Assistive Technology FAQs for Prescribers: SA Launch Site What assistive technology can be funded by the NDIA? National Disability Insurance Agency (NDIA) provides long-term, individualised support that is reasonable and necessary to meet the needs of people with permanent and significant disability, or who meet the eligibility requirements for early intervention. This includes providing modified or specialised equipment to allow participants to engage in: activities of daily living such as cooking and cleaning; recreational activities; mobility; personal care and safety; and to maintain personal hygiene. The NDIA will fund the equipment item, specialist assessment, set up and training, and repairs and maintenance where required. The NDIA will not fund medical equipment, items that are more appropriately funded through other service systems or items that any person would usually fund themselves. How is assistive technology supplied in South Australia? In South Australia, the Domiciliary Equipment Service (DES) is the “in kind” equipment provider for the launch period. DES is responsible for meeting participants’ approved equipment needs, through the purchase, customisation and supply/loan of items to participants. DES will meet participants’ identified equipment needs by supplying a stock item, refurbishing an existing item, or purchasing a new item. Where an item is out of scope for DES, the NDIA will seek quotes and provision from other equipment providers What is the process for prescribing equipment? Equipment needs are considered during the planning process. NDIA planners approve funding for reasonable and necessary items and include them in the participant’s plan. Plans are reviewed at a maximum of twelve months and equipment needs will form part of the review process. Once the item has been approved, the participant locates a prescriber to assist with its selection. Participants will be supported to find an appropriate prescriber if www.ndis.gov.au needed. When the prescriber has completed the assessment, they will complete the Domiciliary Equipment Service-NDIA prescription form and forward it to DES. This form includes relevant participant details, the equipment item, and item codes from the DES equipment catalogue where applicable. The prescription form can be accessed at http://dcsi.sa.gov.au/des/ndia-documents. Items must be prescribed by an appropriate discipline for that item. More complex item types require an approved prescriber to complete the prescription outlining all general specifications. Particular brands may be requested only with a supporting rationale, and a clear indication of why a specific brand is being sought, with reference to the pricing principles. Some items may require additional specification forms which are also available at http://dcsi.sa.gov.au/des/ndia-documents. DES clinical support officers match prescriptions against equipment in the store that might be suitable and can be supplied immediately. Where no suitable item is available, DES will request the prescriber to source a quote. Once a final quote is obtained by the prescriber, it is then forwarded to DES where a DES clinical support officer will review the quote and advise the planner about the reasonableness of the quote. Once approved by the planner, DES will raise a purchase order for the item. Who can prescribe equipment? Where a participant requires a piece of basic equipment, the item can be prescribed by a qualified health professional of an appropriate discipline. Where a participant requires a more complex or customised item, a currently approved prescriber for that item type will complete a prescription. If an approved prescriber is not available, an item can be prescribed by a health professional of an appropriate discipline supported by a currently approved prescriber or the DES clinical support officers. The clinical support officer may seek further information from the prescriber, provide advice to the NDIA about the clinical reasoning process, and may also comment on the appropriateness of the prescribed item. 1 How can equipment be provided urgently? customised items. Additional time will be included in the participant’s plan to cover this where needed. Participants with urgent equipment needs are considered a priority. For example, participants who have compromised safety or who require NDIA funded equipment to facilitate hospital discharge. NDIA will work together with DES and prescribers to facilitate this process. If necessary, equipment prescription will be done simultaneously with the planning process. What happens if equipment breaks or requires maintenance? What are the equipment pricing principles? The NDIA provides reasonable and necessary supports. One aspect of the decision that a support is reasonable and necessary is that it represents value for money. For equipment prescribers, this means that they are required to assist participants to select the most cost effective solution to meet their identified need. An important element of considering whether an item represents value for money is to consider the relevant benchmark price as these are based on market research. Benchmark prices are listed in the Support Cluster and Pricing document and prescribers should be familiar with these. The benchmark prices listed are GST exclusive. Generally equipment will need to be consistent with the benchmark price. Planners can approve an item above the benchmark price where the item can be shown to meet the person’s needs and another more cost effective item is not available. In this instance, the prescriber will give a clear description of the relevant considerations, and a detailed indication of what other items have been considered and trialled with the outcome. Who delivers and installs equipment? In the metropolitan and Greater Adelaide areas, DES delivers and installs supplied items, using trained equipment liaison officers and specialist contractors. In these areas DES staff and contractors provide guidance in the safe use and maintenance of basic items. In remote areas, the prescriber will assist the participant with the installation and safe use of equipment items. In all regions it is the prescriber’s role to follow up by phone or a visit and where necessary provide any additional training or set up of complex or www.ndis.gov.au Participants and their families are responsible for basic cleaning and monitoring of their equipment. Where items require repairs or maintenance, participants will phone DES direct on 1300 130 302. Generally, basic items requiring repairs generally will be replaced with a similar item where feasible. For customised or larger items, in home repairs will be undertaken utilising in-house repair staff or contractors. Repairs are funded by NDIA and plans incorporate a funding to cover any repairs that might arise. What happens if there is an incident involving damage or malfunction of equipment? Participants are required to stop using the item/s involved in the incident to ensure there is no further risk or change to damage. The Participant is responsible for reporting the details of the incident to DES on 1300 130 302. Once advised, DES will arrange the collection of the item for inspection and investigation. How can equipment be returned that is no longer required? DES will collect equipment (except consumable or single use items) once advised by the participant, prescriber or planner that the item is no longer required. The DES returns number is 1300 295 786. Complaints and Feedback Management of complaints and feedback will be in accordance with arrangements between the SA Government and the National Disability Insurance Agency. Feedback can be addressed to the National Disability Insurance Agency via calling 1800 810 110 or through the website: http://www.ndis.gov.au/ Feedback can be provided to the Domiciliary Equipment Service via email equipment.feedback@dcsi.sa.gov.au. Or phone 1300 295 786. 2