NDIS Legislation Updates, Price Differentiation and Incorrect AT Prescription

The ever-evolving landscape of the National Disability Insurance Scheme (NDIS) continues to present challenges and opportunities for occupational therapists (OTs). Recent updates in legislation, price differentiation concerns and issues surrounding assistive technology (AT) prescription have highlighted the need for OTs to stay informed and adaptable. This article unpacks these developments and provides practical strategies to navigate them effectively.

Understanding the latest NDIS legislation updates

With the passage of new NDIS legislation, significant changes are on the horizon. While some updates will take effect immediately, others will roll out gradually over the coming months and years. One of the most notable changes involves the introduction of funding periods within plans, aimed at reducing intra-plan inflation by allocating funds incrementally. This will initially apply to new framework plans and is set to expand further in 2025.

Another critical development is the revised definition of NDIS supports. A draft list of acceptable supports has been released and the finalised version is expected soon. This list will have significant implications for the types of supports participants can access and OTs should stay updated as these changes unfold.

Addressing price differentiation concerns

The NDIS Code of Conduct now includes stricter requirements around price differentiation, ensuring that NDIS participants are not charged more for services than non-NDIS participants. For OTs, this means being transparent about pricing structures and being prepared to justify any differences. Conducting a cost analysis is essential to determine your breakeven point and align fees accordingly.

OTs in private practice, especially sole traders, should prioritise documenting how their fees are structured. This not only ensures compliance but also prepares them for potential queries from participants, plan managers or regulatory bodies. Verve OT Learning offers self-paced OT learning and OT professional development modules that can support OTs in refining their business practices and understanding these requirements.

Navigating assistive technology (AT) challenges

AT prescription remains a high-risk area for OTs with potential financial and reputational implications for errors. Recent discussions have brought attention to cases where incorrect AT prescriptions led to significant costs. To mitigate these risks, OTs should:

• Conduct thorough trials: Ensure AT items are tested in the participant’s environment to confirm suitability for their needs and context.

• Engage in supervision and peer review: For complex AT prescriptions, involve another OT or supervisor to review reports and measurements.

• Document limitations: Clearly outline the anticipated lifespan and limitations of prescribed AT, particularly for participants with progressive conditions.

When errors occur, it is vital to take responsibility and rectify the issue promptly. Building relationships with AT suppliers and understanding their processes can also support OTs in resolving issues efficiently. Leveraging resources like NDIS templates can streamline documentation and reduce potential for error.

Strengthening early intervention advocacy

For OTs working in early intervention, recent developments in the foundational supports pathway emphasise the importance of advocating for private practice in this space. Best practice frameworks and consultations are underway to establish guidelines for early intervention supports. OTs passionate about this area can engage in advocacy efforts, join working groups and participate in surveys to shape the future of early intervention within the NDIS.

Leveraging professional development resources

The dynamic nature of the NDIS highlights the importance of continuous learning. Self-paced OT learning modules, OT live workshops and targeted training offered by organisations like Verve OT Learning can equip OTs with the skills and knowledge needed to navigate these changes. Topics such as AT prescription, pricing compliance and the use of NDIS templates are particularly valuable. Investing in OT professional development ensures therapists remain confident and competent in their practice.

Staying resilient in a changing landscape

While the recent updates present challenges, they also offer opportunities for OTs to refine their practices and advocate for meaningful changes. By staying informed, leveraging resources and fostering collaboration, OTs can continue to deliver high-quality services while adapting to the evolving demands of the NDIS.

Whether you are exploring OT professional development opportunities, looking for NDIS templates to streamline your processes or seeking guidance on AT prescription, the tools and insights available can help you navigate these complexities with confidence.