austlii:cth/ARTA/2025/1870
General information, not legal advice.
ARTA
2025-09-22
Original judgment source is linked above.
Miller and Chief Executive Officer, National Disability Insurance Agency (NDIS) [2025] ARTA 1870 (22 September 2025)
Respondent: Chief Executive Officer, National Disability Insurance Agency
Decision: The Tribunal sets aside the decision under review and remits this matter to the Respondent with directions that:
NATIONAL DISABILITY INSURANCE SCHEME - National Disability Insurance Scheme Act 2013 (Cth) - consideration of section 34 - reasonable and necessary supports - support worker assistance
National Disability Insurance Scheme (Supports for Participants) Rules 2013 (Cth)
National Disability Insurance Scheme (Getting the NDIS Back on Track No. 1) (NDIS Supports) Transitional Rules 2024 (Cth)
National Disability Insurance Scheme (Getting the NDIS Back on Track No. 1) (Miscellaneous Provisions) Transitional Rules 2024 (Cth)
Drake v Minister for Immigration and Ethnic Affairs (No 2) (1979) 2 ALD 60
National Disability Insurance Agency v WRMF [2020] FCAFC 79
Mills and National Disability Insurance Agency [2025] ARTA 1410
NDIS - Operational Guidelines Reasonable and necessary supports
(a) A decision dated 26 March 2025 (approving the SOPS in a six-month plan commencing on that date); and > > (b) A decision dated 31 July 2025 (approving the SOPS in a 12-month plan commencing on that date and ending on 30 July 2026 (the current plan)).[2]
(a) $3,511.50 of flexible core funding representing 50 hours of 1:1 support worker assistance at $70.23/hr representing: > > > (i) 26 hours/year for employment assistance; > > > > (ii) 24 hours/year for support worker assistance; and > > (b) $9,616.36 of stated supports for improved daily living skills comprised of: > > > (i) 14 hours/year of occupational therapy at $193.99/hr; > > > > (ii) 26 hours of psychology at $232.99/hr; and > > > > (iii) 12 hours of skill development at $70.23/hr.
(a) retaining current funding for psychology; > > (b) retaining current funding of 12 hours/year for skills development and training at $70.23/hr, noting that this was the same rate as weekday 1:1 support worker rate and could be used for a support worker; and > > (c) removing funding for occupational therapy (and reallocating it to core supports, equating to approximately 39 hours of support worker assistance).
(a) 26 hours/year of 1:1 support worker assistance, now at the higher Saturday rate of $98.83/hr; and > > (b) 63 hours/year of 1:1 support worker assistance at the weekday rate of $70.23/hr (representing the existing 24 hours plus 39 hours from reallocating occupational therapy funding).
(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 a NDIS support for the participant.
(a) the time at which the disability requirements or the early intervention requirements need to be met is the time the CEO decides to approve the statement of participant supports; and
(b) a participant's disability support needs arising from an impairment in relation to which the participant meets the disability requirements or the early intervention requirements may be affected by a variety of factors, including environmental factors or the impact of another impairment in relation to which the participant does not meet either of those requirements.
(a) 57 hours of 1:1 support worker assistance at the Saturday rate of $98.83/hr; and > > (b) 52 hours at weekday rates (including 40 hours in core funding and 12 hours in capacity building supports).
...............[SGD]...................................
Solicitor for the Respondent: Ms Wood, Maddocks
[1] Transitional provisions in the Administrative Review Tribunal (Consequential and Transitional Provisions No. 1) Act 2024
[7] The statement of the law that follows largely adopts the summary in Mills and National Disability Insurance Agency [2025] ARTA 1410
[8] Re Drake v Minister for Immigration and Ethnic Affairs (No 2) (1979) 2 ALD 634
[9] Webpage: ourguidelines.ndis.gov.au
[10] Paragraph 33(2)(b) of the NDIS Act
[11] After Mr Miller applied to the AAT, the NDIS Act was amended by the National Disability Insurance Scheme Amendment (Getting the NDIS Back on Track No 1) Act 2024 (Cth) (the Amending Act). This is subsection 34(1) of the NDIS Act as amended. The effect of item 129 in Part 3, Schedule 1 to the Amending Act is that the Tribunal can only vary the SOPS in Mr Miller's plan if section 34 of the NDIS Act, as amended by the Amending Act, is met.
[12] National Disability Insurance Agency v WRMF [2020] FCAFC 79 at 201