Plan Managers often find themselves in a tricky spot—especially when it comes to deciding whether a support or service is considered “reasonable and necessary” (R&N) under the NDIS. Officially, the NDIS Act says that only the NDIA CEO or their delegate can determine what’s R&N. However, Plan Managers are still expected to process invoices in line with the participant’s Plan and confirm that supports meet NDIS requirements, creating a confusing grey area.
The updated NDIS Act now requires funds to be spent “in accordance with the Plan.” But Plans don’t always include detailed guidance, and the messaging from the NDIA can be inconsistent. While Plan Managers aren’t meant to decide what’s R&N, they’re still held accountable if funding is used for supports the NDIA later decides aren’t compliant.
So what can Plan Managers do? The best approach includes clear communication with participants and providers, using tools like the Can I Buy It checklist, and having open discussions around risk levels. Being proactive and transparent can help reduce confusion and support good decision-making.
Curious to learn more? Read the full article on Disability Services Consulting (DSC) here.