NDIS – When your old plan is finishing but a new Plan is not in place

 In Blog

Paying providers when there is a gap in-between plans

What is happening?
A small number of NDIS participants have a
gap between their current plan’s start date and
the previous plan’s end date.

Providers should continue to provide services
to a participant during this gap period in a plan.
Previously when a provider attempted to claim
for these services, their claims get rejected.

To reduce the impact, old plans will be
extended to the day before the start of the next
plan.

This will enable providers to receive payment
under your old plan for services they may have
provided during the gap period.

Why is this happening?
You may have received services from a
provider after your previous plan expired but
before your new one started. By extending
your previous plan it will allow providers to
claim outstanding payments owed to them.

How will this work?
The old plan end date will be automatically
changed to the date before your current plan
started.
For example: Your old plan ended on 31 March
and your current plan starts on 15 April. The
end date of your old plan has now changed to
14 April so there is no gap.

What happens next?
If you have been discussing this issue with
your providers you are encouraged to let them
know plan end dates have been automatically
been extended.

You can also check if your previous plan has
been extended in the NDIS myplace participant
portal.

Will this affect my current plan in any way?
No, the extension will only be applied to expired
plans. It will not affect your current plan in any
way.

Will this affect the supports in my old plan?
Any support that is received regularly will be
adjusted in your old plan to reflect the new end
date. This means Core and Capacity Building
budgets will be increased in line with the extra
days in the expired plan.

The Capital budget (Assistive technology and
Home Modifications) will not be extended
because they are supports you generally
receive for a once off item.

Who do I speak to for more information?
Please speak with your Local Area
Coordinator, Support Coordinator or the NDIA
if you require more information.
Alternatively you can call 1800 800 110 for
more information

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