an efficient price for SIL, based on the provider s proposed care hours for each participant. Planners can compare provider quotes to the calculated efficient price. Where quotes are higher than benchmark, planners are then able to use the SIL tool information to negotiate adjustments to quotes (quickly). Helps to resolve common issues, e.g.: Inappropriate service bundles Over-loaded estimates of service hours to be delivered

20 Market stewardship activities

21 Broad investment in getting it right

22 Positive signs from existing providers Demand is growing rapidly 71% reported increased demand Demand is proving challenging to meet 38% were unable to keep up with demand Clients are exercising choice 58% operating in the NDIS had clients leave them for another provider Providers are diversifying 48% are entering new markets Merger activity is increasing 41% discussed merger activity Source Pg. 7, NDS Report Source:

23 Setting the foundations for growth NDIA as a market steward : Monitoring, evaluation, oversight and (where necessary) support and intervention, in pursuit of a sustainable and successful NDIS Building evidence base for market analysis: Provider benchmarking will commence in 2017 (cost of service delivery, operating metrics, financial stability) Ongoing consultation with the sector to inform priorities and decision-making Systematically building national market consistency: Assistive Technology strategy that identifies innovation and diverse sourcing approaches across the breadth of assistive technology options Working arrangements that draw on market and pricing insights and support from existing funding programs (e.g. state/territory AT supply schemes) Quality assurance and verification activities: Agency undertakes quarterly quality assurance activities Next program due to roll out in March with 500 randomly selected providers

24 NDIA pricing review Regular reviews to determine whether price controls are warranted Planning for the 2017 review has commenced Consultation is planned for March with the release of a discussion paper Price controls in place to make sure participants get value from their support packages, but price levels must be sustainable for providers

25 Provider Issues Common issue Resolution Community Participation Ensure service bookings reflect true cost of service (1-1, 1-2, 1-3 etc) Must link to goals and plan outcomes Keep accurate service records OT and Home Modifications Must be registered OT provider Reasonable & Necessary test Building service from the plan budget Check what are the goals and services to meet the plan outcomes Don t build service booking from what provider wants to deliver Don t add additional services not included in the plan Core (Daily Activity) budgets can be used flexibly

26 Provider Issues (cont d) Common issue Problems with Service Booking Resolution Service Agreement is first step Ensure agreed with participant box checked Ensure booking current Ensure amount claimed is in line with booking Dates use calendar icon to select dates No Service bookings for self-managed participants Quotes not approved Upload quote onto the participant portal Send to local office advising quote submitted Include GST in quote Payment Requests Separate requests for successive plans in bulk uploads Check data and formatting for bulk uploads Payment requests after services delivered, not as up-front claim

27 Provider Issues (cont d) Common issue Resolution Plan Reviews Service Agreement is first step Ensure agreed with participant box checked Ensure booking current Ensure amount claimed is in line with booking Dates use calendar icon to select dates Transport Payments Price guide information Social Participation - not a km basis Reasonable contribution by participant Plan Management Plan Manager service bookings Establishment Fee and Monthly processing Assurance They create service bookings for the providers to deliver services based on plan

28 Provider Issues (cont d) Common issue Resolution How to use myplace portal Provider Page Provider Toolkit Module 11 Provider Records Module 7 Payment and Assurance Payment requests in line with services, not as up-front claim Audits when, not if Seeking assistance NSW Central Regional Finance Team FinanceNSWCentral@NDIS.gov.au classifications when NDIA staff send s

29 NDIS Quality and Safeguarding Framework Details of Framework released by DSS on 3 February 2017 Framework built on three components: Developmental: building capability and support systems Preventative: preventing harm and promoting quality Corrective: responding if things go wrong

30 NDIS ready: It s not too late to start 1. Understand the big picture Understand the scheme: objectives and principles Broader environment politically, regulation, socially 2. Understand the customers What do (existing) customers say works well and not so well The participant pathway The scope of things that can be funded in participants plans 3. Take stock of your business Unbundle the elements of service delivery Know your unit costs and model options of service delivery Competency and market advantage i.e. quality, price, scale, remote 4. Know the rules and systems Operating in a marketplace i.e. ACCC, regulation, quality & safeguards Policies relating to Conflict of Interest, Pricing, Specialist Accommodation Systems to work with Agency and Participants 5. Build your roadmap Having the right infrastructure, governance, workforce Take everyone on the journey

31 NDIS ready NDIA resources Provider toolkit Registration information Terms of Business Guide to suitability Price guide and support lists Updated Provider FAQ Updated Operational Guidelines (incl. supports that can be funded) Market activities on web: Market information and useful links Incl. Market Approach, Benchmarking Stay informed Webinars Social media Check state information Provider portal updates Updates.html Sign up to the NDIS Provider Newsletter

32 2017 Provider Supported Independent Living (SIL) Process NDS Provider Info Session May 2017

33 Agenda Today s Agenda 1. Background and overview of the new process (10 minutes) 2. Provider SIL Pack (overview of templates) (15 minutes) 3. What the process looks like (5 minutes) 4. Questions (10 minutes)

34 Background and overview of new process

35 Background NDIA National Office in partnership with NDS developed a quoting guideline document, including template, for shared or group living arrangements On 2 May 2014, the first provider training workshop in how to use this template was held in the NSW Hunter Trial Site Providers completed a template that was complicated, did not assist planners to understand and analyse supports provided, lacked evidence for reasonable and necessary decision making This resulted in significant administrative burden to providers as well as Agency staff Quotes, in some instances, were still unassessed after a 6 month period Participants were not at the centre of the support

36 Introducing the NDIS SIL Pack The 2017 NDIS Supported Independent Living (SIL) Pack Due to the current backlog of SIL quotes requiring approval, Market & Providers will be rolling out a Provider SIL Pack along with the SIL Tool. The information contained within the Provider SIL Pack will provide planners with detailed information regarding the needs and supports required for individual participants. This will facilitate more meaningful conversations with providers and will ultimately allow planners to make better informed decisions. As a result, quotes are able to be processed more efficiently. Provider SIL Pack: NDIS Planner SIL Pack: Brand New SIL Quoting Template Roster of Care Template New and improved quoting template that will be easier to complete for providers. A simple template describing the proposed roster of care and staff mix. NDIA SIL Tool Uses information contained within the Provider SIL Pack. Ensures consistency in decision making across regions. Allows quotes to be processed more efficiently. Support Hourly Breakdown Template Guidance and FAQ Document A breakdown of support hours across the different shift periods including staff ratios. Guidance on how to use the new SIL quoting process. Training and FAQ Document Allows planners to engage with providers at an early stage in the process and facilitates more meaningful discussions.

37 The SIL Tool The 2017 SIL Tool The SIL tool allows planners to calculate an estimated market price for SIL from the information provided in the provider SIL Pack. This price can then be compared to the provider quote and the NDIS benchmark. This allows planners to have better informed discussions with providers so that the desired outcome can be achieved. SIL Tool Process: Step 1: Provider complete SIL Pack Step 2: Planner uses SIL tool to process SIL Pack information Greater efficiency Improved outcomes Better engagement

38 Provider SIL Pack (overview of templates)

39 The SIL Quoting Template

40 The SIL Roster of Care Template

41 The SIL Hourly Breakdown Template

42 What the process looks like

43 The process Provider discusses proposed service offering with participant/guardian Provider completes NDIS Provider SIL Pack Provider submits Provider SIL Pack to local NDIS hub / NDIS contact NDIA Reviews and assesses submitted Provider SIL Pack Quote is agreed NDIA approves plan, assigns and creates service booking

44 Questions?

45 BREAK

46 NDIS Transition FaCS

47 The rollout of the National Disability Insurance Scheme in NSW Provider information sessions February - May 2017

48 NDIS Transition Highlights 37,200 participants in NSW with approved NDIS plans 340 Service Providers with clients transitioned to the NDIS NDIS Take Charge of Your Future information 63,400 client records collected and provided to the NDIA

49 Support Available for Providers NDS Sector Support Consultants NDS Quality Assessment Workbook ADHC Unit Costing Toolkit Career Planner and Capability Framework Social Impact Measurement Tool Industry Development Tools

50 Grants Update Building Capacity for Aboriginal People Administered by FACS- ADHC Sector Capacity Unit Targeted at increasing the capacity of the Aboriginal Disability Sector Four projects led by Birrang Enterprise Development Co, First Peoples Disability Network, Carers NSW in partnership with Mirri Mirri and the New England Sector Support Team were funded for a total of $485,000 Transition Assistance for Providers (TAP) Administered by Aged and Community Service NSW Targeted at providers in regional and remote areas receiving less than $3 M in total income More than 130 providers received grants for capacity building

51 Grants Current or upcoming : Transition Assistance for Local Councils Administered by FACS- ADHC Sector Capacity Unit Targeted at Local Councils providing direct service delivery. Program offers grants for capacity building and transition activities in readiness for the NDIS Transition Assistance for Providers (TAP) - 2 Administered by Aged and Community Service NSW Targeted at Providers across NSW receiving less than $5 M in total income Program offers grants for service conversion and expansion Aboriginal Disability Provider Grants Targeted at Aboriginal Disability Support Providers Program offers grants accompanied by capacity building and grant writing support Enquires regarding this program can be sent to ADPG@facs.nsw.gov.au

52 Continuity of Support (CoS) Over 65: Under 65: The Department of Health receives client data Existing CCSP clients Department verifies client information with Service Providers Contacted by National Access Team from NDIA Department issues CoS funding agreements Eligible for CoS Eligible for NDIS Where can I get more information? CommonwealthCoS@health.gov.au or visit

53 Ongoing Funding Agreement Obligations ADHC funded service providers are required to continue to comply with the terms of their funding agreement even if funding ceases in whole or part during the Agreement term New South Wales Transitional Quality Assurance and Safeguards Working Arrangements (Clause 3.2 page 6)

54 Funding Variations

55 Stepping down block funding Block funding variations YTD Payments May Payment June Payment YTD Variations May-June Variations Total payments to support clients that have not transitioned year to date Monthly payment less the 50% variation for May Monthly payment less the 75% variation for June Total amount of funding varied by ADHC year to date Sum of variations planned for May and June $XXX,XXX $XXX,XXX $XXX,XXX $XXX,XXX $XXX,XXX

56 Individual Adjustments Individualised Funding Package Adjustments XXXX SP ID Service Provider Name Service Provider Name DofS ID Service Type People Transitione d (up to 17 April) Funding Cease Date Annual Funding Variation May Funding Variation XXXXX /04/2017 $XX,XXX $XX,XXX XXXX Service Provider Name XXXXX /04/2017 $XX,XXX $X,XXX Service Provider (ID: XXXX) Total: $XXX,XXX $XX,XXX

57 People transitioned to NDIS NDIS Transition: De-identified client data SLK SP ID Client Statistical Linkage Key (SLK) Post Code Service Type XXXX ABCDG XXXX 3.01 XXXX DBCDG XXXX XXXX DQDSDG XXXX 3.01 XXXX SBARDG XXXX 3.01

58 Information and Support For specific funding variation information contact the ADHC funding administration helpdesk: For information about the NDIS rollout across NSW visit 62

59

60 Continuity of Support Arrangements 65+ Department of Health

61 COMMONWEALTH CONTINUITY OF SUPPORT (COS) PROGRAM Australian Government Department of Health May

62 Commonwealth Continuity of Support (CoS) Programme The Commonwealth is responsible for full cost of state specialist disability services (under the 2011 National Health Reform Agreement) The Commonwealth will become responsible for funding and administering specialised disability services for older people alongside the roll out of the NDIS Ensure continuing support for older people who are ineligible for NDIS COAG agreement 3

63 The Continuity of Support Program will support: Continuity of Support - Aims Older people with disability who are aged 65 years and over currently accessing state-administered specialist disability services who do not meet NDIS age access requirements Aboriginal and Torres Strait Islander people with disability aged 50 years and over currently accessing State-administered specialist disability services who do not meet other (non-aged related) access requirements of the NDIS No new entrants to the CoS Programme once implementation has occurred in a region 3

64 Key features of current specialist disability services State government roles: Assessments Quality and Safeguards Behaviour support services Managing Individual Support Packages (ISP) Jurisdictional differences: Levels of client fees Models of ISP 68

65 Challenges Ensuring national consistency Data quality and currency Taking over state roles 69

66 Implementation Timeframes Implementation of the CoS program will be staged and commenced on 1 December 2016 PROPOSED COS PROGRAM TRANSITION SCHEDULE FOR NSW REGION DATE OF COS TRANSITION HUNTER NEW ENGLAND 1 DEC 16 NEPEAN BLUE MOUNTAINS 1 DEC 16 SOUTHERN NSW 1 DEC 16 CENTRAL COAST 1 MAY 17 NORTHERN SYDNEY 1 MAY 17 SOUTH WESTERN SYDNEY 1 MAY 17 WESTERN SYDNEY 1 MAY 17 ILLAWARRA SHOALHAVEN 1 DEC 17 MID NORTH COAST 1 DEC 17 MURRUMBIDGEE 1 DEC 17 WESTERN NSW 1 DEC 17 FAR WEST 1 MAY 18 SYDNEY 1 MAY 18 NORTHERN NSW 1 MAY 18 SOUTH EASTERN SYDNEY 1 MAY 18 70

67 Sub- Programme Service types funded Block-funded activities Accommodation Support Programme Framework Individual Support Packages (ISP) Three ISP models operate: Community Support Community Access Respite Service Provider; Intermediary; and Direct Funding. Only clients who are already accessing ISP models will be funded through the ISP model. 71

68 Communication to date Bilateral meetings between state and Commonwealth Joint communication strategies Website Letters to service providers Programme Manual and schedule finalised Data validation process for December 2016 and May 17 regions and funding agreements in place Data validation process for Dec 2017 regions will commence shortly 72

69 Where can I get more information? CoS Webinar for service providers (20 March) on-demand page: You can visit and search for Continuity of Support to find regularly updated information. If you want more information you can CommonwealthCoS@health.gov.au Contact with the NSW office or NSWACT.cos@health.gov.au 73

70 ECIA Update

71 Early Childhood Intervention Australia NSW/ACT NDIS Provider Readiness Sessions Round

72 NDIS ECEI Approach (0-6yrs) ECEI - 7 Functions 1. Information Gathering and Profile Development 2. Community Connections 3. Initial Supports & responses 4. NDIS Access Recommendations 5. NDIS Plan development 6. NDIS Plan handover 7. NDIS Plan review Some children may only access 1 of the first 3 functions, others will need ongoing NDIS support (functions 4-7) NDIA tender for ECEI community partners in ACT, SA, parts of Qld & Vic to be in place from March 2017 (depending on area)

73 NSW ECEI Approach Update Year 1 NDIS location ECEI providers are all in operation (20+ providers) Currently Transitioning defined children to the NDIS, through development of IFPs Year 2 NDIS location ECEI providers currently being appointed by ADHC NDIA has released several factsheets for families, including 'Accessing supports for my child', which outlines the ECEI Approach and 'Starting your plan'

74 Children aged 0-6 years: Pathway for Children in NDIS rollout areas Referred to local Early Childhood Early Intervention (ECEI) provider List available (by location) on the NDIS website at Children aged 7 years plus: Referred to Local Area Coordination (LAC) service

75 Working Together Agreement Promotes a coordinated approach to early childhood inclusion for children with disability and/or developmental delay in recognition that effective collaborative practice leads to best outcomes for children participating in ECEC settings Has been designed for use by ECI practitioners, ECEC educators and families Includes a writable PDF agreement for all involved to individualise and sign, a wall poster, sample letter and meeting templates Free to download from

76 ECIA Supports/Projects Leap Pad Learning/PD: NDIS Change Management ECI Practice & Skills Does This Child Need Help? Positive Approaches to managing challenging behaviours ECIA NSW/ACT State Conference (Sydney 25/26 May 2017) SPRC State-wide NDIS Research family and service provider experiences of the NDIS roll out and what (if any) issues need to be addressed for full scheme roll out Results Based Accountability (RBA) Case Study recently released includes An Implementation Process and Toolkit and a Case Study outlining the application of the RBA Framework within an organisation (including a sample scorecard)

77 Resources to Support Families Raising Children Network (via a project funded by the NDIA): Early intervention and the NDIS What is early intervention? The NDIS approach to early intervention NDIS early intervention support: children aged 0-6 years & over 7 years Choosing NDIS service providers: what to look for - links to ECI Best Practice Guidelines New NDIS Ready & NDIS Ready Communications Toolkit NDIA My NDIS Pathway Brochure - now available in: Arabic, Chinese (Simplified), Chinese (Traditional), Filipino, Greek, Hindi, Italian, Macedonian, Samoan and Vietnamese.

78 Thank you ECIA Contact Details Telephone Margie O Tarpey motarpey@ecia-nsw.org.au

79 NDS Update

80 NDIS Quality and Safeguarding Framework An NDIS complaints commissioner to facilitate the resolution of complaints investigate both serious incident reports and potential breaches of NDIS Code of Conduct. An NDIS registrar to register providers, oversee compliance, establish policy settings for nationally-consistent worker screening and take the lead in monitoring the effectiveness of the NDIS market. Quality Assurance required for providers of higher intensity or higher risk supports.

81 NDIS Quality and Safeguarding Framework (cont.) A senior practitioner to oversee approved behaviour support practitioners and providers, review the use of restrictive practices and follow up on serious incidents. States and territories will still oversee and manage worker screening checks and authorise restrictive practice Transitional arrangements remain in place.

82 Code of Conduct Consultation DSS Consultation into Draft Code of Conduct Consultation closes 21 st June 2017 NDS will be providing a submission

83 NDS NSW Top 5 Watching Briefs 1. Communication and codesign 2. Pricing 3. Plans and quality of plans 4. Clarity around processes 5. Workforce

84 Recent Reports/Papers NDS 2017 Federal Budget Submission (accessible version available) NDS State of the Sector Report National Disability Insurance Scheme My Place Portal Implementation Review PWC ndia_myplace_portal_implementation_-_final_report.pdf National Disability Insurance Scheme Management of the Transition of the Disability Services Market Australian National Audit Office Feb Sep 2017 Productivity Commission National Disability Insurance Scheme Cost

85 Future Events Sydney Hilton Date: 14/08/ Office of Public Guardian Supported Decision Making Workshops

86 NDS Contacts NDS Sector Support Consultants Karen Stace Phone number and Where they work Hunter, Lower New England, Lower North Coast, Central Coast, Northern Sydney John Carrigan Western NSW, Murrumbidgee, Far West, Nepean Blue Mountains Alan Hough Illawarra Shoalhaven, Southern NSW, South Eastern Sydney Jenny Klause Sydney, Northern Sydney, South Western Sydney

87 Thank You