Support Clusters Definitions and Pricing for South Australia - Very Remote - Version release date: Wednesday, 19 November 2014
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Support Clusters Definitions and Pricing for South Australia – Very Remote Valid from: Monday, 1 December 2014 Version release date: Wednesday, 19 November 2014
For the latest version of this document, or to provide feedback, please contact the Provider Support team at provider.support@ndis.gov.au
Contents Introduction ............................................................................................................................................................................................................ 7 Definition of terms ................................................................................................................................................................................................ 7 Information applicable to entire Price List .......................................................................................................................................................... 8 GST ...................................................................................................................................................................................................................... 8 Remote and very remote loading ......................................................................................................................................................................... 8 Provider travel to provide a support...................................................................................................................................................................... 8 Provider travel for purposes of training or accompanying a participant to travel ............................................................................................... 9 Rural and remote travel .................................................................................................................................................................................... 9 Transport of participants..................................................................................................................................................................................... 10 Equipment .......................................................................................................................................................................................................... 10 Personal supports and training .......................................................................................................................................................................... 12 Accommodation/tenancy assistance .................................................................................................................................................................. 12 Assistance in coordinating or managing life stages, transitions and supports .................................................................................................... 12 Assistance to access and maintain employment ................................................................................................................................................ 14 Items related to work in an ADE ..................................................................................................................................................................... 16 Assistance to integrate into school or other educational programs .................................................................................................................... 17 Assistance with daily life tasks in a group or shared living arrangement ............................................................................................................ 18 Assistance with daily personal activities ............................................................................................................................................................. 24 Assistance with travel/transport arrangements................................................................................................................................................... 27 Community nursing care for high care needs ..................................................................................................................................................... 28 Development of daily living and life skills ........................................................................................................................................................... 29 Interpreting and translation................................................................................................................................................................................. 30 Early intervention supports for early childhood................................................................................................................................................... 31 Management of funding for supports in a participant's plan ............................................................................................................................... 32 Household Tasks ............................................................................................................................................................................................... 33 www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 3
Participation in community, social and civic activities ......................................................................................................................................... 34 Physical wellbeing activities ............................................................................................................................................................................... 38 Specialised assessment of skills, abilities and needs......................................................................................................................................... 40 Therapeutic supports.......................................................................................................................................................................................... 40 Training for independence in travel and transport .............................................................................................................................................. 45 Behaviour support .............................................................................................................................................................................................. 46 Assistive products and equipment .................................................................................................................................................................... 47 Assistive technology specialist assessment, set up and training........................................................................................................................ 47 Assistive equipment for recreation ..................................................................................................................................................................... 49 Assistive products for household tasks .............................................................................................................................................................. 51 Assistive products for personal care and safety ................................................................................................................................................. 52 Beds and pressure care mattresses and accessories .................................................................................................................................... 52 Continence related equipment ........................................................................................................................................................................ 54 Equipment or aids for dressing or specialised clothing ................................................................................................................................... 57 Equipment for eating and drinking .................................................................................................................................................................. 57 Specialised household furniture ...................................................................................................................................................................... 58 Bathroom and toilet equipment ....................................................................................................................................................................... 60 Communication and information equipment ....................................................................................................................................................... 64 Assistive products for hearing ......................................................................................................................................................................... 66 Assistive products for vision ........................................................................................................................................................................... 69 Home modification design and construction ....................................................................................................................................................... 71 Personal mobility equipment .............................................................................................................................................................................. 75 Transfer equipment......................................................................................................................................................................................... 75 Prosthetics and orthotics ................................................................................................................................................................................ 76 Equipment related to walking .......................................................................................................................................................................... 79 Specialised seating for wheelchairs and other wheeled mobility equipment................................................................................................... 80 Specialised strollers ........................................................................................................................................................................................ 81 www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 4
Wheelchairs and scooters .............................................................................................................................................................................. 82 Vehicle modifications.......................................................................................................................................................................................... 87 www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 5
Introduction The following price list has been developed by NDIA to help estimate and approve the cost of individualised plans. This price list contains information on maximum or benchmark prices of identified supports. Registered service providers with the NDIA have agreed to provide services at a cost that aligns with this list. This list identifies 32 “clusters” or groupings of similar supports. Beneath each cluster are support items and detailed descriptions. This price list is not a comprehensive list of all supports that may be provided in NDIS, but includes prices for the most commonly used supports. Definition of terms This price list includes the following terms: Term Definition Support Item Ref No This is the unique number that NDIA assigns to a particular support. In the case of some support items, for example assistive technology, the support item reference number includes the relevant code from ISO 9999. UoM (Unit of Measure) This indicates what the price covers e.g. per hour, per day, or each for goods. Quote Where Support Items cost $500 or less, a verbal or published price is enough. For Support Items that cost between $500 and $10,000, an email outlining the cost is required. For Support Items that will cost more than $10,000, a detailed written quote is necessary. In the latter case, competitive quotes will be sought form 2 or more suppliers. Price The Agency provides guidance on the price to be paid for each support item. For some items, such as personal care and community access, the price indicates the maximum that the Agency will pay for that item. For other items a quote is required and this is indicated in the “quote” column. Planners should refer to the Guide to Understanding Funded Supports for further advice. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 7
Information applicable to entire Price List GST Most items in this list are GST exempt as per the ATO information about GST and NDIS and the application of section 38-38 of the GST Act. For a small number of items where GST is applicable (for example delivery fees and taxi fares) the price is inclusive of GST. Remote and very remote loading For supports provided to participants in remote and very remote regions of Australia, the Independent Hospital Pricing Authority loading (remote 15%, very remote 21%) is applied to the unit price of the support. Provider travel to provide a support NDIA will no longer commit a separate dollar amount for funding in the plan for a provider travelling to provide a support. However, NDIA planners will consider provider travel for the adequate delivery of support in the decision about reasonable and necessary funding of supports. Where the participant’s support is likely to be delivered by a support worker who needs to travel to a participant (either from the providers place of business or between one participant and the next) to deliver a support of less than four hours, the first hour of support will include an allowance for travel with forty minutes being for direct service delivery and the first twenty minutes of the hour allowed as travel. It is expected the outcomes required in the delivery of support will still be met. NDIA does not separately include funding for travel related to: • The personal cost associated with a direct support worker travelling to and from their work (including if this is driving to or from a participant’s home) • Where a participant will receive their supports for over four hours in a single event of delivery of their supports Travel costs are included in the cost quoted for a program of supports, such as trans-disciplinary early childhood intervention or assistance in shared living, and are not payable as additional items. The travel position applies to supports such as assistance with daily activities, community participation, training and other like supports. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 8
The travel position does not apply to travel related to therapeutic supports. In some cases the provision of therapeutic supports requires a provider to be engaged from outside the participant’s geographical area. This travel is paid at the hourly rate, up to a maximum of $1,000 per year, for return trips to visit participants at home/work/school beyond 10 kilometres. Remote travel will be paid in accordance with the NDIS pricing information. Provider travel for purposes of training or accompanying a participant to travel NDIS encourages all participants to be as independent in traveling as is possible, and supports the inclusion of travel training in NDIS plans for the purpose of increasing the participant’s independence. A provider may be funded to support a participant to meet their travel needs under the support cluster Assistance with transport arrangements. This cluster includes support items for: • implementing training in the use of public transport • accompanying the participant in the use of public transport If, while providing supports in this cluster, a provider incurs costs for travelling with a participant on public transport, the NDIS will reimburse these costs in addition to the hourly rate. All support for provider travel is to be approved as part of the participant’s plan. Rural and remote travel Services delivered by a provider located in a remote or very remote region attract the Independent Hospital Pricing Authority (IHPA) loading. The Agency can come to an agreement with specific providers for special cases (one example is a metropolitan based provider that is required to provide support to a participant located more than 200 kilometres away). No additional funding would be included where a participant lives in a rural community as the locational loading only applies for remote or very remote locations. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 9
Transport of participants Supports relating to transport are considered for funding when the support provided would generally: • only be available to participants who cannot use public transport without substantial difficulty due to their disability, • consider any relevant taxi subsidy schemes, and • not fund transport assistance for the participant’s carers to transport the participant for everyday commitments. Where participant transport costs are included in a participant’s plan if their disability prevents use of public transport, informal supports are not accessible or available and their goals result in a need for assistance with transport that is higher than the expected levels of support funding for transport: • Taxi fare* • Per kilometre rate for a family member or carer using their own vehicle in place of other NDIS funded transport supports such as taxis. The current rate will be according to SCHADS/SACS Award (currently 78 cents per kilometre). This rate only applies for travel that is solely and directly related to the participant’s needs (i.e. the trip, or portion of the trip, would not be taken other than to transport the participant) and it does not apply to transport that family members or carers would be reasonably expected to provide to their family member. • Where a provider transports a participant in the course of providing their funded support NDIS will pay: the provider public transport fare where they accompany the person on public transport; or the rate according to SCHADS/SACS Award (currently 78 cents per kilometre) where they use the provider’s vehicle. * Where the participant is eligible for a taxi voucher, NDIS will fund the portion of the fare that is not covered by the voucher. • All participant transport costs are to be approved as part of the participant plan, in accordance with the relevant operational guidelines. Equipment Equipment purchase prices are listed separately from equipment rental, repairs, maintenance or delivery costs. These are to be included as separate line items in the provider’s quote and the participant’s plan. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 10
Cancellations and “no shows” of scheduled supports Providers are to have business arrangements in place to minimise the risk of cancellation, no show or late change to a scheduled support. Service agreements between participants and providers should include details of these arrangements (including rescheduling the support) and advice periods for cancellations and changes to agreed appointments. Where there is a specific risk that a participant will frequently “not show” for a support due to the nature of a person’s disability or the nature of the support, for example behaviour intervention supports the provider will have suitable individual specific arrangements in place to maximise the likelihood the person will receive all their required supports. In relation to personal care, skill development or community access supports, if the participant, or their family or carer on their behalf, agree there was an unforeseen circumstance that resulted in a cancellation, no show or late change, a fee may be charged against a participant’s plan. Any fee that is charged to the participant’s plan will be according to the terms set out in the service agreement between the participant and the provider, up to a maximum of 8 instances per year. Where a participant fails without notice to keep the scheduled arrangement for the support (a “no show”) the provider must make every effort to contact the participant to determine if there is an additional problem (e.g. the person has fallen out of bed and cannot raise an alarm, or the informal supporters are in crisis and additional support is likely to be required). More than 8 instances of cancellation or no shows in a continuous 12 month period will be notified to the Agency contact person by the provider, so that consideration may be given to reviewing the participant plan. No fee is payable by NDIS for a therapeutic or transport support that is not delivered; that is, there is no fee payable against the participant plan for a cancellation, no show or change to a scheduled support, regardless of the reason or the period of notice. No payment may be claimed for a support delivered after the date of death of a participant. No fee is payable by NDIS, or the participant, for cancellation by a provider or any failure to deliver the agreed supports. NDIA does not permit collection of deposits, or money as a bond, from participants that a provider would retain in the event of cancellation of a support. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 11
Personal supports and training An asterisk (*) next to the cluster heading indicates that some support items in the cluster have been indexed from 1 December, 2014. Accommodation/tenancy assistance* Accommodation/tenancy assistance includes support for a participant to ensure that they obtain or retain appropriate accommodation. This can include guidance or undertaking work on a participant’s behalf. Support Quote Support Items Item Ref Description UoM Price Required No. assistance with 01 001 Support is provided to guide, prompt, or undertake Hour N $62.75 accommodation and activities to ensure the participant obtains/retains tenancy obligations appropriate accommodation. May include assisting to apply for a rental tenancy or to undertake tenancy obligations. short term transitional 01 003 Transition to NDIS funding – payment of rent and Each Y support for accommodation utility accounts. Short term payment as per participant plan Assistance in coordinating or managing life stages, transitions and supports* This cluster includes short and long term supports that focus on strengthening the participant’s ability to coordinate their supports, and to assist them to live at home and participate in their community. This can include assisting the participant with: • Budgeting • Life planning • Parenting training • Resolving crisis situations • Developing capacity and resilience in the participants’ network • Co-ordinating complex supports www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 12
Complex supports co-ordination may be provided when: • there are multiple and intersecting mainstream, informal networks and funded services, and • the supports require regular active management and ongoing adjustment due to the participant’s regularly changing needs or • the participant’s needs may result in an unacceptable level of risk if services are not actively managed. Higher intensity complex supports coordination may be paid where a participant requires assistance from a support worker with additional qualifications and experience relevant to the participant’s complex needs. If such support is provided or guided by a health professional because of the needs of the participant, the health professional rates apply for that support. Support Quote Support Items Description UoM Price Item Ref No. Required assistance with decision 08 001 Provision of time limited support to assist a person Hour N $50.79 making, daily planning, to develop and maintain daily budget, including budgeting assisting in planning purchases. coordination of supports 08 002 Assistance to strengthen participant’s abilities to Hour N $62.75 coordinate supports & participate in the community. This includes resolving points of crisis, developing capacity & resilience in a participant's network & coordinating supports from a range of sources. coordination of supports - 08 003 Further qualifications/experience required to Hour Y $105.00 higher intensity strengthen a higher needs participant’s ability to coordinate their supports & participate in the community. This may include resolving points of crisis, & developing resilience in the participant's network. life/transition planning 08 004 A time limited support to assist the participant, their Hour N $62.75 family and carers to develop a vision for a meaningful life and plan for their changing needs and circumstances. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 13
Support Quote Support Items Description UoM Price Item Ref No. Required mentoring and peer support 08 005 Establishing volunteer assistance within the Hour N $62.75 participant’s home or community to develop skills. For instance, assistance in attending appointments, shopping, bill paying, taking part in social activities and maintaining contact with others. Assistance to access and maintain employment Workplace assistance enables a participant to successfully obtain and/or retain employment in the open or supported labour market. These items are only funded when the participant is not eligible to receive the support items through Job Services Australia, which is funded by the Department of Employment, or Disability Employment Services, which is funded by the Department of Social Services. Support Quote Support Items Description UoM Price Item Ref No. Required assessment to identify 03 001 Time limited assistance to determine options to Hour N $203.60 vocational potential and secure & maintain open employment - includes suitability vocational & functional assessment, counselling, monitoring of training & linking with employment service provider or employer to gain sustainable employment. on the job training and support 03 007 Time limited on-the-job training & post placement Hour N $61.58 including employer advice support related to participant’s disability that enables them to adjust & manage demands of the job & workplace environment, & to assist employers to successfully manage the participant's placement. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 14
Support Quote Support Items Description UoM Price Item Ref No. Required open employment specialised 03 008 Skills matching, labour market assistance to secure Hour N $61.58 job search assistance suitable job placement or different employment in the open labour market. post school employment 03 009 Time limited provision of pre vocational skills Hour N $61.58 assistance training, advice, coordination with employers, workplace orientation to assist a participant to get a job post school employment 03 010 In a group setting, build capacity by providing skills Hour N $20.52 assistance - group support training such as transport, time/financial management, self-care to support a participant to get a job post school. *assumes group of 3 workplace assessment 02 005 Workplace assessment conducted by workplace Hour N $203.60 rehabilitation provider to determine adjustments or modifications to workplace or work processes to ensure employment is maintained and matches the employees capabilities Support in employment 03 017 Assistance to gain and maintain employment in Each Y $258.29 ADEs, social enterprises and open employment through on-the-job support, training, employer advice and assistance in transitioning from ADE. Price guidance is weekly. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 15
Items related to work in an ADE These items are only funded when support items are not available through mainstream services and when there are no funded places available in an ADE. DMI levels are based upon the participant’s needs assessed in accordance with the Disability Maintenance Instrument. Support Quote Support Items Description UoM Price Item Ref No. Required assistance in specialised 03 002 Provision of Level One ongoing on- the- job Each N $98.29 supported employment Level 1 support to enable a participant to maintain/retain DMI supported employment. Pricing guidance is weekly. assistance in specialised 03 003 Provision of Level Two ongoing on- the- job Each N $167.26 supported employment Level 2 support to enable a participant to maintain/retain DMI supported employment. Pricing guidance is weekly. assistance in specialised 03 004 Provision of Level Three ongoing on- the- job Each N $250.47 supported employment Level 3 support to enable a participant to maintain/retain DMI supported employment. Pricing guidance is weekly. assistance in specialised 03 005 Provision of Level Four ongoing on- the- job Each N $332.56 supported employment Level 4 support to enable a participant to maintain/retain DMI supported employment. Pricing guidance is weekly. pre DMI Supported 03 011 Employment supports provided by an ADE up to Each N $167.26 Employment Assistance and including assessment of a participant’s on-the- job support needs using DMI Instrument. Paid per week in arrears up to a maximum of 12 months or until assessment is completed. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 16
Support Quote Support Items Description UoM Price Item Ref No. Required supported Employment Start- 03 012 Supported employment administrative start-up fee Each N $724.79 up Fee paid, paid once only when a Participant starts with an ADE Assistance to integrate into school or other educational programs* This support cluster incorporates assistance to enable a participant to attend and participate in school or educational programs. It also enables a participant to transition to/from education and meet their self-care needs while participating in education. Support Quote Support Items Item Ref Description UoM Price Required No. personal assistance to support 05 002 Personal assistance with self-care in an Hour N $50.79 educational activities educational setting specialised transport to 05 003 Transport required to get a person with disability to Day Y school/educational school/educational facility/employment/community facility/employment/community when they are unable to travel by other means due to their disability transition from school to further 05 004 Provision of skills training, advice, assistance with Hour N $62.75 education arrangements, orientation to assist a person with disability moving from school to further education transition to school and other 05 005 Specialised assistance in planning and Hour N $62.75 education programs - program transitioning to school and other education, beyond design, planning and the standard transition required of a person of a implementation similar age. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 17
Assistance with daily life tasks in a group or shared living arrangement* This support cluster incorporates assistance with and/or supervising tasks of daily life in a shared living environment, which is either temporary or ongoing, with a focus on developing the skills of each individual to live as autonomously as possible. The support is provided to each person living in the shared arrangement in accordance with their need. The item prices do not include the cost of rent, board and lodging or other day to day usual living expenses such as food and activities, as these are not funded by NDIS. The only exception is support item 14 022 (short term accommodation and assistance in a centre or a group residence). In some limited circumstances NDIS will contribute to the cost of accommodation, food and activities. For example, where an integrated package is required to support the participant in emergency or “respite” circumstances for a short period (less than 2 weeks). A hierarchy of prices applies to this cluster of supports, based on: • the number of people in the living arrangements • the level of needs of the participant funded by NDIS, as set out below Lower needs: • This support provides supervision of living arrangements as a whole and occasional to intermittent prompting to undertake household tasks and/or self- care activities • Supervision is not usually provided 24/7, supervision may be provided via off-site monitoring if appropriate • If the participant has had incidents of challenging behaviour a behaviour support plan is in place and it is demonstrated that the participant can be supported effectively within the available support • Where a participant has additional support needs, they may be supported in this living arrangement through a mix of additional paid and informal supports www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 18
Standard needs: • This support provides 24/7 support which includes: o Active assistance or supervision of most daily tasks o Regular inactive overnight (sleepover) • Participants may be able to spend some time with their family or a friend without paid support and may call on them for incidental assistance or companionship • If the participant has episodic or occasional challenging behaviours there is a behaviour support plan in place which has been demonstrated to effectively support the person within the available support Higher needs: This support provides: • Highly frequent (at least 1 instance per shift) assistance to manage challenging behaviours that require intensive positive behaviour support • Continual, active assistance with all daily tasks • Active management of complex medical needs such as ventilation • Active support is provided 24/7 usually with an active overnight shift • Inactive overnight sleepover may be included as an exception, for example when family or friend’s sleepover • May include higher staffing ratios at peak periods, for episodic or incidental behaviour supports, or emergency medical needs (e.g. seizure management or discharge from hospital) Support Quote Support Items Item Ref Description UoM Price Required No. assistance in a host family or 14 001 Agreement for a participant with high support Day Y alternative family situation needs to stay with a host family. The host family will have minimum qualifications & provide support in the home for the agreed time. The quote will reflect the hours of assistance required & length of stay. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 19
Support Quote Support Items Item Ref Description UoM Price Required No. assistance in a shared living 14 002 Daily living support provided in a shared living Each Y arrangement (hourly rate per arrangement. This rate is paid by the hour for one- person ) to-one assistance, divided by the number of people supported. assistance in a shared living 14 003 Assisting with and/or supervising tasks of daily life Each Y $5,372.66 arrangement for 2 persons - to develop the skills of the individuals with complex complex needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 027 Assisting with and/or supervising tasks of daily life Each Y $2,414.98 arrangement for 2 persons - to develop the skills of the individuals with lower lower needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 009 Assisting with and/or supervising tasks of daily life Each Y $4,149.36 arrangement for 2 persons - to develop the skills of the individuals with standard standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 004 Assisting with and/or supervising tasks of daily life Each Y $4,652.85 arrangement for 3 persons - to develop the skills of the individuals with complex complex needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant assistance in a shared living 14 015 Assisting with and/or supervising tasks of daily life Each Y $2,099.98 arrangement for 3 persons - to develop the skills of the individuals with lower lower needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 20
Support Quote Support Items Item Ref Description UoM Price Required No. assistance in a shared living 14 010 Assisting with and/or supervising tasks of daily life Each Y $3,425.75 arrangement for 3 persons - to develop the skills of the individuals with standard standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 005 Assisting with and/or supervising tasks of daily life Each Y $3,693.94 arrangement for 4 persons - to develop the skills of the individuals with complex complex needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 016 Assisting with and/or supervising tasks of daily life Each Y $2,086.07 arrangement for 4 persons - to develop the skills of the individuals with lower lower needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 011 Assisting with and/or supervising tasks of daily life Each Y $2,654.07 arrangement for 4 persons - to develop the skills of the individuals with standard standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 006 Assisting with and/or supervising tasks of daily life Each Y $3,247.38 arrangement for 5 persons - to develop the skills of the individuals with complex complex needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 21
Support Quote Support Items Item Ref Description UoM Price Required No. assistance in a shared living 14 017 Assisting with and/or supervising tasks of daily life Each Y $2,027.87 arrangement for 5 persons - to develop the skills of the individuals with lower lower needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 012 Assisting with and/or supervising tasks of daily life Each Y $2,541.48 arrangement for 5 persons - to develop the skills of the individuals with standard standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 007 Assisting with and/or supervising tasks of daily life Each Y $2,912.14 arrangement for 6 persons - to develop the skills of the individuals with complex complex needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 018 Assisting with and/or supervising tasks of daily life Each Y $1,873.53 arrangement for 6 persons - to develop the skills of the individuals with lower lower needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 013 Assisting with and/or supervising tasks of daily life Each Y $2,463.05 arrangement for 6 persons - to develop the skills of the individuals with standard standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 22
Support Quote Support Items Item Ref Description UoM Price Required No. assistance in a shared living 14 008 Assisting with and/or supervising tasks of daily life Each Y $2,912.14 arrangement for 7 persons or to develop the skills of the individuals with complex more - complex needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 019 Assisting with and/or supervising tasks of daily life Each Y $2,027.87 arrangement for 7 persons or to develop the skills of the individuals with lower more - lower needs support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in a shared living 14 014 Assisting with and/or supervising tasks of daily life Each Y $2,463.05 arrangement for 7 persons or to develop the skills of the individuals with standard more - standard (or mixed) support needs to live as autonomously as possible. The benchmark is based on weekly costs, per participant. assistance in living 14 026 Each Y arrangements for single person - complex needs, not suitable for shared living assistance with daily life tasks 14 020 Assistance with self-care and other activities Day Y provided in residential aged care provided in residential aged care facility facility short term accommodation and 14 022 Integrated support for self-care, accommodation, Day N $536.90 assistance in a centre or a group food & activities in a centre or group residence for residence short periods. Includes all expenses in 24 hour period with no additional loading. May be used for up to 14 consecutive days, then weekly rates apply. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 23
Support Quote Support Items Item Ref Description UoM Price Required No. surcharge on assistance in 14 023 Assisting with and/or supervising tasks of daily life Each Y shared living arrangement to develop the skills of the individual with complex support needs to live as autonomously as possible. To be approved by delegate. Assistance with daily personal activities* Assisting with and/or supervising personal tasks of daily life to enable the participant to live as autonomously as possible. These supports are provided individually to participants and can be provided in a range of environments, including but not limited to, the participant’s own home. A hierarchy of prices applies to this cluster of supports, based on: • The level of support provided o A higher intensity support may be paid where a participant requires assistance from a support worker with additional qualifications and experience relevant to the participant’s complex needs o Highly frequent (at least 1 instance per shift) assistance to manage challenging behaviours that require intensive positive behaviour support o High medical support needs require continual active support • The time of day that the support is provided o Daytime starts at 6am and finishes at 8pm o Evening is where the support finishes after 8pm and before 12 midnight o Overnight is where the support finishes after 12 midnight and before 6am. • The day of the week that the support is provided o A weekday is Monday to Friday o The extra rates paid for Saturday, Sunday and public holidays are in substitution for, and not cumulative upon, the shift premiums payable for evening and overnight supports o No additional rates are payable for Saturday/Sunday/Public holidays where the support finishes after 8pm. The price for overnight monitoring and inactive sleepover includes 1 hour of assistance where required. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 24
Support Quote Support Items Item Ref Description UoM Price Required No. active overnight assistance with 09 001 Assistance with, or supervision of, personal tasks Hour N $56.51 self-care of daily living where overnight support is needed and the care giver will not have the option to sleep assistance from live-in carer 09 002 A person lives in the house of, or travels with the Hour Y participant and provides assistance with, and/or supervision of, personal tasks of daily life to develop skills of the participant to live as autonomously as possible. assistance with Home Enteral 09 003 To be provided only where feeds or specialised Each Y Nutrition and other special diet food, supplements exceed cost of regular food costs exceeding normal food costs assistance with personal 09 004 Assist participant to undertake and/or develop Hour N $50.79 domestic activities skills to maintain their home environment where the participant owns their own home & has sole or substantial responsibility for its maintenance. Includes assisting participant to do basic house & yard work. assistance with self-care - night- 09 010 Assistance with, or supervision of, personal tasks Each N $204.44 time sleepover of daily living where overnight support is needed, but the care giver can sleep when not required to provide support. assistance with self-care - 09 026 Assistance with, or supervision of, personal tasks Hour N $60.06 overnight - higher intensity of daily living where intensive overnight support is needed and the care giver will not have the option to sleep www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 25
Support Quote Support Items Item Ref Description UoM Price Required No. assistance with self-care 09 011 Assisting with, and/or supervising, personal tasks Hour N $50.79 activities during daytime of daily life to develop skills of the participant to live weekdays as autonomously as possible. assistance with self-care 09 008 Assisting with, and/or supervising, personal tasks Hour N $54.27 activities during daytime of daily life to develop skills of the participant to live weekdays - higher intensity as autonomously as possible. assistance with self-care 09 012 Assisting with, and/or supervising, personal tasks Hour N $107.94 activities on Public Holidays of daily life to develop skills of the participant to live as autonomously as possible. assistance with self-care 09 005 Assisting with, and/or supervising, personal tasks Hour N $112.23 activities on Public Holidays - of daily life to develop skills of the participant to live higher intensity as autonomously as possible. assistance with self-care 09 013 Assisting with, and/or supervising, personal tasks Hour N $69.83 activities on Saturdays of daily life to develop skills of the participant to live as autonomously as possible. assistance with self-care 09 006 Assisting with, and/or supervising, personal tasks Hour N $73.59 activities on Saturdays - higher of daily life to develop skills of the participant to live intensity as autonomously as possible. assistance with self-care 09 014 Assisting with, and/or supervising, personal tasks Hour N $88.88 activities on Sundays of daily life to develop skills of the participant to live as autonomously as possible. assistance with self-care 09 007 Assisting with, and/or supervising, personal tasks Hour N $92.92 activities on Sundays - higher of daily life to develop skills of the participant to live intensity as autonomously as possible. assistance with self-care 09 015 Assisting with, and/or supervising, personal tasks Hour N $55.56 activities per weekday evening of daily life to develop skills of the participant to live as autonomously as possible. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 26
Support Quote Support Items Item Ref Description UoM Price Required No. assistance with self-care 09 009 Assisting with, and/or supervising, personal tasks Hour N $59.10 activities per weekday evening - of daily life to develop skills of the participant to live higher intensity as autonomously as possible. overnight monitoring of self- 09 025 Overnight on-call assistance with, or supervision Each Y care - off site or onsite, on call of, personal tasks of daily living. (incl 1 hr assist) specialised home based 09 016 Specialist assistance in the home required due to Hour N $50.79 assistance for a child with additional requirements of the child’s disability; disability in order to sustain may be provided to strengthen the sustainability of informal supports informal supports. Assistance with travel/transport arrangements This focuses on the provision of transport to enable participation in community, social, economic and daily life activities. This includes, but is not limited to, taxis and specialist transport arrangements. This is provided when the participant is unable to access alternative forms of transport as a result of their disability. Support Quote Support Items Item Ref Description UoM Price Required No. other transport fares 10 001 Where a participant is unable to use public Each Y $1,862.19 transport because of their disability, transport can be funded for a taxi, carer or community transport. Owners of private vehicles (carers/individuals) can claim mileage at $0.78/km. Other providers quote. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 27
Support Quote Support Items Item Ref Description UoM Price Required No. Transitional support for 10 005 Transitional to NDIS funding - short term Each Y $1,862.19 payment of transport allowance contribution to transitional transport costs for when government subsidy children under 16 years - South Australia only removed travel - remote 10 004 For travel to provide supports to participants in Each Y regional and remote areas. As approved by NDIA. Community nursing care for high care needs This is the provision of specialist care for participants who have high care needs. This involves support from a person with a high level of training to respond to the participant’s complex needs. This does not include acute nursing care as delivered by the health system. Support Quote Support Items Item Ref Description UoM Price Required No. training or provision of support 13 002 Provision of care, training and supervision of a Hour N $108.95 by a registered nurse delegated worker to respond to the complex care needs of a participant where that care is not the usual responsibility of the Health System. training or provision of support 13 003 Hour N $108.95 by a registered nurse - travel time www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 28
Development of daily living and life skills* Development of daily living and life skills focuses on training and development activities undertaken by the participant or their carer to increase their ability to live as autonomously as possible. Training can be provided either individually or through group activities and can include skills in daily life activities, communication and social skills, problem solving and managing funding of supports. Support Quote Support Items Item Ref Description UoM Price Required No. general life skills development 15 001 Includes training for the use of public transport Hour Y activities group based training / skills 15 002 Training for the participant in a group of 3 or more Hour N $15.68 development in daily personal to increase their independence in daily personal activities activities. group social skills development 15 003 Social skills development in a group of 3 or more. Hour N $15.68 individual life and personal 15 004 Individual training provided in the home for general Hour N $50.79 skills development life skills to increase independence. individual social skills 15 005 Social skills development with an individual, for Hour N $62.75 development participation in community and social activities. numeracy, literacy, money / 15 006 Numeracy, literacy, money or financial Hour N $62.75 financial management skills management training and skills development. development parenting training relating to 15 007 Training to parents of children with disabilities to Hour N $62.75 disability assist them in their parenting role or training for parents with a disability to assist them in parenting their children. training for carers 15 008 Training for carers in matters related to caring for a Hour N $62.75 person with disability www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 29
Support Quote Support Items Item Ref Description UoM Price Required No. training in planning and plan 15 009 training in planning and plan management for Hour N $62.75 management participants unable to do this independently but who could do all or part of the task with training. Interpreting and translation Interpreting and translation focuses on assistance to the participant to enable independent communication in essential personal, social or community activities where translation is not available from a mainstream service. Support Quote Support Items Item Ref Description UoM Price Required No. Auslan one, Auslan two training 21 001 Training in the use of Auslan and other Each Y communication techniques; tafe course fee or equivalent. Auslan or Signed English 21 002 Formal interpreting for Auslan or signed English Hour N $139.04 Interpreting interpreting & translating 21 003 Services to interpret or translate another language. Hour N $139.04 live captioning 21 004 Captioning provided in person for participant with Hour Y $248.29 hearing impairment. remote captioning 21 005 Captioning completed remotely for participant with Hour Y $248.29 hearing impairment. telephone or video interpreting 21 006 Telephone or video services to interpret or Hour Y $99.32 translate another language or format. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 30
Early intervention supports for early childhood Provision of a mix of therapies, and a key worker for the family, are expected to fall into one of the three categories; • Level 1 – low needs – up to $6000 to $8208 per annum, • Level 2 – medium needs - $8209 to $12312 per annum, or • Level 3 – high needs - $12313 to $16416 per annum. Level 1 (low needs) is generally appropriate for a child with a developmental delay, or mild disability, who is developing slower than their peers. Level 2 (medium needs) is generally appropriate for a child with a disability or developmental delay who either has moderate single and/or multiple areas of needs/concern that require specific intervention, or behavioural concerns or some family complexities that require referral to other agencies. Level 3 (high needs) us generally appropriate for a child with a disability and/or/severe developmental delay, multiple disabilities, severe behavioural difficulties, rapid deterioration and/or complex health/medical needs who has severe and/or multiple needs that require specific intervention. It is expected that NDIS will fund necessary and reasonable early childhood interventions that are intensive where the intervention is able to deliver significant improvements within a period of approximately 6 months. Up to four periods of early intervention may be funded. Support Quote Support Items Item Ref Description UoM Price Required No. early childhood interventions - 16 002 Group multidisciplinary early childhood Hour N $203.60 travel time interventions and family focussed information and training specialised group early 16 003 Group based specialist interventions to assist a Hour N $67.87 childhood interventions child with disability or developmental delay and their family in home, care, community and education settings. Maximum group of 4. www.ndis.gov.au South Australia Valid from: Wednesday, 19 November 2014 31
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