What does the NDIA do?

The National Disability Insurance Agency (NDIA) is an independent statutory agency. The NDIA is sometimes referred to as the Agency. The NDIA’s role is to implement the National Disability Insurance Scheme (NDIS).

The NDIA has a board which is led by a Chairperson, as well as a CEO, who directs how the NDIS operates in line with the strategic direction set by the NDIS Minister. 

The NDIA’s key functions include:

• Assessing eligibility for access to the NDIS (consistent with eligibility criteria defined in the NDIS Act)
• Developing, approving, suspending and reviewing participant plans (including both plan variations and plan reassessments) 
• Determining the funding that will be approved in an NDIS plan
• Coordinating service bookings, payments and access to plans for providers
• Setting price controls and claiming rules through updating and publishing the Pricing Arrangements and Price Limits document for Agency and Plan Managed funds
• Detecting and investigating allegations of fraud, and pursuing legal action for this where appropriate
• Reporting on the financial sustainability of the scheme 
• Appointment, suspension and cancellation of participant nominees 
• Market monitoring and facilitation to address gaps and drive a thriving NDIS market.

Artwork by Melissa Pym.