How NDIS funding works with us.
Self-managed, plan-managed or NDIA-managed, we work with all three. Here is which budget pays for what, in plain language.
Referring a client? Start here
The three plan types
Every NDIS plan is managed in one of three ways, and it determines which providers you can use. Self-managed means funding comes to you and you pay providers directly, which gives the most flexibility. Plan-managed means a plan manager handles invoices on your behalf. NDIA-managed means the NDIA pays providers directly, and importantly, only NDIS registered providers can be used.
Health Focus Nursing is a registered provider, Organisation ID 4050159566, so all three plan types can use us. If you are NDIA-managed, registration is not a detail, it is the thing that determines whether a provider is available to you at all.
Which budget pays for what
Community nursing, including wound care, catheter management, medication administration and bowel care, comes from Core Supports at NDIS item 0114. Personal care sits at 0107, domestic assistance at 0120, and social and community participation at 0125.
A continence assessment is different. It is funded from Capacity Building, specifically Improved Daily Living, because it builds the evidence base for supports rather than delivering daily care. This catches people out regularly, and it is worth checking that this category has funding in it before an assessment is booked.
High intensity daily personal activities, covering tracheostomy management, ventilator support, enteral feeding, complex bowel care and severe dysphagia management, require both funding and a provider registered to deliver them. We hold that registration.
What it costs
All services are billed at current NDIS price limits rates. For eligible participants with the relevant funding available, there is no out-of-pocket cost. We do not charge establishment fees or exit fees.
If the funding is not in your plan, we tell you before starting. Beginning a service that cannot be billed helps nobody, and it leaves participants with an invoice they did not expect.
Funding questions
Can't find what you need? Call us on 0405 468 427.
Self-managed participants receive funding directly and pay providers themselves. Plan-managed participants have a plan manager who pays invoices on their behalf. NDIA-managed participants have the NDIA pay registered providers directly. Health Focus Nursing works with all three. NDIA-managed participants can use us because only NDIS registered providers can deliver services to them, and we are registered under Organisation ID 4050159566.
To work out which applies to you, call us on 0405 468 427.
Community nursing is funded from Core Supports at item 0114. Continence assessments are funded from Capacity Building, specifically Improved Daily Living. Personal care sits at 0107, domestic assistance at 0120 and community participation at 0125.
Usually not. For eligible participants with the relevant funding available in their plan, there is no out-of-pocket cost. Health Focus Nursing bills at current NDIS price limits. If the funding is not present in your plan, we tell you before starting rather than beginning a service that cannot be billed.
Not sure what your plan covers?
Send us your details and we will check the funding with you before anything is booked.
- 1You enquire
Form or phone call, whichever is easier. Takes less than a minute.
- 2We contact you
Within one business day, to confirm details and arrange a visit.
- 3Care begins
Your nurse or support worker visits at a time that suits you.
Refer directly using the form or by phone. Service agreements go out within 48 hours, and we keep you updated as things progress.
Send an enquiry
We respond within one business day.
Not sure what your plan covers?
We are happy to go through it with you before anything is booked.