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PHM Health is proud to be a registered NDIS provider.

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PHM Health helps prepare participants and their carers for NDIS planning meetings by communicating the funding options available and helping with the communication of goals in a form that the NDIA planner can clearly understand.

This approach helps the NDIA planner identify which funding category is needed, leading to a smooth process requiring minimal changes in the future.

Commonly asked NDIS questions

What types of support does NDIS funding cover?

Not all types of support required by a person living with a disability fall under the responsibility of the NDIS .

Some supports are funded by other areas of government (e.g. state health systems) or existing public/community services.

In general, the NDIS will fund reasonable and necessary supports that help a person living with a disability enjoy an ordinary life.

These supports and services fall into three categories.


A support that assists with activities of daily living.


A support for an investment, such as assistive technologies; equipment and home or vehicle modifications; or funding for capital costs (e.g. to pay for Specialist Disability Accommodation).

Capacity building

A support that helps build independence and skills.

Common examples of supports provided or funded by the NDIS include:

  • Help with personal care activities and/or household tasks
  • Home and vehicle modifications
  • Assistive technology, aids and mobility equipment, including set up and training by skilled personnel
  • Transport to enable participation in community, social, economic and daily life activities, e.g. workplace, gym or places of learning
  • Support to find and keep a job
  • Therapeutic supports like occupational therapy, speech therapy and behaviour support
  • Health-related supports (as long as they are a regular part of your patient’s life and the need for them arises from a disability), e.g. continence, diabetic management, dysphagia, epilepsy, nutrition, podiatry, respiratory and wound and pressure care supports (see the Disability-related health supports page for full details).

If you are uncertain if the supports your patient requires are funded by the NDIS, refer the patient to a Local Area Coordinator for further advice before proceeding with an Access Request, as other public or community services may be more appropriate.

Does the NDIS cover the cost of medical care like diagnostic assessments, treatment, medication, hospital/GP visits or Medicare gap fees?

The NDIS is not designed to fund supports more appropriately funded or provided by the health system.

Assessment, diagnosis and treatment of health conditions, along with medications and hospital care, remain the responsibility of the health system.

As a general guide, the following health-related services and supports are not provided or funded through the NDIS:

  • Items and services covered by the Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS), nor Medicare gap fees.
  • Treatment, services or supports delivered by a doctor or medical specialist, including diagnosis and assessment of a health condition.
  • Items and services provided as part of diagnosis, early intervention and treatment of health conditions, including ongoing care of chronic health conditions.
  • Medically prescribed care, treatment or surgery for an acute illness or injury including post-acute care, convalescent care and rehabilitation.
  • Sub-acute care including palliative care, end of life care and geriatric care.

Are the Disability Support Pension and the NDIS linked?

The Disability Support Pension along with other income supports and payments such as the Carer Payment, Carer Supplement, Carer Allowance and Child Disability Assistance Payment are entirely separate to the NDIS.

These payments will not be affected if a patient qualifies for NDIS funding (the exception to this is the Mobility Allowance from Centrelink, which may be replaced if your patient’s NDIS plan includes transport-related funded supports).

It’s important to note that someone who is receiving the Disability Support Pension is not automatically eligible for NDIS funding and supports.

Am I eligible?

To be eligible to receive NDIS funding, you must meet certain requirements. These requirements include:

You must be under 65 years of age to access the Scheme.

You must live in Australia and be an Australian citizen, hold a Permanent Visa or hold a Protected Special Category Visa.

Disability requirements 
To meet the disability requirements you will need to prove that you:

  • Have a permanent disability. 
  • Your disability substantially affects your ability to participate effectively in activities without assistance from others or technology. 
  • You are likely to require lifelong support under the NDIS.

Availability where you live
To access the NDIS, you must live in an area where the NDIS is available. In some of these areas, you also need to be a certain age to access the Scheme.

Early intervention
Early intervention is another eligibility category for the NDIS. You may meet the requirements for this if you can prove that receiving NDIS support now will improve your capacity in the future and prevent deterioration.

How can we help you or someone you care for?

  • Aid and home support
  • Food assistance
  • Budgeting
  • Getting places
  • Personal care
  • Training
  • Day to day tasks

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