NDIS 101

Support Coordination

What is an internal review?

Team DSC

When would you have an internal review?

If a participant does not agree with a decision that the NDIA has made, they can request an internal review of that decision. 

For example, if the NDIA has decided to vary a plan instead of reassessing it, or they have decided to not vary or reassess a plan at all, the participant can apply to have these decisions reviewed.

Whats involved?

An internal review of an NDIA decision will not involve the same NDIA staff as the original decision. The internal review checks if the NDIA made the correct decision the first time. The participant can highlight evidence that has already been provided to the NDIA, as well as provide new evidence.

Applications for an internal review of an NDIA decision must be made within 3 months of the date of the original decision. Participants can use the Request for a review of a decision form to request an internal review. As with any request for a plan change, the participant can also provide accompanying evidence with their internal review request.

What if the Participant does not agree with the outcome?

If the participant does not agree with the outcome of the internal review decision, they can make an application to the Administrative Appeals Tribunal (AAT) for an external review. This is where the AAT checks if the internal review decision made by the NDIA was the right decision. Find out more about external reviews here.

Which decisions are reviewable? 

There are many decisions that a person can review. For a full list, see section 99 of the NDIS Act 2013
The most common reviewable decisions relate to:

  • when a person does not agree with the supports in their plan

  • the NDIA’s decision not to grant someone access to the NDIS

  • a decision not to conduct a plan variation or reassessment based on a change in situation

How to request an internal review

  • Download a ‘request for a review of a decision’ form, complete it, and email it along with supporting evidence to [email protected]; or 

  • Call the NDIS on 1800 800 110; or

  • Visit an NDIS partner or office; or 

  • Send a letter requesting an internal review with supporting evidence to:

Chief Executive Officer
National Disability Insurance Agency
GPO Box 700
Canberra ACT 2601

What information should the person give the NDIA?

  • The decision the person was expecting 

  • Why the person thinks the NDIA should make a different decision

  • Any information the person thinks the NDIA has not considered 

  • New information, including medical and therapy reports and/or assessments

How long do internal reviews take?

The NDIA Participant Service Guarantee sets clear timeframes for key NDIS processes. The NDIA aims to complete internal reviews within 60 days from the date the request is submitted. Internal Review outcomes are regularly provided via a letter with reasoning for decisions based on NDIS Funding Criteria.

Artwork by Melissa Pym.