For Prescribers

Important changes from 1 July 2019

Over the past five years EnableNSW has been providing support to the National Disability Insurance Agency (NDIA) to help eligible people transition smoothly to the National Disability Insurance Scheme (NDIS). These arrangements came to an end on 30 June 2019, with the exception of repairs which has been extended until 24 December 2019.

From 1 July 2019, the NDIA and its partners in the community will have full responsibility for managing the assessments and related quotes of all requests and will work with the participant to advise of the outcome.

People who are under 65 years of age and currently receive equipment (such as a wheelchair or bed), consumable products (such as continence products) or prosthetic limbs through EnableNSW, should check their eligibility for the NDIS as soon as they can to ensure they access the appropriate long term funding disability supports.

Frequently Asked Questions

How will EnableNSW assist with my client’s transition to the NDIS?

If your client is under 65, eligible for the NDIS, and still has not transitioned to the scheme we can provide a summary of information about previously accessed services or programs that may help during their plan development.

To request this information, clients or their carers can email us at enable@health.nsw.gov.au.

Where can people check their eligibility for the NDIS?

People can check their eligibility on the NDIS website or alternatively call the NDIA on 1800 800 110.

What information should my client take to their NDIS planning meeting?

Please visit the NDIS website for some useful information about preparing for the NDIS planning meeting.

If the person is an existing EnableNSW client, we can provide them with a list of equipment and services they have accessed through EnableNSW to take to their meeting. To request this information, clients or their carers can send an email to enable@health.nsw.gov.au

My client is eligible for the NDIS but does not have an active plan in place, will Enable assist this person until they have funds?

The working arrangements with the NDIA which were originally put into place to support people during the transition period ended on 30 June 2019. This means that the NDIA and its partners in the community will now have full responsibility for managing requests and will work directly with the participant to advise the outcome.

If the matter is urgent, the participant should speak to their Local Area Coordinator (LAC) or Support coordinator who can help them escalate their concerns through the appropriate NDIS escalation pathways.

Some people do not wish to access the NDIS and prefer to request their equipment, repairs and maintenance through EnableNSW – can they continue to do this after 1 July 2019?

The National Disability Insurance Scheme (NDIS) is the new way to fund long term disability supports for people under 65 with a permanent and significant disability.

Over the past five years EnableNSW has been providing support to the NDIA to help eligible people transition smoothly to the National Disability Insurance Scheme (NDIS). These arrangements came to an end on 30 June 2019, with the exception of repairs which has been extended until 24 December 2019.

With the NDIS now at full scheme implementation across New South Wales, it is expected people under 65 check their eligibility for the scheme and make an access request through the NDIS to ensure they receive the appropriate funding for their disability supports. The NDIA and its partners in the community will have full responsibility for managing the assessments and related quotes of all requests and will work directly with the participant to advise of the outcome.

While we will continue to support existing EnableNSW clients who have not yet transitioned by providing the right information, we strongly encourage those who are eligible to transition to the NDIS as soon as they can.

Where should I send requests for NDIS participants?

Send all Assistive Technology (AT) requests to the person’s local NDIA office.

Which services or programs will EnableNSW make available for NDIS participants?

We remain available for people who are eligible for the NDIS to access information to support a smooth transition, this may include a summary of equipment or repairs history to help them plan for their annual NDIS review.

We also continue to be an NDIS registered provider, offering specialist services through our Albury and Hunter Prosthetic and Orthotic Services.

Are repairs and maintenance still completed by EnableNSW once my client has moved to the NDIS?

As part of our agreement with the NDIA, we can continue to lodge repairs on behalf of the participant until 24 December 2019.

After this time the participant will need to go directly to the repairer. During this period we will be working closely with the participant to give them the right information to prepare for them for this change. We will also strongly encourage them to ensure they have sufficient funds in their annual plan meeting to cover ongoing repair and maintenance expenses.

The NDIS website has some helpful information for participants about plan approvals and what they can do if you are not happy with their current level of funding.

Does equipment need to be returned to EnableNSW if a client becomes an NDIS Participant?

If the equipment provided by EnableNSW continues to meet the participant’s needs, then it should be included in their NDIS Plan. Funding for repairs and maintenance of this equipment should also be included in a person’s NDIS Plan.

Any equipment originally provided by EnableNSW that no longer meets a person’s needs, or is no longer being used, should be returned to us and we will refurbish and add back to our stock allocation where suitable. This can be organised by calling 1800 362 253 (option 5) or by emailing HSNSW-enableeap@health.nsw.gov.au.

My client needs equipment to discharge from hospital, however their NDIS plan does not have the right level of funding to purchase or hire the right equipment, can EnableNSW help?

It is important this matter is escalated through the appropriate NDIS escalation channels. If you are a private prescriber please escalate to your Local Area Coordinator. If you are a NSW Health Prescriber, you need to escalate to the Local Health District NDIS transition lead.

If the situation cannot be resolved in a timely manner you may wish to consider the EnableNSW Consideration of Exceptional Circumstances pathway (COEC).

Before considering the COEC pathway, please contact our team on 1800 362 253. From the information you provide us over the phone we will let you know if the COEC pathway is appropriate. We understand your time is valuable and where possible we want to avoid asking you to complete additional paperwork if we know the circumstances do not meet the COEC criteria. Relevant forms are sent following phone consultation.

I am a Social Worker and have an inpatient who is eligible for the NDIA – can they still access equipment through Specialised Equipment Essential for Discharge (SEED)?

The process for SEED remains the same. Until the NDIA have established their discharge pathways for people who are in hospital and need to get home, EnableNSW will consider applications for SEED.

It is important the person still meets the eligibility criteria for SEED and understands we will only supply equipment that is essential for discharge.

To ensure the person has the right equipment in place for their long term needs, they should make an access request to the NDIS as soon as they can. This will ensure the NDIA has sufficient time to have a plan in place that meets the persons ongoing and long term AT needs.

Will EnableNSW still exist after full rollout of the NDIS?

Yes. There are approximately 26,000 people currently being assisted by EnableNSW who will not be eligible for the NDIS, either due to their age or health condition, and we will continue to provide an important service for them.

We remain available for people who are not eligible for the NDIS, people who have chronic health conditions (and the request meets the funding criteria), people who require respiratory supports, people who need access to dialysis treatments and people who require travel assistance.

Before considering if EnableNSW is the right path, the eligibility indicator is a good tool that may help you decide if the person is eligible to apply for assistance.

The NDIS recently announced they will be funding respiratory supports for eligible participants from 1 October. What does this mean for EnableNSW?

It is important to know the NDIA have not yet provided detail of how these health related supports will be implemented. Until we are confident the right measures and processes are in place to support people transitioning to the National Disability Insurance Scheme (NDIS), all EnableNSW respiratory processes remain the same.

We want to reassure you we are continuing to accept requests and provide equipment with the usual EnableNSW forms and processes for new and existing consumers, regardless of their eligibility status with the NDIS.

Who do I contact for further information?

For further information about EnableNSW, please contact us on 1800 362 253 or send an email to enable@health.nsw.gov.au. For all NDIS enquiries please call their national hotline on 1800 800 110, visit the NDIS website.