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Practical Guide to the NDIS
NDIS provider travel and participant transport
Author: Pascale Dreyer, NDS Victoria
Contact: Stephanie Worsteling, NDIS National Adviser, with any enquiries at
stephanie.worsteling@nds.org.au
Provider travel and participant transport are different concepts. This practical guide
explains the differences and notes specific rules and arrangements for both travel
and transport under the National Disability Insurance Scheme (NDIS).
The Practical Guides have been made available through Funding from the Victorian
Government's NDIS Transition Support Package.
About Provider travel: Provider travel describes scenarios when a provider is able
to claim for worker time when travelling to deliver supports to a participant based on
the NDIS Provider travel information. This guide will refer to provider travel as worker
travel time.
About participant transport: Participant transport refers to the transport supports
used by participants, and may be funded in a participant’s NDIS plan to cover
relevant costs. If delivering community access supports providers are able to claim,
in addition to claiming for workers’ time, a contribution for additional transport costs
(such as, cost of public transport or cost per km for car usage) if agreed to in
advance by the participant.
The Appendix provides practical examples related to travel and transport.
Disclaimer: National Disability Services Limited (NDS) believes that the information
contained in this publication is correct at the time of publishing. NDS does not
accept any liability to any person for the information or advice (or the use of such
information or advice) which is provided on in this guide or incorporated into it by
reference. The information is provided on the basis that all persons undertake
responsibility for assessing the relevance and accuracy of its content. No
responsibility is taken for any information or services that may appear on any linked
websites.
Provider Travel
There are a number of factors that determine whether a provider is able to claim for
worker travel time, including
the type of support being delivered,
the location of the appointment, and
where a worker’s journey starts and finishes
Providers are able to claim worker travel time under certain circumstances when
delivering the following supports:
Personal care
Community access
Therapeutic supports
Early Childhood Early Intervention (ECEI) supports
Tips for service providers
Providers need to discuss worker travel time with participants prior to
commencing services and must have the agreement of the participant in
advance of claiming for associated costs.
Service Agreements should specify how and when providers will claim worker
travel time, tailored to each individual participant.
When claiming worker travel time, providers need to keep accurate records
for payment assurance purposes as the NDIA may audit providers at any
time.
For more information refer to the NDIS Provider Toolkit, Provider Payment and
Assurance Program.
When worker travel time cannot be claimed
There are a number of instances when worker travel time cannot be claimed. These
scenarios include (but are not limited to) if a worker:
Travels more than 20 minutes between appointments for personal care and
community access supports, and therapeutic or ECEI supports in metro and
other areas identified in the Modified Monash Model as being in MMM1−3
areas.
Travels more than 45 minutes between appointments for personal care and
community access supports, and therapeutic or ECEI supports in regional
areas (MM−4 or 5)
When travelling from the final appointment to the office if delivering personal
care or community access supports
Delivers supports outside the scope of NDIA’s provider travel policy (for
example, for support coordination)
Refer to the Appendix for specific examples.
Claiming for worker travel time
When claiming for worker travel time, providers need to focus on where the service
is delivered as this has implications for the maximum amount of time that a provider
can claim for. Providers are able to claim up to 20 minutes of worker travel time if the
appointment is delivered in a metro area, as determined by the Modified Monash
Model (note, MMM1−3 includes large regional centers). If the appointment is in a
regional area (MMM4 or 5) providers are able to claim up to 45 minutes of worker
travel time. This means that if a provider is traveling from one metro area to another,
they are only able to claim up to 20 minutes of travel time even if it takes 1 hour to
get there.
Providers are required to claim separately for worker travel time using the
corresponding line item of the support delivered.1 This means that when claiming,
providers will need to identify the claim type as ‘travel charges’ in either the bulk
upload or individual payment request. For example if a provider delivers 2 hours of
personal care supports and the worker has travelled 15 minutes to the appointment,
the provider claims 2 hours of personal care supports as a standard claim, and
claims 15 minutes separately as a travel charge.
Ways to increase efficiency
Providers need to consider flexible ways of working to reduce worker travel time. To
increase efficiency, providers may wish to consider:
Meeting with the participant at the provider premises, if appropriate
Organising staff appointments according to the location of participants (to
minimise travel time and distance between appointments)
Helping participants to coordinate the timing of periodic appointments for
therapeutic supports (particularly in remote and regional areas)
Participant Transport
Providers can recover transport costs (for example, costs associated with use of
provider-owned vehicle) when ‘accompanying and/or transporting participants in the
community’, as a part of delivering community access supports, or when delivering
transport supports. For more information and examples, refer to the Appendix.
Funding for transport
Where it is reasonable and necessary, a participant plan may include funding for
transport. A participant is allocated transport funding if they cannot use public
transport without substantial difficulty as a result of their disability. It is not intended to
cover transport assistance for informal carers or parents to transport the participant
1 See the ‘Step-by-step guide: myplace Provider Portal’
to everyday commitments. For information about when transport funding is included
in a participants plan, refer to the NDIA’s Operational Guideline: Transport.
There are three benchmark levels of funding for adults who receive transport
funding. For more information, refer to NDIA Factsheet: Participant Transport.
Participants are able to use their transport funding flexibly to cover their transport
costs. This may include (but is not limited to), paying for taxis or additional provider
transport costs (for example, costs negotiated with the provider – these may be
calculated by the amount of kilometres travelled). Support coordinators may need to
assist participants to understand how their transport funding can be used.
NDIS funded transport supports
Participants can choose to manage their transport funding in four different ways.
They can choose to have the NDIA manage their funding; choose a plan manager to
manage their funding; self-manage the funding; or receive periodic payments
(usually fortnightly or monthly) into their nominated bank account.
If a participant receives transport supports or chooses to use their transport funding
to pay any additional provider transport costs, providers will need to recover costs
from the participant according to how their funding is managed. For example,
providers will need to invoice the participant directly for the additional provider travel
costs if a participant receives their transport funding as periodic payments into their
nominated bank account.
Providers should ensure that when claiming transport costs via the NDIA Provider
Portal, they use the appropriate NDIS support line item (i.e. transport:
02_051_0108_1_1), and do not claim the transport costs using a different line item.
Participants are also able to pay for any travel costs using their personal funds
(derived from their own non-NDIS income).
What if the participant wants to exercise choice and control of their Core
supports to access more transport supports?
Participants are able to use their Core supports flexibly across all support categories
(including transport), except where a participant’s total transport funding is set up as
periodic payments or if a participant has not been funded for transport supports.
Participants can only use transport funding flexibly within Core supports if the
participant’s transport funds are NDIA-managed, plan-managed, or self-managed.
Participants may choose to have the NDIA manage some of their transport funds and
receive the remainder as periodic payments. This would allow the participant to
access their Core budget flexibly if they would like access to additional transport
funding.
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