austlii:cth/ARTA/2026/138
General information, not legal advice.
ARTA
2026-02-04
Original judgment source is linked above.
(1) For the purposes of specifying, in a statement of participant supports, the general supports that will be provided, and the reasonable and necessary supports that will be funded, the CEO must be satisfied of all of the following in relation to the funding or provision of each such support: > > (aa) the support is necessary to address needs of the participant > > arising from an impairment in relation to which the > > participant meets the disability requirements (see section 24) > > or the early intervention requirements (see section 25); > > (a) the support will assist the participant to pursue the goals, > > objectives and aspirations included in the participant's > > statement of goals and aspirations; > > (b) the support will assist the participant to undertake activities, > > so as to facilitate the participant's social and economic > > participation; > > (c) the support represents value for money in that the costs of the > > support are reasonable, relative to both the benefits achieved > > and the cost of alternative support; > > (d) the support will be, or is likely to be, effective and beneficial > > for the participant, having regard to current good practice; > > (e) the funding or provision of the support takes account of what > > it is reasonable to expect families, carers, informal networks > > and the community to provide; > > (f) the support is an NDIS support for the participant.
When you ask us to change your plan we call this a participant requested plan change. Depending on what's changed for you, we may be able to work with you to change your current plan. We call this a plan variation. > > Or we may need to create a new plan with you. We call this a plan reassessment. > > We generally won't change your plan if you want more funding because you've used all the funding in the plan, or you want the same supports others have received. > > If there are significant changes to your situation, such as starting work for the first time or moving out of home, we might need to do a plan reassessment and create a new plan. > > For a plan reassessment you'll need to give us any new information to help us decide if we need to reassess your plan this may include any assessments, reports or other information.
Request Summary > > A Change and Review Request for a section 100 decision has been successfully submitted to the Internal Review Team. The Internal Review Team will communicate the outcome of the request within the next 60 calendar days. > > Request Details > > Request Date: 2024-12-12 > > Reviewer: Related Party > > Original Decision Type: External Decision
I am writing to let you know the outcome of your request to change your NDIS plan. > > I have decided not to approve your request to change your NDIS plan. > > The request to fund assessment/design related supports for the addition of a new > > dwelling on the participant's parent's property does not meet the reasonable and > > necessary criteria for the NDIS to fund. Specifically: Section 34, > > Part 1 (f). As outlined in Supports that are not NDIS Supports available at: What does > > NDIS fund? | NDIS > > the following are listed as not NDIS supports "Related to housing and community > > Infrastructure": > > • Housing for people with disability other than participants eligible for specialist > > disability accommodation. > > And > > "Accommodation and household related": > > • Standard home repairs, home improvements, standard renovations and maintenance. > > The proposed dwelling is both housing and a home renovation and is not an > > NDIS support that can be funded. > > ... > > What this means for you > > We have to make a decision about changing a plan within 21 days. We didn't make a > > decision within this time so the law for the NDIS says this means we have decided not > > to change your plan. When this happens, we automatically review your request. > > I completed this internal review and the outcome is I've confirmed the original decision > > not to change your plan. The reasons for my decision are outlined above. If you > > disagree with my internal review decision, you can ask for an external review of the > > decision.
5 Variation of a participant's plan - conditions that must be satisfied
Conditions to be satisfied - minor variation that results in an increase to the funding of supports under the participant's plan
(4) This subsection applies to a variation covered by subparagraph 47A(1A)(d)(iv) if that variation will specify an additional reasonable and necessary support in the participant's statement of participant supports.
Note: Subparagraph 47A(1A)(d)(iv) provides that the CEO may vary the statement of participant supports included in a participant's old framework plan, or of the funding of supports under the plan, if the variation is a minor variation that results in an increase to the funding of supports under the participant's plan.
(5) For a variation to which subsection (4) applies, the following conditions must be satisfied:
(a) one of the following applies in relation to the additional reasonable and necessary support to be specified:
(i) the support is required for a specific period of time; or
(ii) the support is to be provided on a one-off basis; and
(b) one or more of the following applies in relation to the additional reasonable and necessary support to be specified:
(i) the support is a replacement, or repair or maintenance, of an assistive technology support in the participant's plan or a previous plan (such as a wheelchair or an orthotic);
(ii) the support is needed urgently to support the participant's economic participation for a specifically identified period of time;
(iii) the support is needed urgently to support capacity building or a life transition over a specified period of time; and
(c) for a support to which subparagraph (b)(ii) or (iii) applies - the additional reasonable and necessary support that will be specified in the participant's statement of participant supports is not substantially the same as, or does not produce substantially the same outcome as, any other reasonable and necessary support currently specified in that statement.
(6) This subsection applies to a variation covered by subparagraph 47A(1A)(d)(iv) if:
(a) the variation will increase the funding for a reasonable and necessary support that is specifically identified in the participant's statement of participant supports; and
(b) the specifically identified support is described as:
(i) home modification design and constructions;
(ii) vehicle modifications;
(iii) assistive technology.
Note: Subparagraph 47A(1A)(d)(iv) provides that the CEO may vary the statement of participant supports included in a participant's old framework plan, or the funding of supports under the plan, if the variation is a minor variation that results in an increase to the funding of supports under the participant's plan.
(7) For a variation to which subsection (6) applies, it is a condition that the participant requires additional funding for the support as a result of one or more of the following circumstances:
(a) the support is no longer reasonably available to the participant within the amount of funding currently specified in the participant's statement of participant supports;
(b) the manner in which the support was anticipated to be provided under the participant's plan is no longer reasonably available to the participant;
(c) provision of the support requires additional information (including assessments and quotations), services or materials that were not anticipated when the support was included in the participant's statement of participant supports.
The Tribunal has jurisdiction to review the decision of the Respondent dated 18 February 2025.
[8] See Chapter 3, Part 2, Subdivision C of the Act.
[14] My conclusion on this point is consistent with previous decisions made by the Administrative Appeals Tribunal: ZKTN and National Disability Insurance Agency [2017] AATA 744, QMCT and National Disability Insurance Agency [2019] AATA 6111 and Farrall and National Disability Insurance Agency [2020] AATA 5077.
[15] That is, the requested support was not in respect of the plan's reassessment date, the categorisation of supports, funding periods or groups or plan management, crisis or emergency funding, a variation to general supports or specific providers, nor was it sought on the basis of new information.
Farrall and National Disability Insurance Agency [2020] AATA 5077
Mills and National Disability Insurance Scheme [2024] AATA 2914
QMCT and National Disability Insurance Agency [2019] AATA 6111
ZKTN and National Disability Insurance Agency [2017] AATA 744