Since October 2024, the NDIS has introduced more clarity around Replacement Supports, but what does that mean for you? If a support you need is not usually funded or has been permanently excluded, there may be a process to apply for an alternative under a few specific circumstances.
Here’s what you need to know.
What Are Replacement Supports?
A Replacement Support is an exception to the rule, it’s when you apply for an NDIS-funded alternative to something that has been:
- Excluded or no longer funded under NDIS rules
- Considered outside the scope of “reasonable and necessary” supports
- Typically covered by another government system (like health or education)
If you rely on a support that became excluded under the new rules, you may be able to apply to the NDIA for an exemption or alternative that meets the same need within NDIS guidelines.
What Kinds of Supports Might Require a Replacement?
Some examples of excluded or restricted supports include:
- Certain therapies or treatments (e.g., some alternative therapies)
- Items classified as general living expenses (e.g., non-disability furniture, gym memberships)
- Supports that fall under health, education, or community services rather than disability
Can You Get an Exemption?
In some cases, the NDIS may allow a Replacement Support if:
- You can show strong evidence that you need the support for your disability needs
- There are no reasonable alternatives within the existing NDIS-funded options
- The alternative is more cost-effective or provides the same benefit
How to Apply for a Replacement Support?
If you need to request a Replacement Support, follow these steps:
- Check if the support is restricted – Some supports are outright banned, while others may still be available under specific conditions.
- Gather evidence – You will need supporting documents, such as: Reports from your therapist, doctor, or allied health professional, a statement explaining why standard NDIS supports don’t meet your needs, and any cost comparisons or alternative options explored
- Submit a request – Your Plan Manager or Support Coordinator can help lodge the request with the NDIS.
- Wait for assessment – The NDIA will review your case and may ask for more details before making a decision.
What Happens If Your Application Is Rejected?
If the NDIS declines your request, you still have options:
- Request a review – If you believe the decision was incorrect, you can submit a review request.
- Look for alternative funding – Some supports may be funded through health, community, or charitable programs.
- Adjust your NDIS plan – Your Support Coordinator or Plan Manager can help explore other ways to meet your needs within your current plan.
For more details on Replacement Supports, exclusions, and legislation updates, check out these NDIS resources:
Why This Matters
Since the changes in October 2024, everyone is under increasing scrutiny from the NDIA including Plan Managers and are being spot-checked on claims especially those that frequently include excluded items. We want to ensure we can keep our registration so we can continue supporting you, and also help you avoid being issued with a debt to repay for any incorrectly claimed supports.
We know navigating the system can be tough, which is why we’re putting these guides together and are always at the end of the phone or email. The more information you have, the better equipped you are to make informed decisions and do things the right way.
Need Help Applying for a Replacement Support?
The Replacement Support process can be tricky, but we’re here to guide you. If you think you might need an alternative support, get in touch with your support coordinator or if you don’t have one we’ll help you understand your options and ensure you have the right information to submit a strong application.
